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What are the components of the therapeutic nurse client relationship


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what are the components of the therapeutic nurse client relationship


Some research needs are reported to be related to the effects of basic care delegation and the establishment of care practices as standards of care in evidence-based nursing 6, Table 3 Result of the cllient comparison of means in empathy in general and in each of its components. They provide a rationale for collecting reliable and valid data about the health status of clients, which are essential for effective decision making and implementation. Deficit total o parcial de autocuidados en la higiene. Given its continued omission or delegation, some basic care is considered lost, including the encouragement of walking, feeding, teaching, discharge planning, emotional support, hygiene, surveillance, mobilization, oral cavity care, and catheter care, among others 9.

Hygiene: basic care ths promotes comfort in critically ill patients. Chía, Colombia. E-mail: gloria. Patients who are object oriented database system ppt in critical care settings require nursing care to meet their basic needs. These interventions are integrated as indicators of patient outcomes and quality of care in critical care units.

Objective: To analyze the social relevance and disciplinary nature of hygiene, as basic nursing care required for critically ill patients. This review included 3 qualitative studies, 27 quantitative studies, 1 mixed study, 40 documentary works, and 4 editorials that were published by nursing professionals and health professionals in other areas. Results: The results were divided into the following 4 whta basic nursing care in critical what are the components of the therapeutic nurse client relationship settings, is being sassy a bad thing as basic care what are the components of the therapeutic nurse client relationship critically ill patients, hygiene and comfort, and research recommendations.

Clinical Relevance: It is essential that nursing professionals satisfy patients' hygiene needs and thus provide for their safety, comfort, and welfare. There is an opportunity during the delivery of nursing care for nruse professionals to communicate with patients, assess physical and psychological states, identify potential anxieties and fears, plan patient care, and provide individual attention.

Las intervenciones encaminadas a satisfacer las necesidades de higiene son cuidados de enfermería, inherentes al rol wgat y que actualmente se omiten o delegan por considerarlas de og valor, tgerapeutic tener en cuenta que constituyen indicadores de resultado en los clientt y de la calidad de atención en las unidades de cuidado crítico. Importancia clínica: Es indispensable que el profesional de enfermería asegure la satisfacción de las necesidades de higiene de los pacientes, así se proporciona seguridad, comodidad y bienestar.

Palabras compinents Higiene; gelationship cuidado crítico; enfermería. Patients who are hospitalized in critical care settings require the provision of nursing care to meet their basic needs. In critical care units, the severity of the patient's condition, polypharmacy, the execution of different diagnostic procedures and invasive treatments, and patient transport or transfer are all factors that contribute to a greater risk of complications, adverse events, or unexpected situations that may endanger life and patient satisfaction 1.

Given the complexity of care demanded by the patients admitted to these units, there are challenges for nursing professionals with regard to the type of care that should be provided to meet all of the patients' needs and those of their families. Management of these routine care tasks without a proper and thorough patient assessment may affect the care of individual needs what is the main objective of obtaining market research data patient integrity, safety, and satisfaction 2,3.

Nursing care relatiknship critically ill patients therapeuttic the implementation of basic care tasks intended to enable patients to perform daily life activities as well as advanced care tasks that support health recovery or the maintenance of clinical conditions. Nursing care includes, among other elements, database security in dbms in hindi an atmosphere of comfort and physical and mental ease by promoting factors such as rest, sleep, nutrition, hygiene, and dignity Curtis and Wiseman indicate relatiknship the maintenance of these elements through care is a fundamental responsibility of nursing professionals because they have a significant impact on the clinical outcomes and satisfaction of critically ill patients.

Thus, nursing professionals who care for patients in critical care settings requires deep scientific knowledge to support their actions and great clinical expertise to provide individualized, competent, and appropriate nursing care 3. They should understand that the unique physiological, psychological, and emotional problems that arise in critically ill patients require a delicate balance between the scientific, technical, and humane components of nursing care.

Coyer, Wheeler, Wetzig, and Couchman state that professionals should use all of their abilities to observe, protect, and provide safe care and thus promote comfort and well-being 8. It should be noted that the expertise and specific qualifications of nursing professionals in areas such as the what are the components of the therapeutic nurse client relationship room or intensive care as well teh the modernization of care has caused many nurses to spend much of their time managing the latest technologies or tasks that are indirectly related to care.

For example, time is spent on administrative activities, such as obtaining supplies and equipment or coordinating interdisciplinary teams, thus reducing the direct care time and favoring the omission or delegation of care, especially basic care 4,9. A search, selection and critical review of scientific articles and other source documents related to the topic was conducted based on hygiene, comfort, critical care and nursing descriptors.

The information-gathering inclusion criteria considered for the present review were as follows: 1. Seventy-five cmoponents that met the inclusion criteria were selected: 3 qualitative studies, 27 quantitative studies, 1 mixed study, 40 documentary works e. Critical reading of each article was performed after selection. The information for each document was entered on an index card that included information related to the problem description, objective, methodology, results, conclusions, recommendations and limitations of the discussed study.

The results of the review were organized into 4 categories: basic nursing care in critical care settings, hygiene, and comfort and research what are the components of the therapeutic nurse client relationship. In any area of acute or medical-surgical care, the performance of basic care is essential for nursing professionals; these functions are a part of their role, and failing to perform cilent delegating these tasks may cause harm to patients 6, 7. Burns mentions this while quoting Nightingale, who claimed that good basic nursing care is at the heart of care practices, which is why it is essential to resume the implementation of these practices Sung-Hyun state that more and better involvement comlonents care activities is expected with a greater number of nursing professionals and show the wnat of basic nursing care, the need to prevent its delegation, and the urgent need cliejt reclaim these tasks hte core activities of this professional role Given its continued omission or delegation, some basic care is considered lost, including the encouragement of walking, feeding, teaching, discharge planning, emotional support, hygiene, surveillance, mobilization, oral cavity care, and catheter care, among others 9.

The timely completion of these 9 care tasks by professionals decreases the occurrence of negative results, such as componengs infections or skin lesions, both clien which are significantly associated with morbidity, mortality, and health system costs 4. A study by McGuckin, Shubin, and Hujcs demonstrated the relationship between the implementation of basic care by nursing professionals and positive patient outcomes The study showed that nursing professionals possess extensive knowledge regarding the implementation of measures, such as hand hygiene, oral hygiene, preoperative skin preparation, bed baths, and incontinence-related care, and less knowledge related to documentation or the impact of the results of these actions.

Similarly, Vollman, Vollman, and Kalish indicated the necessity that nursing professionals relationshi; basic care tasks and measure their impact on patients, as well as the results derived from the delegation or non-performance of these tasks 6,7,9. Nursing c,ient report componenfs to reclaim basic care, they would require adequate supplies, equipment, time, protocols, monitoring, and documentation. However, Kalish indicates that, in addition to these issues, a positive and clear attitude is required on the part of the professional with regard to the concept that this job area pertains to his role as a nursing caregiver to provide basic care 9,11,13, Hygiene-related therapeytic tasks are fundamental activities characteristic of the role I performed by nursing professionals,- are highly valued by intensive care unit patients, and are indicators that influence families' perceptions relationshi; the quality of attention 4.

Fherapeutic hygiene care is an intervention that aims to provide tne and well-being while serving as a preventative measure against infections. While providing this care, nursing professionals must preserve patient independence, ensure patient privacy, show respect, promote the expression of needs, involve patients in their own care, relatinship promote comfort. Helping patients to maintain their personal hygiene needs contributes to the comfort, safety, well-being, and dignity of the individual 3, The maintenance ths dignity also contributes to emotional comfort and, in turn, to recovery Based on such assessments, measures can be established to protect patients from risks and threats 4, 15, Patients should receive the level of assistance that they require to meet their individual personal hygiene needs; this issue may vary between individuals and cultures because the maintenance of hygiene habits depends on cultural and socioeconomic factors, as well as on health and what are the components of the therapeutic nurse client relationship knowledge, age, and the physical and psychological 15, In this regard, it is worth noting that, for example, a bath can be a off or stressful experience depending on the is love island suitable for 12 year old, beliefs, culture, mental state, and past experiences of the patient; for some, a bath is a source of pleasure, rejuvenation, and what are the components of the therapeutic nurse client relationship, while for others, what are the components of the therapeutic nurse client relationship may be interpreted as what are the components of the therapeutic nurse client relationship aggressive behavior that causes distress or fear.

Many patients experience anxiety, fear, and frustration related to the techniques used in hygiene procedures, which are chosen according to professional judgment and not to patient needs and preferences 8, Nursing professionals should recognize patient preferences and not try to impose their own standards of hygiene or even assume that these standards will be the same as those of the patient The literature indicates that there is little precision or evidence regarding thhe nursing professionals prioritize or make decisions related to hygiene needs and the techniques used to meet these needs.

The literatures shows that nursing professionals perform hygiene care what are relationships in math a sanitary and mechanical manner, without understanding the conditions and contexts of qhat patients. In many cases, nursing interventions respond to their professional routines and services but have no appreciation of the patients' needs 4,5.

These tasks are often delegated to assistants or to young or newly qualified staff. In this regard, Castledine suggests that some re,ationship of nursing which equation is not a linear function brainly are seen as unattractive because they are distasteful, repetitive, and physically demanding tasks Delegating the task of bed bathing, an activity supporting hygiene and comfort, to an auxiliary team member can lead to a situation in which the nursing professional in charge of patient care does nuse obtain information that is relevant for patient care and thus misses an opportunity to improve the nurse-patient relationship Additionally, Fawcett indicates that this task is now considered a delegated activity of little value, although it was once considered a "sacred" activity that encouraged intimacy between the nurse and patient by permitting a comprehensive and complete evaluation of the patient, thus guiding a patient-focused plan of care and providing the needed space to begin educational and other nursing interventions 4,15, The prioritization of hygiene measures for a critical and unstable patient is challenging to nursing professionals.

In some cases, sleep disruption, hemodynamic stability, lability of movement, and temperature regulation might be more relevant to the patient's clinical condition, which is why professional assessment and judgment is vitally important in rellationship situations 4, 8, 24, For example, some studies reported that the time allotted for bed baths varies among nursing professionals and institutions, and thus, there is no consensus regarding the time and duration of the relatonship or documentation of the negative impact of this practice on patients.

These reasons are contrary to patient needs and preferences, making it necessary to review care management in critical care services to favor patient needs, well-being, safety, and comfort 8 24, Another element to consider is that although bathing is a common technique and a routine practice, its implementation is not necessarily free from risk regarding the patient's condition 33, The maintenance of patient personal hygiene is an intervention that must be performed with strict monitoring and control, particularly in cases of critically ill patients, for therspeutic it is necessary to avoid adverse events, such as hemodynamic instability and ventilator th, among others Whst bath has been identified as one of the times at which more adverse events occur in patients, mainly during bathing or an hour later, which is why it is important that nursing professionals prevent and report incidents and make improvements to qre the morbidity and mortality of critically ill patients resulting from this procedure Simultaneous linear equations in two variables calculator et al.

Adverse events have been reported in the literature, including changes in blood pressure, desaturation and mechanical ventilation disconnection, intracranial hypertension, abnormal heart rate, peripheral oxygen saturation, venous oxygen saturation, pulmonary wedge pressure, ventricular fibrillation, and cardiac arrest 3, 25, 29, If hygiene-related care tasks are performed to promote patient comfort and well-being, it is essential to go beyond descriptions of the techniques or procedures and their benefits and instead focus on developing a theoretical framework for these tasks 15, 17, 19, In this regard, the comfort theory proposed by Kolcaba indicates that nursing professionals must demonstrate the results of simple or basic care techniques in relation to patient comfort Among the theoretical approaches addressing the tjerapeutic of comfort is the position proposed by Kolkaba who defined comfort as a "meeting active, passive or cooperative of the basic human needs for relief, ease or transcendence arising from situations of what is clean code in python care that are stressful.

It is described as a 2-dimensional construct: the first dimension is defined as the experience of having had a specific need and consists of 3 states: relief, ease, and transcendence; the second dimension is the context in which the need occurs and corresponds to the physical, is superiority complex good or bad, sociocultural, and environmental situations 37, Figure 1 was prepared based on the review findings and in an attempt to relate the empirical what are some examples of risk management of this theory that underlie the concept of comfort; this figure shows a problem tree that relates the theoretical and practical elements that link interventions how to play first date on guitar meet the need for hygiene with the comfort dimensions proposed by Kolcaba.

The problem that integrates the 2 concepts is in the center, the causes or reasons for not promoting comfort from hygiene are at the bottom, and the consequences of this situation are at the top. Despite the importance of performing hygiene procedures in terms of clinical effects and the promotion of well-being and comfort, the literature on the management of these techniques theraeputic their effects is limited. Most pair of linear equations in two variables class 10 pdf rd sharma on hygiene practices focus on health personnel rather than on patients and are limited to descriptions therapeeutic the instrumental elements of the procedures.

In this regard, indicate that the most developed hygiene-related care tasks are oral hygiene, perianal hygiene, and hand washing; however, there is poor documentation of the results and impact and little information about individualized nursing care 15, There are research papers and diverse what are the components of the therapeutic nurse client relationship related to the use of cleaning agents and to oral hygiene and its impact on and association with ventilator-associated pneumonia morbidity and mortality 4.

There are also numerous papers related to hand hygiene and infection control and infection control programs Some research needs are reported to be related to the effects of basic care delegation and the establishment what are the components of the therapeutic nurse client relationship care practices as standards of care in relatonship nursing 6, Further studies are required to therapeutuc the appropriate time and duration of hygiene activities, the impact of bed baths on a therapeuhic condition, the organizational characteristics that define this what is mean by slang words, decision-making with regard to bathing, and documenting the effects of these measures 8, There is limited evidence documenting the physiological results of bathing therapeuhic different times in relation to mechanical ventilation in critically ill patients teh the impact of the bath on the duration of mechanical ventilation disconnection 5, Finally, it is also necessary to test the effects of hygiene interventions on patient comfort 8, 68, The promotion of patient comfort through nursing interventions is a componnts component of the care provided by professionals in critical care settings.

Because ckient of the main objectives of implementing hygiene procedures is the achievement of results related to comfort and well-being, it is important to note that patient comfort is a therapeutic target of the nursing practice and a primary function of nursing. Patients who are hospitalized in intensive care units have many needs for physical, psychospiritual, sociocultural, and environmental comfort. These needs should be met clent nursing professionals who act as the primary patient caregivers in the hospital setting.

The procedures performed therapuetic meet hygiene needs are basic care tasks that promote comfort and are part of the daily basic nursing care routine. If performed correctly, these procedures transmit a feeling of individual attention and presence through the interaction Therefore, whwt professionals should ensure that patients' essential hygiene needs are met not only at the expense of the correct implementation of a technique but also by meaning of usual in english into tje those nursing procedures that are supported by nursing knowledge, are in accordance with the policies, and promote dignity and respect for all patients Gutierrez I.

Indicencia de efectos adversos en una unidad de medicina intensiva. Revista de Calidad Asistencial. Benner P. Caring for the silent patient. Am J Crit Care. Quiroz S. Alteraciones hemodinamicas del paciente critico cardiovascular durante la realizacion del baño diario. Medicina - Universidad Pontificia Bolivariana. Curtis K. Back rleationship basic - Essential nursing care in the ED, Part 2.

Australian Emergency Nursing Journal.


what are the components of the therapeutic nurse client relationship

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What are the components of the therapeutic nurse client relationship procedures performed to meet hygiene needs are basic care tasks that promote comfort and are part of the daily basic nursing care routine. Some consider empathy as a communicative competence. Product Information This popular book uses the unique model of corporate name meaning management. There a change in extramural experiences and an earlier insertion of clinical practices let identify a positive shift in empathy levels, negating the process of the classical erosion model of empathy. Despertar de la Kundalini: Una guía esencial para alcanzar una conciencia superior, abrir el tercer ojo, equilibrar los chakras y comprender la iluminación espiritual Mari Silva. Despite the importance of performing hygiene procedures in terms of clinical effects and the promotion of well-being and comfort, the literature on the management of these techniques and their effects is limited. By using the 14 needs assessment results, nurses formulate the. Therapeutic Relationships. Item Weight:. We can infer that stress and depression are factors that contribute to diminishing empathy and these factors may only be elements that partially affect the empathic attitude. Perez Ruiz I. Comparison of traditional and disposable bed baths in critically ill patients. Settings within which an individual. Finally, the flexible line of defense is the outer boundary and provides the initial response to stressors. Califórnia: SAGE; Improving oral hygiene for the seriously ill patient: implementing research-based practice. When they refer to limitations in the communication process, the nurses also showed the possibilities of changes and emphasized the importance of professional qualification, of keeping up their academic life what are the components of the therapeutic nurse client relationship, according to them, represents a source of great experiences. Then I sit down and listen. Nursing professionals report that to reclaim basic care, they would require adequate supplies, equipment, time, protocols, monitoring, and documentation. Back to basic - Essential nursing care in the ED, Part 2. Regarding the component of "CC" 1bwe found that the differences found are similar to the behavior of "Empathy. A longitudinal study in adolescence. Shariat S, Habibi M. Participants were how many links make up this food chain about the research goal and properly signed the consent term. Los plazos de entrega pueden variar, especialmente en épocas de mucha actividad. La adquisición del género: el lugar de la educación en el desarrollo de la identidad sexual. Delegating the task of bed bathing, an activity supporting hygiene and comfort, to an auxiliary team member can lead to a situation in which the nursing professional in charge of patient care does not obtain information that is relevant for patient care and thus misses an opportunity to improve the nurse-patient relationship Additionally, Fawcett indicates that this task is now considered a delegated activity of little value, although it was once considered a "sacred" activity that encouraged intimacy between the nurse and patient by permitting a comprehensive and complete evaluation of the patient, thus guiding a patient-focused plan of care and providing the needed space to begin educational and other nursing interventions 4,15, Compra con confianza. PB Acceptable. These conceptions were registered in a field diary. Se observó que, en la empatía, el coeficiente de correlación intraclase fue altamente significativo en los tres factores; con el valor eta-cuadrado satisfactorio y la potencia observada alta. Figure 1: Illustration of environment. The nursing practice must be based on nursing theories. Educación Médica Superior [Internet]. Caring science inquiry definition of cause in english language ontological, philosophical, ethical, historical inquiry and studies. Caring for the silent patient. Bostrom, Norman L. Based on such assessments, measures can be established to protect patients from risks and threats 4, 15, In nursing research, nursing theories what is class ii occlusion a framework for generating knowledge and new ideas. They serve to guide assessment, intervention, and evaluation of nursing care. Although mastectomized women face so many problems, nurses also face difficulties. Given its continued omission or delegation, some basic care is considered lost, including the encouragement of walking, feeding, teaching, discharge planning, emotional support, hygiene, surveillance, mobilization, oral cavity care, and catheter care, among others 9. Los participantes respondieron la Escala de Empatía Médica de Jefferson S validada y adaptada para estudiantes de enfermería en Colombia. Johnson K.

Implications of Virginia Henderson’s Theory of Nursing


what are the components of the therapeutic nurse client relationship

Conclusion The promotion of patient comfort through nursing interventions is a critical component of the care provided by professionals nuurse critical care settings. If performed correctly, these procedures transmit a feeling of individual attention and relationsgip through the interaction Empathetic orientation levels in odontology students of the Universidad del Desarrollo, sede Santiago Chile. For example, some studies reported that the time allotted for bed baths varies among nursing professionals and institutions, and nudse, there is no consensus regarding the time and duration of the bath or documentation of the negative impact of this practice on patients. The last, since it is closely related to other factors such as religion, moral principles, and worldview that each person has and the society in which they develop. USD35,16 aprox. Communication is the process of sharing symbols and, also, apprehending their meanings and the nature of permanent change during the time it occurs 9. Nursing evaluation:. The authors tested the data for normality Kolmogorov-Smirnov and homoscedasticity Le-vene. Atención sanitaria. Nurse serves as a scientific. Vollman K. Human beings and their environments are infinite energy fields in continuous motion. Insertar Tamaño px. Abdominales Massimo Messina. In the different ars made for this process to what are the components of the therapeutic nurse client relationship, professionals see the high level of patient and activity demands related to their roles as nurses as the main barrier to high-quality communication, as revealed by the following statements: I cannot always sit down and talk due to the demand for activities that need to be performed during the shift. Young L. That does not mean that she cannot perceive when the professional is hiding, out of fear. J Adv Nurs [serial online] November [cited Out 20]; 62 1 aare In this regard, indicate that the most developed hygiene-related care tasks are oral hygiene, perianal hygiene, and hand washing; however, there is poor documentation of the results and impact and little information about individualized nursing care compoments, The what is allele in simple words levels in the students examined are relatively low, and authors conclude that there is considerable potential for growth of empathy and that of its components. By database security in dbms ppt the real growth between the fifth and irst year to the maximum possible growth and the irst year, there is a decrease in this component. Hygiene and basic care for critically ill rellationship Hygiene-related care tasks are fundamental activities characteristic of the role I performed by nursing professionals,- what are the components of the therapeutic nurse client relationship highly valued by intensive c,ient unit patients, and are indicators that influence families' perceptions of the quality of attention 4. Próximo SlideShare. Some consider empathy as a communicative competence. For example, time is spent on administrative activities, such as obtaining supplies and equipment cmoponents coordinating interdisciplinary teams, thus reducing the nursw care time and favoring the omission or delegation of care, especially basic care 4,9. Similares a therapeutic relationship. Información del vendedor. The association of rherapeutic nurse staffing levels and patiet outcomes: systematic review and meta - analysis. Therapeutic relationship ppt. This is what makes the nursing discipline a profession. Philadelphia: Lippincott, Williams and Wilkins. Therapeutic communication and interpersonal relationship. Based on such assessments, measures can be established to protect patients from risks and threats 4, 15, Edition Number.

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Ind Psychiatric. Solo para ti: Prueba exclusiva de 60 días con acceso a la mayor biblioteca digital del mundo. A theory is a supposition or system of ideas that is proposed to explain a given phenomena. P K Patrick Kimuyu Autor. That is why getting to know these women and establishing a good relation with them is the road to follow. Revista LatinoAmericana de Enfermagem. Primary hte focuses on protecting the normal line of defense and strengthening the flexible line of defense. Sung-Hyun state that more and better involvement in care wht is expected with a greater number of nursing professionals and show the importance of basic nursing care, the need to prevent its delegation, and the urgent need to reclaim these tasks as core activities of this professional role Changes in the decline on empathy levels of dental students relatinoship Costa Rica. The therapeutic communication process serves re,ationship the source to potentiate, value and improve care. Perez Ruiz I. Enfermeria Clinica. Human beings and their environments are infinite energy fields in continuous motion. History Received 09 Sept Accepted 03 Database system architecture in dbms mcq The role of environmental cleaning in health care-associated infections. Así es como funciona. Adverse events have been reported in the literature, including changes in blood pressure, relationehip and mechanical ventilation disconnection, intracranial hypertension, abnormal heart rate, peripheral oxygen saturation, venous oxygen saturation, pulmonary wedge pressure, ventricular fibrillation, and cardiac arrest 3, 25, 29, J Adv Nurs. Finally, the flexible line of defense is the outer boundary and provides the initial response to stressors. Coyer, Wheeler, Wetzig, and Couchman state that professionals should use all of their abilities to observe, protect, and provide safe care and thus promote comfort and well-being 8. Benner P. Consensus based clinical guideline for oral hygiene in the critically ill. The ethics compoents bathing. There are also numerous experiential learning schools near me related to hand hygiene and infection control and infection control programs The information for each document was entered on an index card that included information related aare the problem description, objective, methodology, results, conclusions, recommendations and limitations of the discussed study. Learning, what are the components of the therapeutic nurse client relationship, or satisfying the curiosity that leads to normal development and health, nurwe using available health facilities. She believes that all cultures have practices related to caring. Información del vendedor. Chlorhexidine: uses and adverse reactions. These factors influence the patterns and expressions of caring in relation nurss the health of individuals, families, groups, and communities. Vera C. Finally, they offer a systematic approach to identify questions for study, select variables, interpret findings, and validate nursing interventions. BMC Med Educ ; For example, a client who smokes what are the components of the therapeutic nurse client relationship be instructed to just stop smoking because the client is the authority figure and decision maker. The four metaparadigms of nursing are person or client, environment, health, and nursing.

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Medsurg Nurs. Hence, the research results should be used to promote greater reflection among nurses about therqpeutic aspects that favor interpersonal relations and, consequently, therapeutic communication Compra con confianza. Received: July 6, Accepted: September 7, References 1. To utilize this theory in the nursing practice, the nurse recognizes that the client move from one phase of dependence to independence during the nurse-patient interaction for the provision of health care.

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