Relational Inquiry
"the complex interplay of human life, the world and nursing practice"
What is Relational Inquiry?
Mental image that one has of oneself
What is self-concept
How to Nurse emphasizes this barrier, where patients may not be able to express their needs clearly due to cognitive or developmental impairments.
What is a language barrier?
This principle of nursing involves the nurse’s ability to build a trusting relationship with the patient through attentiveness, empathy, and mutual respect.
What is the nurse-patient relationship?
What is the difference between the cartesian view of mind and body compared to the relational view of mind and body?
A. Nurses must follow the relational view because it sees mind and body as separate.
B. Nurses must follow the cartesian view because mental health and physical health are separate, therefore mind and body are viewed as separate.
C.The cartesian view treats the mind and body as separate, while the relational view sees mind and body as inseparable.
D. The relational view sees the mind and body as separate, while the cartesian view sees the mind and body as one.
C.The cartesian view treats the mind and body as separate, while the relational view sees mind and body as inseparable.
A way of thinking and focusing your attention. Specifically attention is focused on what is going on at and between the intrapersonal, interpersonal and contextual levels of health care situations.
What is Relational Orientation
This theory is centered on psychosocial development rather then other forms of development.
Erikson's Stages of Development
According to How to Nurse, this type of barrier arises when the nurse is distracted by external factors like noise, affecting their ability to listen to the patient.
What is environmental noise?
This term refers to the specific actions and strategies nurses use to communicate in a way that fosters understanding and cooperation with patients.
What is therapeutic communication?
Why is self-compassion important for nurses?
a) Allows nurses to detach from patient’s distress
b) Helps nurses focus on fixing problems that cause patient’s distress
c) It enables nurses to care for their own well-being while providing compassionate care to others.
d) It prevents nurses from being too emotionally involved in patients’ lives
c) It enables nurses to care for their own well-being while providing compassionate care to others.
What are the three components of Relational Orientation?
Interpersonal, Intrapersonal, Contextual
Assessment, Nursing Diagnosis, Planning, Implementation, Evaluation are all apart of
The Nursing Process
This barrier, discussed in How to Nurse, occurs when the nurse is overly influenced by their own assumptions and biases, which can distort patient communication.
What is stereotyping or bias?
This phase of the nursing process, outlined in How to Nurse, is when the nurse assesses the patient's health needs, concerns, and goals to create a tailored care plan.
What is assessment?
True or False?
Nurses that are uncertain or do not know are incompetent nurses.
Answer: False - The fact of not knowing doesn’t make you an incompetent nurse because not knowing is the first step to figuring out how to act. When nurses stick to just known things and not adjusting their reference points and accepting not knowing things, other aspects of patient care may be overlooked such as family, quality of life and so on.
Enlists all forms of knowledge and focuses on the value of any knowledge in terms of its consequences. Challenges the idea that any knowledge can offer certainty. Considers the limitations and fallibility of any existing knowledge.
What is the Pragmatic Approach?
This type of communication is essential for building rapport and trust with patients, allowing nurses to assess concerns, provide emotional support, and deliver clear instructions for care.
What is therapeutic communication?
How to Nurse describes this type of communication barrier when a nurse uses complex medical terms or jargon that a patient cannot understand
What is medical jargon?
This is the process by which nurses evaluate the effectiveness of care plans and make adjustments based on patient feedback and outcomes.
What is evaluation?
You overhear your nurse talking about your assigned patient during shift report, describing him as a “difficult patient” because he is frequently asking for assistance and experiencing frustration with his care.
Which response demonstrates an awareness of the impact of language and a commitment to fostering a supportive environment?
a) agreeing that the patient is difficult and avoiding engaging with him to let him calm down
b) asking the nurse to clarify the challenges the patient is facing and focusing on the patients needs
c) ask the patient why he is being difficult
d) document the patients frustration as non-compliance in the care plan
B
True or False
Relational Practice and Relational Inquiry are the same.
Explain why or why not?
NOT THE SAME
- There is a clear distinction between a relational inquiry orientation and interpersonal relational practice. In relational inquiry, a relational orientation goes beyond the interpersonal level (what happens between and among individuals) and includes an examination of the intrapersonal, interpersonal, and contextual dimensions of client/patient situations.
Name 6 development tasks by Erikson
•TRUST VERSUS MISTRUST
•AUTONOMY VERSUS SHAME AND DOUBT
•INITIATIVE VERSUS SHAME AND DOUBT
•INITIATIVE VERSUS GUILT
•INDUSTRY VERSUS INFERIORITY
•IDENTITY VERSUS ROLE CONFUSION
•INTIMACY VERSUS ISOLATION
•GENERATIVITY VERSUS SELF-ABSORPTION
•EGO INTEGRITY VERSUS DESPAIR
How to Nurse outlines this barrier as the difficulty patients may have in expressing themselves due to emotional distress or anxiety, which can prevent effective communication.
What is emotional distress?
This concept emphasizes the importance of nurses acting as advocates for their patients, ensuring their needs, preferences, and rights are respected.
What is patient advocacy?
3) Which of the following best describes the purpose of using the 5 Ws of Conscious Inquiry in nursing practice?
A) To ensure nurses always prioritize efficiency and quick responses in patient care
B) To help nurses reflect on whether their actions align with their personal and professional values
C) To encourage nurses to adopt a cheerful and friendly demeanor with patients at all times
D) To minimize the need for communication in high-pressure healthcare environments
Answer: B -To help nurses reflect on whether their actions align with their personal and professional values (Muhammad)