Poster Presentation
Friday, 21 July 2006
10:00 AM - 10:30 AM
Friday, 21 July 2006
3:00 PM - 3:30 PM
Culturally Responsive Therapeutic Relationships: Integrating and Enhancing Best Practice Guidelines
Rani Hajela Srivastava, RN, MScN, Nursing Practice & Professional Services, Centre for Addiction & Mental Health, Toronto, ON, Canada
| Learning Objective #1: Examine the influence of culture on therapeutic relationships |
| Learning Objective #2: Describe strategies to teach and promote therapeutic relationships that are culturally responsive. |
This paper will describe a nursing practice initiative aimed at fostering the development of therapeutic relationships that reflect an understanding of cultural issues. The initiative is a collaborative venture between the hospital and a university nursing program. Although the need for culturally sensitive and culturally appropriate health care has long been recognized in Canadian society, attainment of such a goal remains elusive. Lack of clinical cultural competence leads to continued marginalization and oppression. While, meaningful therapeutic relationships are critical to effective nursing care, establishment of authentic relationships is particularly challenging in complex client populations such as those with mental illness and diverse cultural values and needs. Existing best practice guidelines on therapeutic relationships acknowledge the need to address cultural issues, however, they provide little guidance for application or further integration with related guidelines. The Culturally Responsive Therapeutic Relationship (CRTR) initiative utilizes a learning/practice framework with a group of twenty nurses and ten nursing students to develop clinical expertise, through education and mentorship, in culturally responsive therapeutic relationships. The CRTR initiative uses four approaches: the development of integrated competencies, systematic education that provides content while promoting reflection, clinical application and supervision, and using journaling to document and manage the practice change. Journaling is done through an internet based tool, Journey Mapping, developed through the Pacific Institute for Research and Evaluation. This project will contribute to nursing knowledge by building on existing resources such as the Registered Nurses of Ontario (RNAO) best practice guideline on therapeutic relationships as well as the College of Nurses of Ontario (CNO) Guidelines for Providing Culturally Sensitive Care by developing an innovative, integrated learning/practice model. This poster will present an overview of the project and the preliminary results.
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