Therapeutic relationships. Evolution of the Children's Hospital of Philadelphia model

D McKlindon1, J H Barnsteiner

  • 1Children's Hospital of Philadelphia, Pennsylvania 19104, USA. mcklindon@email.chop.edu

Insights

This study outlines the development of therapeutic relationships between nursing staff and pediatric patients, emphasizing a caring, clear, and professional approach. It details strategies for fostering these essential connections within family-centered care models.

Area of Science:

  • Pediatric Nursing
  • Healthcare Relationship Dynamics
  • Family-Centered Care

Background:

  • Increasing healthcare complexity impacts nurse-patient/family relationships.
  • Family-centered care is a growing model in pediatrics.
  • The Children's Hospital of Philadelphia (CHOP) recognized the need to define therapeutic relationships.

Purpose of the Study:

  • To describe the evolution of therapeutic relationships as a standard of practice.
  • To define the parameters for developing and maintaining therapeutic relationships.
  • To integrate therapeutic relationships within a family-centered care framework.

Main Methods:

  • Articulating principles of therapeutic relationships.
  • Providing clinical examples.
  • Developing strategies for assessment, management, and evaluation.

Main Results:

  • Therapeutic relationships are defined as caring, clear, boundaried, positive, and professional interactions.
  • These relationships encompass institutional philosophy and empowerment of caregivers and families.
  • The article presents a comprehensive approach to implementing and evaluating therapeutic relationships.

Conclusions:

  • Therapeutic relationships are integral to effective family-centered pediatric care.
  • Clear parameters and strategies enhance the quality of nurse-child-family interactions.
  • This framework supports the empowerment of both healthcare providers and families.

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