The Role of Nursing Leadership in Facilitating Patient-Centered Care Assignment Sample

Introduction: Creating Meaningful Relationships

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The most effective way of creating meaningful relationships at work in the case of nursing jobs refers to the management of behaviour of staff which helps them to facilitate the primal focus and anticipation to meet the patient's need (Kahn, 2017). On the other hand, therapeutic relationships also shed light on the mutual relationship between healthcare professionals and patients while managing engagement with each other for mutual benefit (Flood et al. 2022). The following context is based on the development of creative and meaningful relationships in the case of providing healthcare services for clients. The report is intended to shed light on the concept of therapeutic strategies, its characteristics, identified clients and evidence-based healthcare practices while aligning with mental health context.

Explain the concept of the therapeutic use of an individual

The term "therapeutic use" explains the creation of a meaningful relationship between therapist and the patients in order to provide meaningful healthcare services (Ryle & Kerr, 2020). This time is generally used in terms of encapsulating the role of a therapist while walking concert with the interpersonal side of therapeutic relationship of a patient. This factor helps in providing optimal experience to the patients as well as improving the overall outcome of service for the client (Lyons et al. 2018). This specific technique is implied in psychotherapy occupational therapy along with nursing service in the medical field while involving thoughtful self-disclosure and nonverbal language (Taylor, 2020).

Identification of the characteristics of mental disorder that have impact on a person’s ability to think, feel and relate to others

Mental disorder or mental illness is considered a wide range of conditions that are accountable for affecting an individual's mood, thinking and behaviour (Hickie et al. 2019). There are several mental disorders that affects people and are accountable for individuals to experience stigma discrimination and violation of human rights (Wogen & Restrepo, 2020). These are anxiety disorder depression by polar disorder post-traumatic stress disorder (PTSD), schizophrenia, eating disorder along with disruptive behaviour and dissocial disorders and neurodevelopmental disorders. The significant characteristics of any mental disorder refers to the occurrence of a clinically significant disturbance in an individual's cognition along with emotional regulation as well as impacting their behaviour in daily life (Fairchild et al. 2019). These characteristics are generally associated with the presence of distress and impairment in terms of affecting the important areas of day-to-day functioning of an individual. However, the characteristics of the mental disorder are also associated with in the classification of mental disorder groups such as mood disorder which refers to depression and bipolar disorders along with anxiety disorder and personality disorder (Reed et al. 2019). These are followed by psychotic disorders including schizophrenia, eating disorders, traumatic disorders such as PTSD and substance abuse disorders. The characteristics of these disorders impact the individual persistently or may be frequent or remitting or the occurrence of single episode (Weavers et al. 2021).

Introduction of the client while identifying relevant information to ensure confidentiality and providing a holistic overview and clinical history of the client

The identified client from the given case study refers to Milly, who was admitted in the psych ward in Aradale Mental Hospital, Australia which is formerly known as the Ararat Lunatic Asylum (Echo360.org.au, 2022). She has been through 17 psych wards along with 8 departments and 3 boarding houses of psych wards in the past 20 years of her life (Echo360.org.au, 2022). The patient is on stabilised medicine right now and in contact with her daughters.

In the case of confidentiality for mental health issues and patient's information, it can be addressed that the relationship between a patient and his or her psychotherapy related information are considered to be confidential and is required to be protected (Torous & Roberts, 2017). This confidentiality is known as principle-based ethics and establishes the basis of the confidentiality in terms of addressing the normal principle of treating patients with mental issues. Similarly, in the case of Milly, the patient’s family has been prohibited to go into detailed information regarding her mental health issues due to confidentiality matters (Echo360.org.au, 2022). As the justification for the confidentiality matter in the medical sector is considered a deontological principle including autonomy and trust between the patients and therapists, this is significant in terms of treating a patient properly (Yew, 2021).

On the other hand, while addressing the clinical overview of the presented case study of Milly, it can be stated that she was admitted in a mental health hospital while showing characteristics of distant behaviours in terms of conversing with families (Echo360.org.au, 2022). This refers to the presence of anxiety and self-esteem issues among the patient. In addition, she has shown the presence of self-harming symptoms and isolating herself from her family members including her two daughters and son in law. 

The impact of mental health issues of the client

As per the statement of Ree et al. (2017), it can be addressed that the impact of untreated mental health issues causes severe emotional, behavioural along with damaging physical health of the patient. These symptoms are capable of creating complications among the patients and are associated with mental health issues such as unhappiness and reduced enjoyment in life along with increasing family conflicts. In the case of Milly, it can be stated that she has faced issues with her mental health in the form of reduced enjoyment along with elevated family issues as well as unhappy life (Echo360.org.au, 2022). In this context, Goesling et al. (2018) have managed to address the impact of the mental health challenges in the form of distressed emotional, psychological along with social well-being which are capable of affecting a patient's thinking, feeling and acting aspects. For the following case study of Milly, these have been observed in the form of distant behaviour and not paying attention while communicating with her daughter and son in law (Echo360.org.au, 2022). These are followed by the presence of self-harming situations including slicing her own skins. Apart from these, a mentally ill individual also shows symptoms such as the feeling of a sense of isolation from family members and friends along with the creation of disconnection from the community (World Health Organization, 2018). For the case of Milly, she was disconnected with her friends and colleagues from her workplace alongside she isolated herself from her family members as well (Echo360.org.au, 2022).

Required elements to establish a therapeutic alliance with this client

The context of therapeutic alliance is considered to be the measurement of therapist and client’s mutual engagement in terms of providing therapy to treat patients (Babatunde et al. 2017). This factor is considered important in order to achieve a successful treatment regardless of the employment of treatment modality. The fundamental elements which are required in terms of establishing a therapeutic alliance with the client refers to agreement on the goal of the overall treatment along with agreement on the task (Fuertes et al. 2017). This factor is followed by the inclusion of the overall development process of an establishment of personal bond in order to develop reciprocal positive feelings. In addition, mutual bonds of trust, caring and respect along with the avoidance of breaching confidentiality are part of the significant element of establishing therapeutic alliance between a therapist and patient (Escudero & Friedlander, 2017). In this context, Sutanti (2020) has managed to address the inclusion of congruence, an unconditional positive regard (UPR) as well as accurate empathetic understanding between the two parties that improve the overall outcomes. This step is followed by alliance with family therapy, collaboration, goal consensus therapy, empathetic therapeutic system while actively receiving and delivering client feedback which are important for the following context (Beck & Kulzer, 2018).

Utilisation of different therapeutic strategies to help the client with interactions in clinical supervision

Therapists are required to develop their skills in terms of serving their patients while using a multitude of techniques and strategic planning in order to achieve a desired outcome. Even though some patients consider taking therapy by being comfortable with the therapist, others seek proper transfer matric process while implying specific tools that are considered unique and healthy for patients with modalities (Spies, 2020). There is several strategic planning which are used by the therapist in the case of providing therapy of self for mental health patients which are as follows -

Solution focused therapeutic strategy (SFBT)

This specific therapy consists of miracle questions which are contemplated to play a crucial role for the therapist (Fall et al. 2017). This question associates’ therapists in terms of helping their clients to understand the primal requirement on a dipper level. This therapy can be used across different types of mental health issues and also used in coaching patients in order to live a healthy life (Melnyk et al. 2020). Even though this therapy's considered subjective, it helps in shedding light on the internalised aspect of clients which help therapies to associate patients for recovering. This specific treatment technique is a short-term goal focused evidence based therapeutic aspect which is considered significant in terms of incorporating positive psychological principles and practices (Dobson & Dobson, 2018). It also helps clients to treat mental illness by providing constructive solutions rather than keeping eye on the fundamental problem. Major techniques that are used in the specific process to understand the fundamental desire of the client for something in her life to be different, followed by expecting a miracle which is significant for the patient (Milner & O'Byrne, 2017). This step is followed by defining the change with language in terms of impacting a positive, specific and behavioural change among patients. For example, this therapy is effective for the patients who are struggling while expressing themselves and are afraid of interaction (Metcalf, 2021). The SFBT regarding strategic planning is capable of targeting the patient's interaction and reducing the issues of interaction.

Therefore, for the provided study of Milly, this therapy could help in terms of associating her to interact with her therapist as well as reducing her issue of distant behaviour. It could also be addressed that this therapy would help Milly with the reduction of her distant behaviour and associate her with the interaction with her family members. 

Gestalt therapy

This specific therapy is considered a form of psychotherapy which provides context in terms of increasing the patient's awareness, freedom and self-direction (De Smet et al. 2020). This strategic planning of therapy helps therapists to focus on the present moment of the patients rather than their past experience as this strategy is influenced by the current environment of the patient. It helps patients with gaining self-confidence and helping him or her to open up to the therapist (Branden, 2021). For example, this therapy best works for people who are in need of increasing self-awareness and have the presence of anxiety, depression and self-esteem (Aiach Dominitz, 2017).

Therefore, it can be addressed that this therapy could help Milly in terms of growing her self-esteem and her distant behaviour of communication with her family members.

On the other hand, strategic planning including the use of open-ended questions to patients, using hunger illustration as well as voice dialogue are effective for any patient to open up while improving his or her interaction in clinical supervision (Sommers-Flanagan & Sommers-Flanagan, 2018).

Application of evidence-based therapeutic strategies (take home lessons) that will support a person’s ability to think, feel or relate effectively with others

Implementation of evidence-based principles are considered effective in terms of ensuring the work of therapists while using strategies of therapeutic principles (Kendall & Frank, 2018). This type of therapeutic activities is considered efficacious along with cost effective processes to treat several psychiatric conditions. On the other hand, take home lessons in nursing refers to the implementation of active learning activities which are effective to keep the healthcare providers engaged. In this context, Morrison (2017) has managed to address the use of visual representation along with auditory learning context and tactile actions are effective for the nursing staff in terms of improving the overall clinical experience alongside the providence of therapeutic aspect for the patients. The implementation of this specific therapeutic movement in psychology consists of aims in order to track the efficacy plan of the treatment process (Glombiewski et al. 2018). It also includes the identification of goals in terms of providing clients with improved service while increasing effectiveness of the treatment process. The benefits of this process include elevating the quality of the overall treatment process along with increasing accountability for both the patients and therapists to achieve a desired outcome (McAleavey et al. 2019).

For the following case study of Milly, the implementation of acceptance and commitment therapy along with cognitive behavioural therapy are effective.

Acceptance and commitment therapy (ACT)

This therapy is considered to be effective in terms of treating anxiety disorder, depression allowed with addictions and certain physical health issues (Taylor et al. 2021). This one is more effective than other treatment therapy while treating anxiety disorder. For the case of Milly, it would help the healthcare providers to make the patient come for the therapy while being on medicine and helping her to reduce her anxiety of interaction.

Cognitive behavioural therapy (CBT)

This therapy is a widely accepted form of treatment for different psychological issues including depression, self-harm, body dysmorphic disorder, eating disorder and many more (Robertson, 2018). This would help Milly to invest her time with the therapist in order to be aware of herself along with reducing negative thinking including self-harming process.

Reflection on individual’s use of therapeutic strategies with the assistance of a clinical supervisor

Clinical supervision is considered an emerging context in which counsellors and therapists gather knowledge and skills for providing treatment and developing a bridge between theoretical knowledge and practical situation (Davys & Beddoe, 2020). I feel the impact of clinical supervision helps in supporting training mental health professionals by offering overall inside and support from experienced aspects. I also feel therapy is important as an ethical duty with the aim of protecting the clients-based interest while managing the providence of quality therapy. I have gathered knowledge on maintaining confidentiality on patient information is a significant job by therapist and clinical supervisor while discussing their treatment plan. It also helps practitioners to establish an ongoing and effective clinical supervision partnership while treating any patient.

Conclusion

In terms of concluding the overall context it can be stated that the establishment of meaningful relationships in the clinical field is important for therapists to keep their focus and anticipation while meeting client's requirements. This context has successfully addressed the concept of therapeutic use for an individual alongside different characteristics of mental disorder that have significant impact on a person's ability to think fill and relate to others full stop in addition the confidential matter for counselling mentally ill patients and the impact of mental health on the client have been discussed while showcasing the case study of Milly. This context successfully discussed the required elements for establishing therapeutic alliance and utilisation of different therapeutic strategies as well as evidence base therapeutic context to help clients with the treatment procedure.

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