Caregiver patient relationship, trust, communication, emotional regulation, nursing profession, quality care, EHPAD, patient expectations, caregiver emotions
Establishing a trust relationship between caregivers and patients is crucial for quality care. Effective communication and emotional regulation are key to a positive caregiver-patient relationship.
[...] The caregiver-patient relationship in EHPAD 1. Definition of the caregiver-patient relationship The caregiver-patient relationship is established around a link that is created between the patient and their family and nurse. Due to the particularity of the interactions, it is essential to take into account the inherent imbalance in this relationship. In fact, the patient finds themselves in a situation of dependence towards the caregiver, to the extent that the patient is unable to perform everyday gestures and requires the assistance of another person. [...]
[...] Communication requires establishing a relationship with another person. It can be verbal or non-verbal. Non-verbal communication can be visual or physical. In the caregiver-patient relationship, communication plays a crucial role in establishing the trust relationship. Verbal communication makes it possible to clearly identify a situation, but also to provide precise information, whether between the caregiver and the patient, or between the caregiver and the patient's entourage. It also makes it possible to ensure that a given piece of information has been understood, using reformulation. [...]
[...] A relationship that is too close with a patient implies that the caregiver is at risk of suffering, whereas if the nurse maintains too great a distance, they will be perceived as "cold" and the trusting relationship will not be able to be established, which may hinder the proper delivery of care. The nurse must therefore find their place in this relationship, by working around their emotions. They must learn to accept them while learning to master them. In fact, some emotions can be expressed by the caregiver, while others could harm the established trusting relationship. [...]
[...] Joy can be shared when the patient learns good news. Disgust can manifest itself when performing hygiene care, special dressings, for example, in the case of a particularly important and/or foul-smelling wound. Finally, sadness can be felt when announcing bad news (relapse, failure of treatment) or in the event of the patient's death. It is therefore essential for the nurse to learn to master their emotions in these different cases, in order to ensure that the care is given in the best possible conditions. [...]
[...] Thus, if the 6 fundamental emotions are used by Westerners, other emotions such as shame, pride or guilt may be added in Asian cultures.2. Each emotion has a specific function, which allows for a reaction to a given situation. Thus, if joy has a stimulating action that allows for continuing a pleasant activity, fear will have the main objective of allowing one to flee from danger. Table Recap of Fundamental Emotions3 Each of these emotions can also be subdivided based on the intensity felt. [...]
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