Therapeutic Relationship in Nursing
The therapeutic relationship also has to have professional boundaries. These boundaries specify the scope of practice that is deemed safe for both the nurse and patient through legal and ethical restrictions (Stein-Parbury, 2009). Professional boundaries advise nurses to be helping professionals committed to achieving health care goals instead of friends or judges (Arnold & Boggs, 2011). However the boundaries should be interpreted with professional judgement and not set in stone, as boundary crossing may be acceptable if it is of benefit to the patient. For example hope may be offered to the patient through nurse self-disclose of a personal experience (Stein-Parbury, 2009).
Every therapeutic relationship is unique; however they all begin at a superficial level with social conversation and very little self-disclosure (Stein-Parbury, 2009). Some relationships stay at this superficial level and are termed as practical. These relationships are characterised by the nurse providing procedural care that the patient is satisfied with, often routine procedures such as blood pressure monitoring or cervical smear test (Stein-Parbury, 2009). On the other hand, other relationships evolve past this level and have a high level of trust, self disclosure, acceptance and understanding. Often