Relation of assistance in care male nurses

The relation of assistance in care male nurses indicates the processes by which the male nurse will be able to play the part of helping near a person in difficulties. She is different from the relational aspect in care male nurses.

Definitions

According to Hildegard Peplau, a Relation of assistance is a system of revealing bond, a representation of the world and a process of integration of the Besoin S: the goal, when it is studied, is to identify the representation, the model of the world of the Nobody. The needs for the Infirmière will articulate with those of the Anybody looked after, in order to know so yes or not, the bond will allow a development and a growth for each of both: the Nobody looked after and the nurse.

For a professional , the Relation of assistance is before a a whole manner of of being. The relation is centered on the Nobody in request or suffering. It makes it possible to accompany it in its course by Vie. It is not a question to find or bring the solutions but well rather to walk on and help the Nobody to find by itself its solution. The Relation of assistance is a form of accompaniment even if sometimes it requires more marked interventions. According to our experiment and of what we will observe at the Nobody, our knowledge-being will enable us to intervene or not according to our clinical judgment.

The culminating point of the Relation of assistance is to recognize felt neat Nobody: to recognize its Affect S, its emotions, it is to admit it as a being human.

Objectives of the relation of assistance in care male nurses

  • According to Hazure, the relation of assistance aims one or the other of the following objectives at the helped person:
* to cross a test
* to solve situation of a current or potentially problematic life
* to find an operation personal more satisfactory
* to detect the direction of the existence

  • According to Carl Rogers, it is relations in which, one at least of the two protagonists seeks to support at the other:

* the growth
* the development
* maturity
* best operation and a greater capacity of affonter the life
* a larger appreciation of the latent resources of the individual
* a greater possibility of expression
* a better functional use of its resources

Regulation framework of the relation of assistance in care male nurses

See also: clean Role male nurse

In France, we refer of course to the Public health code, delivers III Medical auxiliaries - Occupation of male nurse, chapter 1st, section 1 professional Acts or decree n°2004-802 of July 29th, 2004, article R. 4311-5:

  • 40° Maintenance of reception privileging the listening of the person with orientation so necessary;
  • 41° Assistance and psychological support;
  • 42° Observation and monitoring of the behavioral problems.

and article 4311-6:

In the field of the Mental health, in addition to the acts and care mentioned with article R. 4311-5, the male nurse or the nurse achieves the following acts and care:

  • 1° Maintenance of reception of the patient and his entourage;
  • 2° Activities with individual sociotherapeutic aiming or of group;
  • 3° Monitoring of the people in room of insulation;
  • 4° Monitoring and evaluation of therapeutic engagements which associate the doctor, the male nurse or the nurse and the patient.

The relation look after-neat

Here is gasoline of the care male nurses: the relation of the health professional and a person. All is born from this meeting. The relation of assistance is the discussion thread of the care male nurses.

It is about a bilateral relation and nonunilateral with side, the professional who knows all and other the neat person who receives passively. Reality is much more complex. We should never forget this point: it is the person who asks us of the assistance which knows better than whoever (in a conscious way or insconciente) which is its problem. This is why the listening is fundamental. The relation of assistance requires specific competences in order to answer closest to the Besoin S for the sick person.

Competences nurses

  • the availability as a mental attitude
  • quiet listening and the listening activates
  • the control of communications tools
  • a self-knowledge advanced
  • a empathic attitude
  • the authenticity (or Congruence)
  • reformulation
  • the use of personal pronoun, it “I” when we address to our interlocutor
  • the exploring interventions: use of open-ended questions
  • respecting the silence of the person if such is her desire, but also knowing to break silences too fraught with direction
  • emotional interventions: assistance with the Entry of charge, to help the person to find the words to express what it feels
  • to locate and identify the Affect S at the other

Difficulties

The problematic situations which represent sometimes a brake with the relation of assistance:
  • the organization of the care and the workload
  • the absence of objectives determined with the neat Nobody
  • not-recognition of the relational aspect of the care, as much by the health professionals that by the institutions
  • the absence of formalization and traces of the relational step (in the transmissions targeted in particular)
  • the confusion of the terms and concepts turning around the Relation of assistance
  • the ignorance of this role by the other professionals
  • ignorance of this role by the public
  • lack of competences of looking after with the Relation of assistance and need for formation
  • the absence of work on oneself on behalf of the professional, the ignorance of oneself

Diagnoses male nurses prévalents

  • Anguish vis-a-vis dead the

  • Anxiety
  • Self-mutilation
  • Sorrow (mourning) chronic
  • faded verbal Communication
  • decisional Conflict
  • Conflict vis-a-vis the parental role
  • acute Confusion
  • chronic Confusion
  • nonconstructive Refusal
  • behavioral Disorganization at the newborn/infant
  • spiritual Distress
  • Mourning anticipated
  • Mourning dysfonctionnel
  • chronic Reduction in the regard of oneself
  • situational Reduction in the regard of oneself
  • acute Pain
  • chronic Pain
  • Dynamic family dysfonctionnelle: alcoholism
  • Dynamic family disturbed
  • sexual Dysfunction
  • Wandering
  • Exercise of the disturbed parentl role
  • Exercise of the disturbed role
  • disturbed sexual Practices
  • disturbed personal Identity
  • disturbed body Image
  • disturbed social Interactions
  • social Insulation
  • ineffective Protection mechanisms
  • Motivation to improve the exercise of the parental role
  • Motivation to improve family dynamics
  • Motivation to improve the concept of oneself
  • Motivation to improve its communication
  • Negligence of the hémicorps
  • Loss of vital dash
  • Loss of hope
  • Fear
  • Risk of self-mutilation
  • Risk of mourning dysfonctionnel
  • Risk of situational reduction in the regard of oneself
  • Risk of disturbance in the exercise of the parental role
  • Risk of disturbance of the attachment parent-child
  • Risk of feeling of impotence
  • Risk of feeling of loneliness
  • Risk of suicide
  • post-traumatic Risk of syndrome
  • Risk of tension in the exercise of the role of helping natural
  • Risk of violence towards the others
  • Risk of violence towards oneself
  • Feeling of impotence
  • defensive Strategies of adaptation
  • Syndrome of maladjustment to a change of medium
  • Syndrome of erroneous interpretation of the environment
  • Syndrome of the traumatism of rape
  • Post-traumatic syndrome
  • Tension in the exercise of the role of helping natural

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