Balancing the dilemmas in therapeutic relationships in mental health care - nursing Assessment Answer

Nursing Assessment Answer

The therapeutic relationship in mental health nursing is a fundamental aspect of mental health nursing care. This presentation examines the many dilemmas mental health nurses can face in trying to establish therapeutic relationships while also needing to maintain professional boundaries. Nurses are directly engaged in practices that are intended to promote safety, recovery-focused care and risk management., 

This can involve moral dilemmas in managing risk while also maintaining their relationships when re-evaluating the centrality of risk reduction in mental health nursing. Nurses' plight, when tasked with providing care through constant observation to avert any risks, is that they can not only fear the adverse outcomes in the care for consumers but also fear blame if consumers abscond. Risk-focused care can challenge the relationship when Physical, legal, and chemical restrictions emphasize power differences and nurses to deliver enforced treatment. Research suggests that there is a need to reframe safety and ways to achieve it to create environments perceived as truly safe and to support meaningful therapeutic engagement and treatment. Recommendations put forward are that the Safe wards, Shared decision making, clinical supervision, and Care pathways in a therapeutic milieu to foster a therapeutic relationship while maintaining safety and professionalism.