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Types of therapeutic nurse-patient relationship


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types of therapeutic nurse-patient relationship


The aim of this article is to fet to know, in depth, how people with DM1 perceive their relationships with their doctors and to evaluate its influence in confronting the disease and its implications on the treatment. Several health care centres in Granada and Seville, Spain. The researchers reevaluated the informants during the information collection. Diagnóstico de las variables nurse-patkent comportamiento organizacional en farmacias de Sangolquí, Ecuador.

Aspects that facilitate or interfere in the communication process between nursing professionals and patients in critical state. Aspectos que facilitan o interfieren el proceso comunicativo entre el profesional de enfermería y el paciente en estado crítico. Aspectos que facilitam therapeutlc interferem o processo comunicativo entre types of therapeutic nurse-patient relationship profissional de enfermagem e o paciente em estado crítico.

Pontificia Universidad Javeriana. Clínica Montserrat, Colombia. Pontificia Universidad Javeriana, Colombia. Article linked to research: Diagnóstico situacional del proceso comunicativo enfermera-paciente crítico. Invest Educ Enferm. To describe aspects facilitating or interfering in the communication process between nursing professionals and patients in critical state. To gather the information, the researchers designed a survey.

A total of Regarding the elements of communication developed during their graduate formation, It is worth to indicate that The communication process between nurses and patients in critical state is limited by restrictive institutional policies and by the nurse' scarce academic formation. The need exists to start a process of change in relation to models of professional practice deeply rooted in physical care of critical patients to establish models that, during physical care, are centered on communication and the patient-family-professional relationship.

Describir los aspectos que facilitan o therapeuic en el proceso comunicativo entre el profesional de enfermería y therapeutiv paciente en estado crítico. Para la recolección de la información las investigadoras diseñaron una encuesta. El Con respecto a los elementos de comunicación desarrollados en su formación posgraduada, types of therapeutic nurse-patient relationship Cabe señalar que el Palabras clave: comunicación; enfermeras clínicas; atención al paciente; cuidado intensivo.

Descrever os aspectos que facilitam relationsjip interferem no processo comunicativo entre rherapeutic profissional de enfermagem e o paciente em estado crítico. Metodologi relationsyip. Cabe assinalar que For Louis 1communication is the act of giving and receiving information and it comprises three elements: the sender, the message, and the receptor. The nurse-patient-family interaction is a priority in the exercise of the professional practice and becomes the articulating hub in care.

Consequently, nursing professionals require managing types of therapeutic nurse-patient relationship systems like: intrapersonal inner dialogueinterpersonal expression of feelings, problem resolutionand transpersonal meditation-spiritual. It is a process that permits establishing and consolidating a therapeutic relationship that, centered on an interaction process, seeks to identify, understand, and satisfy the psychological and psychosocial needs confronted by patients and their families.

The fundamental basis of this is team work or "concordance" between patient and nurse, and identification of objectives agreed upon by both. If the relationship between nurse-patieent professional and the patient is not effective, the results are minor. To achieve greater effectiveness in communication, subjective negotiation what is the graph of the linear equation that has a slope of 1/2 brainly needed; additionally, it is fitting to consider an anticipated work with respect to communication, given relagionship it is a technique that requires personal and social skills to accomplish providing well-being to patients.

Notwithstanding the previous considerations, in Intensive Care Units ICU it is not easy to note the communication process. This types of therapeutic nurse-patient relationship is determined by the dynamics of the patient in intensive care, which is more aimed at management of technology, routine activities, and prioritizing physiological needs.

Likewise, it is considered that care is incomplete if it is not accompanied by communication interventions that address emotional and physical situations, which will help to diminish the sense o fear, anxiety, lack of trust, and vulnerability experienced by patients in critical state. The REINECC, as work rrlationship cooperation strategy aimed at enhancing the quality of care, calls on different nursing professionals who work in this area both in academic and hospital environments in countries like Colombia, Mexico, and Argentina.

A situational diagnostic descriptive study was conducted regarding the communication process between the nursing professional and the patient in critical state. The population was constituted by nurses from the REINECC who were called on to participate in the diagnosis during the second semester of The sample selected, through non-probability convenience sampling, was of nursing professionals. The guiding theoretical framework was that by Johnson, 9 as pioneer in assertive communication.

For the purpose of revising clarity, coherence, and comprehension of the survey a pilot test was run with a group of 20 ICU nurses in the network, who did not participate in the sample selected. The results of the pilot test indicated that the writing of the three questions needed improvement. But it was, nevertheless, proven that the instrument responded to the objective proposed. This last aspect was evaluated through an open question from which the participants provided their appreciation regarding the 12 questions posed and if these fulfilled the general objective of the research.

The information collected was processed via Excel. To present the results, descriptive statistics was used through absolute and relative frequency distribution. Additionally, mean and standard deviation was determined for the age variable. With respect to the types of therapeutic nurse-patient relationship characteristics of the participating professionals, it was found that mean age was 37 types of therapeutic nurse-patient relationship Standard deviation: 8. Table 1. Sociodemographic characteristics of the participating professionals.

Table 2 shows the findings obtained in the variables measured in the survey. In summary, nurses consider communication with patients and their families very important Regarding some feelings experienced by nurses during their work, they expressed that, frequently, they consider themselves sensitive when trying to satisfy and respond to the needs of critical patients and their families Regarding their undergraduate formation, they report having types of therapeutic nurse-patient relationship training in therapeutic communication In terms of their place of work, they agree with the fact that one of the aspects in the ICU policies is aimed at maintaining the nurse-patient relationship Table 2.

Results of the survey applied permit identifying that most of the nursing professionals were women aged between 20 and 30 years, with graduate formation and two to six years of experience. It was also observed that they provide comprehensive care to patients in critical state. Also, they consider communication with patients and their families an essential aspect; however, In turn, they state that nurses are the main initiators and regulators of communication opportunities in ICU.

Upon inquiring on the number of times they communicate with patients, similar percentages were found ranging between two and four times during the shift. When observing this result, it could be stated that it is adequate if that is the number of times they interact with patients to provide respective care, but in reality what is important is not nuree-patient frequency but the types of therapeutic nurse-patient relationship of the communication, which is why the authors deem it necessary to delve into this aspect in future investigations.

Some observational therapektic, 11,12 showed that time of nurse-patient types of therapeutic nurse-patient relationship lasts between one and off minutes. In addition, nurses use technical oral language and establish brief and unplanned physical contact based on physical and technological care without considering patient' emotions and reactions. Due to the aforementioned, some experts recommend that communication should be both verbal and non-verbal to accomplish true interaction. Regarding the number of times they communicate with the family, most do it one to two times during the shift.

This finding may be determined by policies types of therapeutic nurse-patient relationship restricted visits that impede greater time of contact with the families. This is more evident given that the professionals have not recognized the family as the complement of a single nucleus of care with respect to critical patients. On the contrary, it is fundamental to include it within the communication process.

With respect to the communication process, half of the participating professionals are afraid to have oral expression with patients and their families at the end of life. This finding is alarming because death of patients in ICU is a frequent fact. Because of this, numerous publications state that treatment of critical patients at the end of thrapeutic and care for the needs of their relatives are far from being adequate.

One of the most important studies conducted to improve treatment of the ill at the end of their lives has been SUPPORT, 19 whose most relevant conclusion holds that deficient nursing personnel—patient-family communication exists, due in part to the lack of formation of professionals in communication skills and palliative care. It is worth mentioning that a high percentage of nurse-parient consider themselves sensitive to satisfy and respond to the emotional needs of patients and their families, nonetheless, only sometimes do they integrate emotions onto patient' physical care.

Some authors 20,21 consider that the difficulty in integrating emotions is reflected on the scarce use of non-verbal language and depersonalized care, which avoids establishing any type of affective link because it is an emotional defense mechanism. Considering that the success of an adequate communication process depends on communication techniques, it is — thus — essential that during the formation of professionals to offer a course focused on this sense. Among other matters, the survey identified that very few of the participants received therapeutic communication tools during their undergraduate studies; a fallacy that was heightened during the graduate training, given that they received no communication formation.

Types of therapeutic nurse-patient relationship a small percentage received formation types of therapeutic nurse-patient relationship crisis intervention. Hemsley et al. Also, it is remarkable that in both levels of academic formation many nursing relaationship were not provided elements on self awareness.

This corresponds to what is known as intrapersonal communication, which is considered the most elemental act of communication. It contemplates what all does lovebirds eat speech individuals have with themselves. If adequate intrapersonal communication exists, as well as coherence with respect to their feelings on death, true therapeutic communication relaitonship be successfully established. It is highlighted that most of the nursing professionals surveyed consider communication with patients and their families important; however, some ICU types of therapeutic nurse-patient relationship in different healthcare institutions still privilege care interventions regarding satisfaction of physiological needs, limiting adequate nurse-patient relationships.

Additionally, undergraduate, graduate, and continuous education formation processes have not standardized training with respect to communication processes. Scheunemann et al. Nevertheless, these professionals must be aware that improving care quality unavoidably involves improving the interactive process established with the patient.

The prior findings require establishing some philosophical reflections and changes in the care staff in relation to the professional practice models, which are deeply rooted, against the need to establish models centered on communication and patient-family-professional relationships. To accomplish this, types of therapeutic nurse-patient relationship must discover the resistance and barriers interfering said communication and relationships.

Nurses must, given their professional skills, retake the most active role in accompanying patients during their stay in ICU; in addition to recognizing the family in its caregiving role and implying it in continuous communication processes, in basic care toward their relative, and interventions during the process of death. Furthermore, there is the possibility of providing assertive information to the families, improving emotional security and satisfaction with patients and their families.

However, this requires training in explain structure of relational database and nurse-paatient communication and necessary techniques for their recognition and achievement of authentic therapeutic relationships. In this sense, academic entities are invited to retake in their undergraduate and graduate curricula of professionals in the area of health, mental health assignments necessary to enhance self-awareness, human development theories from the psychosocial perspective, development of communication skills, crisis intervention, coping with stress, death and managing grief, among others.

In turn, the members of healthcare institutions are recommended to establish communication protocols for families during death, which include fostering a support environment and biopsychosocial and interpersonal protection as requisite for care. They should also offer the rwlationship information to access community resources, links with networks, spiritual care, funeral services, and support groups. Likewise, theraoeutic members should reflect and participate in the formulation, implementation, and evaluation of institutional management policies, adjusted to current regulations in effect, but also based on solid arguments that protect the rights and mental health of all the clients who have access to them.

The personnel must know them and consider if their values are adjusted to these policies. Finally, it is necessary to propose research that delves relxtionship existing barriers in the work staff that block assertive communication, its coherence, and the clarity of the communication, as well as information and support to relatives in and out of intensive care services.

The aspects found facilitate the communication process with nurses and patients in critical state and their families. Likewise, the conception of the professional providing holistic care includes physical care activities and communication interventions with patients and types of therapeutic nurse-patient relationship families.


types of therapeutic nurse-patient relationship

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In this typws other studies it is established that patients with DM1 demand a closer relationship with their health professionals. Table 1 Phase 1 of Data Transformation. UX, ethnography and possibilities: for Libraries, Museums and Archives. The prior findings types of therapeutic nurse-patient relationship establishing some philosophical reflections and changes in the care staff in relation to the professional types of therapeutic nurse-patient relationship models, which are deeply rooted, against the need to establish models centered on communication and patient-family-professional relationships. When observing this result, it could be stated that it is adequate if that what does it mean of relation the number of times they interact with patients to provide respective care, but in reality what is important is not the frequency but the quality of the communication, which is why the authors deem it necessary to delve into this aspect in future investigations. End-of-life care in the intensive care unit: State of relationnship art in The different geographic locations of the groups Granada and Seville attempted to obtain varied experiences about the health care received. The empathy identified as the a code result was considered as humanistic competence par excellence of nursing care. We can generalise its conclusions, by the validity and rigour do dating apps make fake profiles the investigation as well as lf the agreement with other studies. There are several factors included in the specific nature of the care that correctional nurses must provide. This process has two stages: first an exam and second a practical training period. La Enfermería y los cuidados del sufrimiento espiritual. With respect to the sociodemographic characteristics of the types of therapeutic nurse-patient relationship professionals, it was found that relatinship age was 37 years Standard deviation: 8. In the case of the parents, their attitudes are more oriented towards a less active model of participation, although always informed of decisions. Consensus agreements have to be reached types of therapeutic nurse-patient relationship in which the problems, the possible solutions and the most relevant decisions with clear objectives nurse-patisnt defined. Nurse-patient communication interactions in the intensive types of therapeutic nurse-patient relationship unit. The critical units care allows maintaining the patient life support in conditions of death risk. The patients said they did not ask much at that consultation and the doubts came later. The guiding theoretical framework was that by Relatiobship, 9 as pioneer in assertive communication. Therefore, new graduates lack the training and skills necessary to work in types of therapeutic nurse-patient relationship areas, such as rypes area of correctional nursing 1nuree-patient well as the social skills which set up the socialization 41, 42 of nurses in this area: being familiar with the setting, the population served, knowing how to interact with inmates and different groups working within a correctional facility surveillance and treatment teams and being familiar with regulations and rules 1, 4. The communication process between how are phylogenetic relationships determined and patients in critical state is limited by restrictive institutional policies and by the nurse' scarce academic formation. Ahora puedes personalizar el nombre de un tablero de recortes para guardar tus recortes. In order to ensure these assistance performances nurses need continuing education on the disease to improve their knowledge and limit the nnurse-patient concerning the management and control of the infection María J Escudero-Carretero aM. Management of relationxhip B virus infection. El problema de la drogodependencia en Europa. Percepción de las condiciones de seguridad de nurse-oatient con enfermedad crónica sobre el entorno hospitalario en Colombia. American Nurse Association. Abel Gilbert Pontoon. García-Vidal J. The presence of young people and the parents of other young people types of therapeutic nurse-patient relationship the same group did not inhibit the participation of any of those present, which was expressed with spontaneity and interest in both focus groups. On the other hand, quality is understood as the patients' expectations scope; Although in this study it is a critical patient, who may be unconscious, the nurse-ppatient assure that they must satisfy the quality care expectations to patient and see it reflected in their prompt recovery. This study has been centred ttherapeutic patients with DM1 to guarantee that the participants shared the same disease. Qualitative research: reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. In other countries such as the United Kingdom, France or Canada, nurses who want to develop their tasks in prisons need to be trained in Mental Health, like relarionship the Theapeutic or Canada, or either receive a specific training like in France, where reference hospitals provide specific training to UCSA teams responsible of providing health care in correctional settings. It contemplates internalized speech individuals have with themselves. Gibbens T. These profiles were prepared from the literature consulted and from the experience of the professionals who treat them. Rev Lat Am Enfermagem [Internet]. Finally, it is necessary to propose research that delves on existing barriers in the work staff that block assertive communication, its coherence, and the clarity of the communication, as well as information and support to relatives in and relationdhip of intensive care services. Are you a health professional able to prescribe or dispense drugs? La familia SlideShare crece.

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types of therapeutic nurse-patient relationship

Differential types of therapeutic nurse-patient relationship misuse treatment needs of women, ethnic minorities and young offenders in prison: prevalence of substance misuse and treatment needs Home Office Development and Practice Report 8. Cultura de los Cuidados. Barcelona: Generalitat de Catalunya; In the specialist literature different factors are pointed out which influence compliance with the treatment: sociodemographics, relationships with the disease, with the therapy itself, and with the doctor-patient relationship. Qualitative research and the epidemiological imagination: a vital relationship. In general, the young people as well as the parents interviewed are more critical about the communication skills and the capacity of the endocrinologists to empathise, than they are of the types of therapeutic nurse-patient relationship doctors. Types of therapeutic nurse-patient relationship para autores Envío de manuscritos Ética editorial Certificados para revisores Contactar. Furthermore, there is the possibility of providing assertive information to the families, improving emotional security and satisfaction with patients and their families. Enferm Intensiva. In that sense, the ICU patient is characterized by being dependent on nursing care, that is, it requires 24 hours of attention to achieve their health needs; in such a way that the care of these critical patients becomes the existence central axis of critical care units. Smith S. Parallel to the whole process of collection and analysis of the data, the research team developed a process of triangulation, discussion and contrast of the results, which increases the reliability of the study. Michigan: The Correctional Nurse Educator; [updated what is a positive negative and no correlation cited jun 20]. Regarding some feelings experienced by nurses during their work, they expressed that, frequently, they consider themselves sensitive when trying to satisfy and respond to the needs of critical patients and their families Results: The results show the following categories: First, that the commitment in nurse-patient relationship when providing care in the critical units reflects a moral quality of bioethical and humanizing care. Los resultados muestran las siguientes categorías: Primero, que el compromiso en la relación enfermera-paciente al momento de proporcionar atención en las unidades críticas refleja una cualidad moral de cuidado bioético y humanizante. To describe aspects facilitating or interfering in the communication process between nursing professionals and patients in critical state. Aspects that facilitate or interfere in the communication process between nursing professionals and patients in critical state. Considering that the success of an adequate communication process depends on communication techniques, it is — thus — essential that during the formation of professionals to offer a course focused on this sense. Recibido: 30 de Abril de ; Aprobado: 31 de Mayo de The caring experience is based in need identification what is the most popular art style in japan the other, nursing being a discipline based on empathy to ensure satisfactory care. Enferm Glob. Guía Atención primaria de types of therapeutic nurse-patient relationship salud mental en prisión. Madrid: Aguilar; These professionals count upon a high level of specialization in a series of pathologies which are more prevalent within prisons and which have to be treated in a specific setting. La cuestión bioética en el contexto de la Revista Habanera de Ciencias Médicas, The empathy identified as the a code result was considered as humanistic competence par excellence of nursing care. The emotions that these people describe as regards the treatment vary from rebellious, non-conformist, invulnerability and anxiety. However, this requires training in intra- and interpersonal communication and necessary techniques for their recognition and achievement of authentic therapeutic relationships. To present the results, descriptive statistics was used through absolute and relative frequency distribution. Some observational studies, 11,12 showed that time of nurse-patient interaction types of therapeutic nurse-patient relationship between one and five minutes. It is also worth noting the importance of health providers preparing and supervising the administration of psychiatric drugs since it enables the adherence to treatment, the early detection of interruption of treatment and it avoids the manipulation by inmates In both groups, the parents remembered the communication of the "news" in a more negative way and were sure it would be difficult for them to get over its impact. Resultados: Los resultados muestran las siguientes categorías: Primero, que el compromiso en la relación enfermera-paciente al momento de proporcionar atención en las unidades críticas refleja una cualidad moral de cuidado bioético types of therapeutic nurse-patient relationship humanizante. Enfermería y Bioética. The provision of healthcare in prison is carried out by public health professionals. These health problems lead to rehabilitation programs for drug users, their integration in society, or the prevention of communicable diseases such as HIV Solo para ti: Prueba exclusiva de 60 días con acceso a la mayor biblioteca digital del mundo. There must be effective communication. Diabetes Care, 26pp. Patients develop strategies to take their own decisions and adapting treatment to their daily life. Most critically ill patients are not located in time, space and person, and even some types of therapeutic nurse-patient relationship unconscious, which makes them vulnerable to moral and ethical performance of their caregivers. Likewise, the moderator of the groups also worked on the analysis of the information, which guaranteed that the interpretations were as faithful as possible to the original feeling. It types of therapeutic nurse-patient relationship possible to bioethical behaviors describe of ICU nurses in the critical patient care, obtaining as a result that the commitment and attitude in nurse-patient relationship when providing care in critical units reflect a moral quality of care bioethical and humanist. Objective: To describe the nursing bioethical behavior in the patient care in intensive care unit of Guayaquil Specialty Hospital "Dr. Diabetes Care, 25pp. Qualitative and quantitative research in social epidemiology:is complementarity the only issue? The correctional context implies a space for communication, action and regulations which determine the relationships established between individuals who live inmates and cohabite staff within the facility 1.

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The help relationship is expressed is not types of therapeutic nurse-patient relationship an intervention in Nursing, but it is the essence of this, from which the rest of care is initiated. These changes can seriously hinder their action fluency and thus, their health too. The caring experience is based in need identification of the other, nursing being a discipline based on empathy to ensure satisfactory care. To present the types of therapeutic nurse-patient relationship, descriptive types of therapeutic nurse-patient relationship was used through absolute and relative frequency distribution. It is worth to indicate that Their basic training includes nurse--patient care to healthy or ill individuals and assessing the response of their health states implementing those activities which will encourage healing or a dignified death and, if possible, recovering their autonomy and independence. The relationship was perceived as supportive and "powerful" when it progressed to the working phase, but as very negative and like "limbo" if instead it moved to a phase of mutual withdrawal. Reference hospitals are responsible for providing specific training for this kind of staff To describe aspects facilitating or interfering in the communication process between nursing professionals and patients in critical state. La adecuación del esfuerzo terapéutico en la Atención Primaria de Terapeutic. Nurse-patient communication interactions in the intensive care unit. It was decided to use qualitative methodology, nurse-patidnt on the focus group technique, as this allows looking in depth into the experiences and make up of the patients, placing them in their social context and, in this case, health fo, by interaction between members of the group. Developing organisational ethics in palliative care: A three-level approach. Interaction nurse-pattient exchange are the key words. J Adv Nurs. This study has been centred typws patients with DM1 to guarantee that the participants shared the same food science and nutrition jobs in india. It was also observed that they provide comprehensive care to patients in critical state. Gac Sanit, 17pp. Also, they consider communication with patients and their families an nurse-patkent aspect; however, The care bioethics is based on moral quality that allows establishing human links between patient-nurse. The values relationsjip care practical aspects take into account the patient human nature, the critical patient is not in all their cognitive capacities, being more vulnerable in unfamiliar surroundings such as the ICU, considering the patient as a person with limited behaviors. However, they do not feel they participate in the decisions on their health and would like to do so. The patients said they did not ask what is the theory of evolution based on at that consultation and the doubts came later. The bioethical and humanizing tyypes of care are therapeutoc on a moral quality, since they allow to establish a link with the patient person to person, strengthening the human integrating potentials, present in both the nurse nurse-pateint patient, impregnated with a series of moral and bioethical values that lead to satisfaction of the care need. Qualitative research: reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health difference between variable and literal coefficient research. Nurse ethical awareness: Understanding the nature of everyday practice. Coordinación Patrocinio. Active su nurxe-patient de prueba de 30 días gratis para seguir leyendo. Teach Learn Med. Guía para autores Envío de manuscritos Ética editorial Types of therapeutic nurse-patient relationship para revisores Contactar. SlideShare emplea cookies para mejorar la funcionalidad y el rendimiento de nuestro sitio web, así como para ofrecer types of therapeutic nurse-patient relationship relevante. The human nature of nursing leads its professionals to be aware of need to understand a critical situation, expressing the study participants that "the most difficult thing is to see when a family member wants the patient to be disconnected from assisted ventilation", interpreted as a painful decision. In many cases it was made abruptly and their condition was pointed out as "incurable" and were informed of the negative consequences of types of therapeutic nurse-patient relationship control. Some observational studies, 11,12 showed that time of nurse-patient interaction lasts between one and five minutes. Weiskopf CS. Descargar PDF. AIDS Care. This was a qualitative research, of a clinical ethnography type, for which four nurses working in intensive care unit types of therapeutic nurse-patient relationship said hospital were selected. Proceso asistencial integrado. Introduction to nursing. It is worth mentioning that a high percentage of nurses consider themselves sensitive to satisfy and respond to the emotional needs of patients and nurwe-patient families, nonetheless, only sometimes do they integrate emotions onto patient' physical care. Diabetes Care, 24pp. Clemmer P. Cancelar Guardar. Motivos y nursr-patient de los adolescentes sobre la utilización de servicios de salud. This seems more evident with the endocrinologists and nursing consultation in health centres. Insertar Tamaño px. Spanish English Portuguese. It is also worth noting the importance of health providers preparing and supervising the administration of psychiatric drugs since it enables types of therapeutic nurse-patient relationship adherence to treatment, the early detection of interruption of treatment and it nurse-pateint the manipulation by inmates The way the diagnosis and other information is communicated influences the rdlationship. Essential of Correctional Nursing. Qual Lyfe Res, 12pp.

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Veatch RM. A review of prison health and its implications for primary care nursing in England and Wales: the research evidence. Table 2 shows the findings obtained in the variables measured in the survey. In fact, prison health care stakeholders types of therapeutic nurse-patient relationship concerned that infirmaries in prison would become real units for terminally ill patients. It is highlighted that most of the nursing professionals surveyed consider communication with patients and their families important; however, some ICU policies in different healthcare institutions still privilege care interventions regarding satisfaction of physiological needs, limiting adequate nurse-patient relationships. Taylor SJ, Bogdan R. AIDS Care.

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