Please enable JavaScript.
Coggle requires JavaScript to display documents.
Focusing on Relational Practice within the Community Setting, Hasti…
Focusing on Relational Practice within the Community Setting
The 5 W's of relational practice (Doane & Varcoe, 2021)
Where
Where are we relating?
CHNs relate to their clients "wherever people live, work, learn, worship, and play" (CHNC, 2021, p. 14).
Safe injection sites
Schools
Urgent care clinics
Hospitals
Places of worship
How does the environment or context shape our relational practice?
Economic situation, political climate, social, cultural, and religious settings all impact our relational practice (CPHA, 2010).
When
When are we relating?
Any time nurses interact with individuals in the community the are serving is an opportunity for relating, however, the nurse may differ their engagement depending on the setting. For example, it may not be appropriate for the nurse to speak to a client in a public place as confidentiality cannot be guaranteed.
When do we extend or distance ourselves?
CHNs may distances themselves from relating to clients when the nurse feels physically or emotionally unsafe.
With the assumption that the nurse is safe, the nurse should extend themselves anytime they feel it is clinically relevant to the client's health and wellbeing.
For example: if the nurse see's a family member of a palliative patient out in the hallway crying, the nurse should extend themself to the client and offer support. The nurse may not be able to "fix" the problem which caused the individual to become upset, but extending themselves to the client may offer an opportunity to identify other areas where the nurse could be of assistance.
What
What are we relating to?
CHNs are relating to the lived experiences and innate personhood of all members of the community.
CHNs are not only relating to individuals and families, but to cultures and communities as a whole.
What are we prioritizing?
Through relational engagement we are prioritizing trusting therapeutic relationships throughout the client's lifespan. The therapeutic relationship is prioritized because without it the client cannot be well-understood. Without understanding of the client's needs, the nurse is unable to formulate nursing diagnoses and enact interventions. The ultimate goal of these therapeutic relationships is to build capacity, restore and maintain, health, and prevent injury or disease (CHNC, 2021).
Partnership with our clients, their families, and their communities (CHNC, 2021)
Why
Why are we relating? What is the purpose of relating?
The purpose of relating to clients in the community we are serving is to promote health not only of that individual, but also groups, populations, and systems that they are a part of (CHNC, 2021).
By relating we can build trusting therapeutic relationships with our clients. Strong therapeutic relationships are key to impactful, lasting interventions.
Interventions should lead to health promotion, the process of improving our clients' ability to take control over their own health (CHNC, 2021).
Strong therapeutic relationships also aid in community development efforts (CPHA, 2010).
To recognize the unique determinants of health impacting our clients (CHNC, 2021).
To empower clients (build capacity), recognizing that empowerment enables clients to discover their own strengths and use them for the betterment of their lives and the lives of their community (CPHA, 2010).
To understand our clients, their families, and their communities better. Understanding is the basis of advocacy (CPHA, 2010).
Who
Who we relating to in the community setting?
Adolescents
Young Adults
Children
Adults
Newborns
Within these age groups race, ethnicity, faith, sexual orientation, and gender diversity should be considered and acknowledged when relating.
Older adults
Families
Religious groups
Chosen families
Other health professionals
Law enforcement
Clergy
Teachers
Mindfulness
Mindfulness can enable to the nurse to be more present with their clients despite other aspect of their jobs that are demanding their attention.
A strong mindfulness practice can enable the nurse to care for their own mental and physical health and decrease the likelihood and severity of compassion fatigue (Green & Kinchen, 2021).
Nurses practicing mindfulness can increase self-compassion and compassion for their clients (Green & Kinchen, 2021).
Mindfulness may enable the nurse to not over-identify with the concerns of their clients and allow them to be more open to engaging with them in painful moments (Green & Kinchen, 2021).
Hasti Halakoeei and Ben Ferguson
