PTSD, nursing care, trust relationship, therapeutic alliance, person-centered approach, psychiatric services, military patients, post-traumatic stress disorder, PTSD symptoms, nurse-patient relationship
Research highlights the importance of trust between nurses and patients with PTSD in military psychiatric care, improving symptom reduction and patient reintegration.
[...] (2023) Miller et al studied the impact of nursing care on the management of ESPT in military patients. Their study shows that interventions based on the trust relationship created between the nurse and the patient allow for a reduction in acute symptoms of ESPT, as well as prevention of chronicity of the disorder. Patients who have developed a solid therapeutic relationship with healthcare professionals report significantly lower levels of stress after a few weeks of treatment. Thus, Miller et al say that «A trust relationship with caregivers allows for a reduction in anxiety and attenuation of acute post-traumatic stress symptoms, while improving long-term resilience (Miller et al., 2023). [...]
[...] Although there are studies on the relationship of trust and nursing care in other contexts, the literature on military psychiatric care and the specific relationship of trust in the context of ESPT is limited and restricted. Few studies have focused on the dynamics between military patients and nursing staff, nor on the direct impact of this relationship on the recovery of ESPT. - Limited empirical data: The absence of reliable empirical data on the relationship of trust in military hospital psychiatric services complicates the evaluation of the direct impact of relational care on the evolution of ESPT. [...]
[...] This helping relationship seems to require the establishment of a trust link between the actors. Trust is ' the spontaneous or acquired belief in the moral, affective, professional . value of another person, which makes it impossible to imagine from them deception, betrayal or incompetence » (CNRTL). Thus, it is necessary to gain the trust of the other, if this trust is not present spontaneously, which requires sharing the same values. The trust relationship is presented as 'process where each person gradually takes small risks towards the other » (Bastian et al p.95). [...]
[...] It establishes a bond of attachment, facilitating the patient's engagement in their treatment. Nursing skills, both individual (empathy, active listening) and collective (teamwork, care coordination) as well as organizational skills, play a crucial role in the development of this relationship. In addition, a patient-centered approach, which respects the patient's needs and expectations, is essential to strengthen this trust. However, the lack of valorization of relational care in documentation by nurses represents a barrier in terms of recognition of the importance of the relational approach in nursing care, which limits the continuity and coordination of care. [...]
[...] Psychopathological processes UE 2.6, France : Masson, The Essentials in IFSI (Volume Miller, D., et al. (2023). Nursing interventions and PTSD: Enhancing resilience through therapeutic relationships in military hospitals. Journal of Clinical Nursing, 45-53. North American Nursing Diagnosis Association Nursing Diagnoses: Definitions and Classification. 2009-2011. Issy-les-Moulineaux : Elsevier Masson. World Health Organization. International Statistical Classification of Diseases and Related Health Problems 10th revision Version:2016 F43.1 [Internet]. [cited 20 Sep 2018]. Available at : http://apps.who.int/classifications/icd10/browse/2016/en#/F43.1 Plancherel, B., Bettschart, W., Bolognini, M., Dumont, & Halfon, O. [...]
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