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Moving in a climate of care: Styles ...

Raingruber, Bonnie Jean.

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Moving in a climate of care: Styles and patterns of interaction between nurse-therapists and clients. An interpretive study.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Moving in a climate of care: Styles and patterns of interaction between nurse-therapists and clients. An interpretive study./
作者:	Raingruber, Bonnie Jean.
面頁冊數:	497 p.
附註:	Adviser: Patricia Benner.
Contained By:	Dissertation Abstracts International58-12B.
標題:	Health Sciences, Health Care Management. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9818661
ISBN:	9780591701333

Moving in a climate of care: Styles and patterns of interaction between nurse-therapists and clients. An interpretive study.
Raingruber, Bonnie Jean.

Moving in a climate of care: Styles and patterns of interaction between nurse-therapists and clients. An interpretive study. - 497 p.

Adviser: Patricia Benner.

Thesis (Ph.D.)--University of California, San Francisco, 1997.

A phenomenological investigation was undertaken to examine participant perspectives regarding therapeutic effectiveness. The literature on therapeutic effectiveness is vast, interdisciplinary and divergent. Conclusions from many studies are contradictory and client perspectives are scant. To elicit the perspectives of participants, eight matched pairs of clients and nurse-therapists were asked to discuss standout impressions following their session and complete written logs regarding therapeutic impasses. Both the client and the therapist individually reviewed a videotape of their session and commented on significant events, feelings, impressions, mirroring responses, and helpful or hindering communications. These moment-by-moment evaluations were utilized to explore the impact of therapist styles and patterns of approach on session momentum and working alliances. A subgroup of two therapists working with two different clients each were interviewed to determine how nurse-therapists individualize their approach to match specific clients.

ISBN: 9780591701333Subjects--Topical Terms:

1017922
Health Sciences, Health Care Management.

Moving in a climate of care: Styles and patterns of interaction between nurse-therapists and clients. An interpretive study.
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520 $a A phenomenological investigation was undertaken to examine participant perspectives regarding therapeutic effectiveness. The literature on therapeutic effectiveness is vast, interdisciplinary and divergent. Conclusions from many studies are contradictory and client perspectives are scant. To elicit the perspectives of participants, eight matched pairs of clients and nurse-therapists were asked to discuss standout impressions following their session and complete written logs regarding therapeutic impasses. Both the client and the therapist individually reviewed a videotape of their session and commented on significant events, feelings, impressions, mirroring responses, and helpful or hindering communications. These moment-by-moment evaluations were utilized to explore the impact of therapist styles and patterns of approach on session momentum and working alliances. A subgroup of two therapists working with two different clients each were interviewed to determine how nurse-therapists individualize their approach to match specific clients.
520 $a All of the findings of this study highlighted the importance of relationship, acclimatizing to the ambience of another's world, and modulating one's approach during therapy based on the contours of that felt climate. Skilled therapists attended to feelings, self-disclosed relevant experiences, made use of shared history, listened to embodied sensations, and acclimatized to the client's personality, developmental level, and expression style. Expert therapists utilized qualitative distinctions to move toward and away from issues and modulate an appropriate threshold of resistance. Therapists moved toward problematic issues by cultivating a climate of curiosity and by extending understandings using sentence completion. Nurse-therapists backed momentarily away from overwhelming issues by exploring less threatening examples, by teaching the client, by using metaphors, and by returning clients to a level of composure before ending sessions. Therapists also taught clients to pause and dwell with new understandings. Effective pacing during the session was accompanied by increased engagement, minimal resistance, and positive rapport. The research approach itself was shown to be an effective way to articulate embodied understandings which guide the pacing of therapy sessions and to have implications for educational curriculum design and policy-level practices.
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