41033_Therapeutic

41033_Therapeutic - PRACTICE STANDARD Table of Contents...

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Unformatted text preview: PRACTICE STANDARD Table of Contents Introduction 3 Components of the nurse-client relationship 3 Glossary 4 Standard Statements 5 1) Therapeutic communication 5 2) Client-centred care 6 3) Maintaining boundaries 7 Giving and accepting gifts 8 4) Protecting the client from abuse 9 How To Apply this Standard 11 Decision tree 11 Warning signs of crossing a boundary 12 When a colleague’s behaviour crosses a boundary 12 Maintaining a Quality Practice Setting 13 References 14 Suggested Reading 15 Appendix A: Abusive Behaviours 16 Appendix B: Nursing a Family Member or Friend for Paid Employment 17 Therapeutic Nurse-Client Relationship, Revised 2006 Therapeutic Nurse-Client Relationship, Revised 2006 Pub. No. 41033 ISBN 1-897308-06-X Copyright © College of Nurses of Ontario, 2009. Commercial or for-profit redistribution of this document in part or in whole is prohibited except with the written consent of CNO. This document may be reproduced in part or in whole for personal or educational use without permission, provided that: • due diligence is exercised in ensuring the accuracy of the materials reproduced; • CNO is identified as the source; and • the reproduction is not represented as an official version of the materials reproduced, nor as having been made in affiliation with, or with the endorsement of, CNO. First published March 1999 as Standard for the Therapeutic Nurse-Client Relationship Reprinted January 2000, October 2000, October 2002 Reprinted January 2005 as Therapeutic Nurse-Client Relationship Revised June 2006 as Therapeutic Nurse-Client Relationship, Revised 2006. Reprinted May 2008. Updated June 2009. Additional copies of this document may be obtained by contacting CNO’s Customer Service Centre at 416 928-0900 or toll-free in Ontario at 1 800 387-5526. College of Nurses of Ontario 101 Davenport Rd. Toronto, ON M5R 3P1 www.cno.org Ce fascicule existe en français sous le titre : La relation thérapeutique , revisée 2006 n o 51033 OUR MISSION is to protect the public’s right to quality nursing services by providing leadership to the nursing profession in self-regulation. OUR VISION is excellence in nursing practice everywhere in Ontario. PRACTICE STANDARD 3 College of Nurses of Ontario Practice Standard: Therapeutic Nurse-Client Relationship, Revised 2006 Nursing standards are expectations that contribute to public protection. They inform nurses of their accountabilities and the public of what to expect of nurses. Standards apply to all nurses regardless of their role, job description or area of practice. — College of Nurses of Ontario Introduction At the core of nursing is the therapeutic nurse-client relationship. The nurse1 establishes and maintains this key relationship by using nursing knowledge and skills, as well as applying caring attitudes and behaviours. Therapeutic nursing services contribute to the client’s 2 health and well-being. The relationship is based on trust, respect, empathy and professional intimacy, and requires appropriate use...
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41033_Therapeutic - PRACTICE STANDARD Table of Contents...

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