critical analysis essay examples nursing

Nursing Assignment Sample on Critical Analysis of Sensitive Questioning

Nursing Assignment Question 

Understudies will evaluate (not portray) an online substance-use meet. Your scrutinize will be based on the information and talking strategies gave via online tutorial activities and different materials available on the Moodle webpage. 

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You are to give a composed scrutinize of an online substance-use meet (a connection to this will be given via the Moodle webpage in the 'assessment 1' envelope). Your investigate in essay format is to incorporate the accompanying segments: 

Exploration of how the questioner's initial contact with the individual happened: 

• Examination of the degrees of rapport and regard established by the questioner; 

• how much the questioner addressed the individual's readiness to change their behaviour/s; 

• The degree to which the questioner distinguished the impact of the way of life and substance use on the individual's health; 

•The degree to which the questioner distinguished burdens related to the individual's substance use and way of life; 

• The overall degree of engagement between the individual and questioner all through the meeting; 

•The manner to which the meeting was finished up. 

Headings are to be utilized in your essay to distinguish each segment. As part of your essay, you are to explain and legitimize your answers (referring to appropriate literature).

Nursing Assignment Solution 

Presentation 

Establishing therapeutic relationships with customers of co-happening substance abuse is much troublesome, yet an integral part of mental health care and rehabilitation (Mueser, et al., 2012). Assessment of customer causes advocates and clinicians to assess the level of seriousness of complexities and plan treatment routine with accordance to conditions (Delgadillo, et al., 2012). The chance of bias and judgmental end in such cases run high, implicating there must be an enhanced protocol that acts as a rule for the assessor or the questioner. Establishment of good rapport and relationship (therapeutic) is most extremely important to win the trust of the customer and recover information which will help in recuperation of customers (Stieglitz and Raes, 2015). This bit of article critically analyses a meeting between pharmacotherapy guide Jess and her customer Steve. The meeting was planned by Victoria initiative under dual diagnosis heading and issued as training material for mental health labourers and advocates. The video demonstrates how touchy addressing ought to be carried out with customers of dual diagnosis. 

EXPLORATION OF INTERVIEWERS CONTACT 

Questioners initial contact technique, as well as the mechanism, is the best predictor of health results in a psychological meeting session (Copeland, McNamara, Kelson, and Simpson, 2014). From the video, it was clear Jess presented herself as assessor who is there for a far-reaching assessment of substance abuse and dual diagnosis of Steve. She welcomes Steve and speaks three lines about her and starts with the scrutinizing. Although this is the standard technique for the meeting, there is always an opportunity to get better in case of initial contact. Research recommends customers are increasingly interactive on the off chance that they discovered advocates supporting, non-judgmental and empathetic (Feit, Fisher, Cummings, and Peery, 2015). Jess could have established better initial contact by asking general inquiries concerning breakfast, about day's start, planning for the afternoon, and so forth. The rationale is to get the customer a zone of trust and solace (Brown, Bennett, Li, and Bellack, 2011). Proof shows, individuals experiencing dual diagnosis are usually looking somewhere around the general public and network which restrains their societal working. This thusly affects their self-honesty and confidence (Chou, Robb, Clay, and Chronister, 2012). The video shows, the customer although gestures to the questioner for a session, he was unable to make eye to eye connection which may be because of low confidence. During the initial stage of the meeting, he looks towards the wall clock for time, indicating he may have a few words and he may be in a rush to finish the session (Darghouth, Nakash, O. Mill operator, and Alegría, 2012). In this way, taking the customer into a therapeutic zone of trust, conviction and showing the customer that they are normal individuals and can be carried to mainstream society with minimal self-improvement help their certainty (Hettema and TKirsch, 2011). In the meeting session, the advocate asks Steve 'Have you been to such administration previously?' Although the rules from Victoria's initiative about touchy addressing recommend non-judgmental inquiries and open-finished inquiry ought to be posed, the above inquiry indicates it is judgmental and inferring that Steve needs an assessment for his concern. If the inquiry would have been posed – Have you availed any medical administration for any ailments or mental health issues? , it would have a greater therapeutic restricting impact on the customer. Much of the time, customers of dual diagnoses are demoralized by society's observation and portray of their personalities as bad folks, in this manner establishment of therapeutic relationship although troublesome yet it exists for dual diagnosis patients (Van Boekel, Brouwers, Van Weeghel, and Garretsen, 2012). The communication plays the most important job from start to end in a meeting session.

EXAMINATION OF INTERVIEWERS RAPPORT AND RESPECT 

Establishing rapport is an important aspect while assessing customers for substance abuse or dual diagnosis. Establishing rapport is a part of motivational meeting usually utilized for the certain gathering of individuals, however, can be actualized in general talking session too (Ness, Borg, and Davidson, 2014). Establishment of rapport requires a smidgen of information on customer's decision, social history or his/her inclination for a particular issue or issue (DeVido and Weiss, 2012). In this case, although the questioner effectively established regard with Steve obvious from the total meeting, rapport could have been enhanced based upon proof-based literature. Building rapport helps in establishing a working alliance for a more extended duration (Clarkson, et al., 2013). Jess presents the administration which she will give and clears him through her words that she is there for a normal assessment which Steve acknowledges decidedly. This indicates the questioner's establishment of regard and customer's acknowledgement of questioners intentional addressing with deference. As discussed in past area, the therapeutic alliance is necessary for legitimate assessment; similarly, rapport establishment indicates the questioners regard to customer, his work, and customer in general unique substance (Madson, et al., 2013). It makes the session progressively interactive by placing customer's decisions in first need rather than questioners' goals. Regard for autonomy, validity, and collaboration helps in establishing rapport. Jess shows great listening aptitudes and engaging communication abilities during the entire meeting which is an important part of rapport constructing too (Prout and Wadkins, 2014). The structure of acceptance and safety condition is crucial for rapport establishment which was lacking and it appears advisor bounced to the main issue prematurely which could have logically placed after establishing a therapeutic relationship and rapport.

Questioner ADDRESSAL OF BEHAVIORAL CHANGE DURING INTERVIEW 

Behaviour change is a part of treatment and recuperation process which is usually executed post-assessment or screening of customer (Sacks, Ries, Ziedonis, and Treatment, 2005). As delicate addressing is a screening tool, the questioner is not expected to carry out subjective behavioural therapy to address customer adapting strategies and enhancement. However, Jess was able to initiate behavioural change process a tad by asking adapting strategies pursued by Steve. In the later part of the meeting, Jess was able to recover Steve's family status and how his drinking has affected his separation from children which breaks down the customer and he cries till jess leaves. Although it was not meant for behavioural change yet it addresses the issue by making him realize that his actions are not helping him. The meeting session demonstrates no behavioural change strategy was addressed by advocate although she puts open-finished inquiries to think about Steve's sentiment on the recuperation process. Therefore, it was a decent movie from Jess's perspective since this was a screening tool; behavioural change strategy cannot be normal in this session (Feit, Fisher, Cummings, and Peery, 2015). Jess's strategy is appreciable as she manages to recover important information which will assist the team in aiding Steve for recuperation and rehabilitation. 

Questioners IDENTIFICATION OF IMPACT and STRESSES OF SUBSTANCE ABUSE 

It is important from a customer and advisor viewpoint to know how substance abuse and different conditions affect one life to what degree. This area was all around handled by the advocate rather she adheres to the rule goals for example recognition of breaking points of substance abuse and how it impacts. The initial escape clauses discussed already were compensated in these two areas. The advocate initiated on a lighter note asking about his activity, part-time or full time. Research recommends dual diagnosed customers are progressively inclined to joblessness because of reliance upon the substance and coming about behaviour (Eddie, 2013). She became acquainted with Steve lost his driving permit a couple of years back. Her inquiries regarding alcohol and recurrence with a number conjecture gave her exact recurrence of alcohol intake of her customer. She attempted to recover information about his daily life by asking the end of the week's time and became more acquainted with Steve isn't much social. She clears out the issue with the customer by saying these areas are required to decide how it impacts his life from various aspects. If the total meeting session will be analyzed, it was a blend of open-finished and shut finished inquiries. This blend technique strategy has been accounted for to give significantly more information than a solitary strategy (Daley, 2013). Research proof recommends assessment sessions must target two need goals while meeting such touchy patients, for example, customer's understanding of issues, also customer's understanding of the impact of substance abuse or unreasonable drinking (in this case) on family and social life (Miller and Rollnick, 2012). Jess utilizes her emotional knowledge to gather each small snippet of information, for example, loosing of driving permit, spouse staying away, no complete work, monetary issues and offers an open-finished conversation starter to customer. The rationale of such an approach is to make the customer realize how it has affected his family, social and professional life at the same time asking about his adapting strategies reveals the customer's longing for change. Along these lines, the questioner strategy to recover information and assess to what degree it has affected his customer life is appreciable and legitimized logically.

LEVEL OF ENGAGEMENT 

The level engagement can be rated as great, yet could have been vastly improved if legitimate space and time would have been facilitated at the starting of the session. As discussed, already the customer is by all accounts in a focused on state and the pressure amount increased later because of his realizations of impacts, a well-balanced therapeutic relationship establishment could have given much better information on his drinking behaviours and the causal factors and risk factors for such behaviour (Rush, 2015). While the meeting session was short for example approximately thirteen minutes it could have been reached out for better goal achievement. …