1. I focused on recognizing patients by name, being certain I
was correct about their names, and using their names often and
appropriately. I also introduced myself. Names were viewed as
supportive to the internalization of personal identification,
dignity, and worth.
2. I interpreted, taught, and gave as much honest information
as I could about patients' situations when it was sought or
when puzzlement was apparent. This was based in the belief that
it was their life, and choice was their prerogative as they
were their own projects.
3. I verbalized my acceptance of patients' expressions of
feeling with explanations of why I experienced these feelings
of acceptance when I could do this authentically and
appropriately.
4. When verbalizations of acceptance were not appropriate, I
acted out this acceptance by staying with or doing for when
appropriate.
5. I expressed purposely, to burst asunder negative
self-concepts, my authentic human tender feelings for patients
when appropriate and acceptable.
6. I supported patients' rights to agape-type love
relationships with others: families, other staff, and other
patients.
7. I showed respect for patients as persons with the right to
make as many choices for themselves as their current
capabilities allowed.
8. I attempted to help patients consider their currently
expressed feelings and behaviors in light of past life
experiences and patterns, like and unlike their current ones.
{100}
9. I encouraged patients' expression to better understand their
behavioral messages and to enable me to respond overtly as
therapeutically as possible.
10. I verified my intuitive grasp of how patients were
experiencing events by questions and comments and being alert
to their responses.
11. I attempted to encourage hope realistically through
discussing individual therapeutic gains that could be derived
from patients' investment in therapeutic opportunities
available to them.
12. I supported appropriate patient self-images with as many
concrete "hard to denies" as possible.
Each of these nurse behaviors was repeatedly evident in the months of
recording patient-nurse interactions. For the conceptualization of the
term "comfort," a representative clinical example was given to enhance
the meaning of the behavior cited (see Appendix). When compiling
materials for the conceptualization of this term, I found 12 assumptions
about psychiatric nursing that I had written for the theory course in
one of the first class sessions. Although these assumptions were
expressed in different words, their congruence with my 12 selected
behaviors made me believe that these behaviors were somehow verified
both in my conceptualized philosophy of psychiatric nursing and in my
behavior while being a psychiatric nurse.
Public-domain text, read in full here on John Shaqi.
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