Look Back/Elaborate During my second semester working on the general medicine unit, I was assigned to care for a patient …show more content…
In doing this, a general idea of the amount of time for each nursing duty can be arranged. Thus, I can efficiently manage my time without feeling rushed. However, in my circumstance I attempted to complete a check list in a timely manner which negatively affected my ability to build a strong therapeutic nurse-patient relationship. Bolster & Manias (2010) agree with this by stating that nurses who experienced time constraints felt challenged in their capability to establish a relationship with the patient. As a result, my patient stated to my instructor that she felt unwilling to wake up because I did not attempt to converse with her. Consequently, by failing to establishing a therapeutic relationship my patient denied her medications. Therefore, it justifies that a nurse-patient relationship can have a significant influence on the patient’s adherence towards their medication (Bolster & Manias, …show more content…
In doing this, I thought I was showing adequate nursing care by respecting the patient’s choices. Through this assumption, I did not acknowledge other reasons for the patient’s refusal of medication. In reality, the patient required further communication to comply with her schedule. This situation perfectly identifies the importance of incorporating a patient centred approach into nursing practice. Each patient will react differently in situations and it is essential that the nurse is able to develop strategies to address individual needs. For instance, my instructor, an extremely qualified registered nurse, went into the room with the understanding of the importance of a patient centred approach. Not only was she able to build a relationship with the patient but also understand her needs of having communication. In adopting this approach into nursing practice, patient experience and outcomes can improve (Bolster & Manias, 2010). In particular, Bolster & Manias (2010) mention how taking a patient centred approach can result in enabling administration of medication at the appropriate time. Therefore, by identifying the needs and preferences of the patient, an ongoing plan may be developed collaboratively which ultimately improves patient’s satisfaction with the health care system (Pelzang,