Client and Relationship-centered Care

Client and Relationship-centered Care

The theory brings a more

open vision of the client-nurse relationship,

especially as it relates to the roles of each

partner who is part of the pain management

experience. Many questions remain open for

investigation through both qualitative and

quantitative research, such as: How will

nurses talk about the differences in their

everyday practice when practicing from a

holistic theory that views healing as the

central focus of care? How will holistic

pain management care be perceived by

clients and families? What is the

relationship between care driven by the

theory of integral nursing and quality of

life for clients experiencing pain? To what

extent might the creation of a sacred place

for care produce tangible and satisfying

outcomes for clients and nurses? The nurse’s

role is to carry out interventions with and

for clients—interventions that manifest

caring and mutual respect and promote

health and healing, especially in the area of

pain management care. Application of the

theory of integral nursing challenges nurses

to engage clients and families in their own

healing and work collaboratively with

clients, families, and other members of the

healthcare team to design novel initiatives

that advance pain management practice.

Nursing needs this holistic, caring theory

to return the client to the center of care

and to push the envelope of grounding

practice in theory.

Summary

The multidimensional, individualized,

and complex nature of the pain experience

requires nurses to design and apply new,

theoretically driven pain management

interventions not only rooted in the

assumptions of holistic nursing, but

grounded in the realities of relationship-

centered care. The theory of integral

nursing offers a unique framework for

nurses to collaborate with clients in

mutually beneficial, interactive, and trusting

relationships centered on healing.

The

complex nature of the pain experience

requires nurses to listen carefully to clients

so as to co-create theoretically driven

strategies that guide nursing practice and

are focused on the assumptions of client

and relationship-centered care. By

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