This paper explores the concepts of power, control and empowerment in relation to the complex relationship between nurse and patient.
Written in 2000; 3,658 words; 9 sources; APA; $ 101.95
Paper Summary:
This paper shows how mental health nurses talk extensively about the relationship between the nurse and the patient and the use of this relationship. It is suggested that this relationship is a therapeutic one and this term is often used in the patients? care planning. The paper quesions what exactly nurses want to achieve in this nurse-patient relationship. The author of the paper suggests that one of the primary goals of this relationship should be to move power and control to the patient. Perhaps this could be seen as the objective or end goal of the relationship. The writer also suggests that mental health nurses often inadvertently remove control and power from the patient through the inappropriate use of this relationship. Several power theories, put forth by experts in the field such as Barnett and Hildegard Peplau, are discussed in relation to the writer's developing philosophy of nursing and own practice as a psychiatric nurse.
From the Paper:
"Taking the time to know the patient is part of enabling empowerment and this is shown in the nurse-patient relationship through Peplau's (1997) theory of interpersonal relations. Peplau discusses the nurse-patient relationship as requiring three phases to achieve a therapeutic value. This involves an interpersonal knowing between the nurse and the patient. There are three phases to Peplau's framework: orientation, working, and termination phases. This writer suggests that in order to move the relationship from the orientation phase to the working phase, the nurse must identify issues of power and control in the relationship. Forchuk et al (1998) cites the relationship as powerful when moving through this transition to the working phase. This involves the nurse being consistent, available and valuing trust in the relationship."
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