reply to each below with at least 250 words each and two scholarly references each.
Discussion #1 leslie perez
Case Study 1
J.J is a nurse practitioner who works in a primary care facility. He believes that one of the most important aspects of his work is to foster a therapeutic relationship with his clients. He is using effective communication techniques.
Many of his clients have altered sensory perception such as blindness and deafness. Because of these conditions, He has to be extremely patient with his clients. J.J. also finds that the use of respect and humor help him bond more readily with his clients.
For better results with his clients, J.J must secure trust with his patients. Discuss strategies that promote trust between patients and health care providers.
There are several strategies to promote trust between patients and health care providers. To begin, it is important to consider the patient’s cultural background in order to best cater to their needs. Communication, personal space, social and religious needs all vary from culture to culture, so being mindful of these needs will set the foundation for a trusting patient-provider relationship. For patients with disabilities, trust would be established by putting in the effort to streamline their visit by providing alternatives to communicate that are effective and efficient (Tang et al., 2019).
Once the assessment begins, it is important to listen to the patient, maintaining the focus on them. In doing so, one can also help clarify and describe what they are trying to share, which shows the provider is actively listening. Reflecting and tying together that which has been established also shows that there is value to what the patient is sharing. The use of correct pronouns, meaningful silence, and motivational interviewing all allow the provider to build rapport with the patient and further establishes trust.
Moral distress is a frequent situation where health care providers should face. Please define and discuss a personal experience where you have faced Moral distress in your practice.
Moral distress occurs when an ethical dilemma is presented and one feels powerless in being able to rectify the situation. In my own practice, I have encountered this a handful of times, especially due to my problem-solving mindset. One instance in particular that I felt truly powerless was when I had to triage a pediatric patient suffering from strep throat for over a month. The patient was unable to eat solid food and maintained their mouth open, constantly drooling, due to the severity of their disease process. This situation was stressful to me because in my interview of the patient and their parent, the delay in seeking treatment seemed negligent. However, the most I could do was educate the parent on the disease process and the consequences of delaying treatment, as well as inform them of all available options for seeking care so that in the event this were to occur again, it would never escalate to this level of severity. Ultimately, the patient required admittance and intravenous antibiotics (Deschenes et al., 2020).
Discuss how health promotion relates to morality.
Health promotion relates to morality in that morality is interwoven into every aspect of health promotion. As providers, there is a need to do no wrong, act in the best interest of the patient, and ensure treatment is just and truthful. Health promotion cannot occur in such a fashion that would put the patient in danger or leave them worse off. The entire foundation of health promotion is based on the premise of doing what is morally correct in order to better the lives and health of patients.
Discuss your insights about your own communication strengths and weaknesses. Identify situations in which it may be difficult for you to establish or terminate a therapeutic relationship.
My own communication has its strengths and weaknesses. I feel that I can establish a good rapport with my patients by speaking with them in a way that they understand and feel comfortable sharing. Additionally, I can empathize with the patient very well and can help them bridge the gap when they have a difficult time finding the words to explain certain concepts. I listen and summarize well. I feel that I can work on being a bit warmer and more welcoming, especially when I am under pressure. For instance, there are times that my workplace becomes overwhelmingly full and in order to keep up with the large volume of patients, my triage process has to move quickly. This cuts into my ability to establish a therapeutic relationship in order to save time for interviewing more critical patients. Ultimately, this can be remedied by ensuring that even when I feel overwhelmed, I can make every moment count so that patients may feel at ease in the brief time we spend together.
Discussion #2 Viviana Maleno
Therapeutic Relationship
Building trust between the patients and the healthcare providers is the most essential thing in the process of delivering quality healthcare service. J.J. designates building a therapeutic relationship with patients, and especially those suffering from altered sensory perception, through good communication and passing a message with patience and understanding as one of his priorities (Asan et al., 2021). This post sheds light on the causes of moral distress, the impact of health promotion on morality, and offers a personal reflection on strengths and weaknesses related to communication, enriching the discussion on patient-provider relationships and holistic care approaches.
Strategies for Building Trust
Trust in healthcare is a complex concept that is refined through various responses and interactions between healthcare providers and patients. Practices such as mutual listening, sympathy, honesty, and confidence play key roles in building and maintaining this trust. Active listening, for instance, guarantees that healthcare professionals thoroughly understand the needs and concerns of their patients, adopting a sense of being heard and respected. Additionally, empathy serves as a link that connects physicians and patients on a deeper level, facilitating a closer and more meaningful relationship based on understanding and compassion (Wu et al., 2021). Furthermore, the transparency inherent in the openness of information exchange between providers and patients is important to building trust. When patients feel they have access to clear and honest information about their care, they are more likely to feel invested and confident in their healthcare decisions. Moreover, the consistency of care delivery, marked by reliable services, further strengthens trust by demonstrating a commitment to quality and reliability. As patients consistently receive high-quality care, they develop a sense of confidence in the healthcare system’s capabilities and the skills of their providers, solidifying their trust and loyalty to the healthcare institution.
Moral Distress Experience
Clinicians often struggle with moral distress when confronted with ethical dilemmas in healthcare settings. In my own personal experience, I encountered such moral conflict when a terminally ill patient expressed a desire to end his own life, yet the hospital policy strictly prohibited such actions. Maintaining a balance between honoring the patient’s autonomy and adhering to organizational regulations presented a significant challenge, leading to emotional stress and ethical dilemmas. Finding a resolution that respected both the patient’s wishes and the hospital’s policies required careful deliberation and navigation of multifaceted ethical principles. Despite the struggle of the situation, it ultimately emphasized the importance of addressing moral distress in healthcare and the need for supportive mechanisms to help clinicians navigate such challenging scenarios while supporting patient-centered care and ethical values.
Health Promotion and Morality
Health promotion is an essential morality that encourages and develops actions and policies that support the practices that improve the health of individuals and communities alike (Solberg, 2021). Integrity of righteousness, goodwill, and respect, health promotion takes into consideration social factors of health and provides all key participants with equitable access to healthcare services.
Communication Strengths and Weaknesses
My strengths are active listening, empathy, and adaptability. On the other hand, I might find it hard to navigate through emotionally charged situations or deal with sensitive topics, too, like end of life (Beheshti et al., 2024). Establishing trust with patients can be particularly challenging in cases where they have encountered prior negative experiences or when they are resistant to participating in treatment. With continuous reflection and professional development, I continue to refine my communication skills and therefore able to build trust in communication with the patients.
In conclusion, building trust in healthcare settings requires thoughtful efforts focused on communication, empathy, and ethics. Addressing moral distress, identifying the moral aspects of health promotion strategies, and improving communication skills allow healthcare workers to encourage meaningful relationships and establish trust with patients, ultimately improving health outcomes and patient satisfaction.
