Introduction

In this essay, the writer uses the case At the Mercy of Staff to analyze the value assumption of these interactions and to discuss how transpersonal caring can be implemented to enhance the interaction. Part one summarizes the value premises employed while assessing the relations between nurses and their patients. Part Two illustrates the processes of how the aspects of transpersonal caring can be applied to respond to such assumptions and how the quality of care can be improved. Finally, the discussion outlines how it is possible to apply the aspects of transpersonal caring to change the interactions taking into account the identified value assumptions (Stanley, 2022).

Part One: Value Assumptions in Nurse-Patient Interactions

In the case scenario At the Mercy of Staff, the following assumptions of values are well seen in the process of the establishment of interpersonal communication with the staff of the patients. These assumptions have a significant impact on the quality of care and the patients experience, leading to helplessness and frustration.

Assumption of Authority and Control: The communications between the nurse and the patient reveal the power and authority of the nurse over the patient. This is evident from the aggressive nature exhibited by the nurse during catheter management and the removal of staples without checking the patients comfort or pain. This aspect also explains the lack of patient-centered care as the actions and the language used by the nurse are more assertive and the patient is passive. This assumption may make the patients powerless and even their rights to privacy and dignity may not be respected (Dogan & Baykara, 2024).

Assumption of Efficiency Over Empathy: The case scenario exposes a belief that efficiency in the delivery of tasks is more valued than empathy and client-centeredness. This is evident through the swift gestures such as when the nurse removes the catheter without speaking to the patient, extremely fast when removing staples, and at the same time discussing what makes one feel uncomfortable. Such an emphasis on productivity over humanity makes patients feel unappreciated and like they are just another number in a large system. The experiences of feeling humiliated and being overlooked indicate that a priority of tasks negatively impacts patients (Pratt et al. 2021).

Assumption of Patient Passivity: This means that the nurses themselves appear to be assuming compliance from the patients, which is a concept that does not empower patients to participate in their care. In this case, the patient complains of being treated like a child, and some of the nurses behaviors such as playing the airplane game with food can support this (Hayne et al. 2020). This implies patient helplessness or patient inability to contribute towards his or her treatment and end up frustrated or even helpless. This interaction can be extremely damaging to a patients self-esteem, and in addition to this, may hamper the process of their healing.

Assumption of Uniformity in Patient Needs: The treatment is quite formalized; the speech therapist brings a ready-made set of a communication board that does not fully address the patients needs. It does not explore the variation in people and what they require hence provides impediments to interaction and individualized patient care. The inconvenience of using the general communication board together with the efficiency of the customized one as embraced by Bec, demonstrates why patient-centeredness is vital for enhanced outcomes (Chung et al. 2021).

Assumption of Professional Detachment: The interactions themselves also reveal that it is necessary to maintain clinical distance to get along well and address what the nursing profession entails. Such detachment is illustrated when the nurse is involved in discussions about personal issues while performing a sensitive procedure on the patient. While it can be beneficial to not let the clinicians personal feelings get in the way of clinical practice because it protects their mental health, it fails to address the patients psychosocial needs. The patients experiences of nurses discussing their problems or using humiliating language while attending to patients how excessive emotional distance results in the patients worsening condition.

Consequently, several issues may lead to deterioration of results and patient satisfaction which can be examined when analyzing the value assumptions of the interaction between the nurse and the patient in the case At the Mercy of Staff. Such assumptions like obedience, rationality, patient docility, sameness, and impersonality demand a more patient-oriented approach to practicing medicine within healthcare organizations. Adherence to the principles of transpersonal caring may counter these assumptions and improve the quality of the interactions and the quality of the life of the patient (Vujani? et al. 2020).

Part Two: Applying Transpersonal Caring Principles

Transpersonal caring thus corresponds to the humanistic-phenomenological-hermeneutical paradigm of nursing, focusing on caring and the well-being of the patient. As shown in the At the Mercy of Staff case, the application of these four principles of communication can improve overall communication in the delivery of patient care.

Establishing a Caring Relationship: Taking care of patients, therefore, requires recognition of the patient as a unique individual with unique needs and feelings. A connection can be developed through engaging the patient in a conversation, listening to him, and letting him say what he wants. For example, rather than saying, Oh, the patient is ready to remove staples, the nurse can explain how the process will be done and then attempt to calm the patient down hence operating at the level of comfort of the patient. This procedure not only respects the patients right to autonomy but also helps develop trust and a friendly demeanor, which are crucial in managing the patient (Kwame & Petrucka, 2021).

Empathy and Presence: Acknowledging the patient and listening to them can work wonders in improving the tone of the conversation. When providing care, nurses should devote their full attention to their patients to ensure this person feel valued and honored. Similarly, instead of complaining about the uncomfortable feeling while removing staples, the nurse could be reassuring the patient regarding the soreness and uneasiness they might be experiencing. Attending to the emotional condition of the patient and giving him comfort will assist the latter in minimizing stress levels and enhancing the chances of recovery (Kondo et al. 2020).

Respecting Autonomy and Participation: Allowing patients to feel empowered and encouraging patient involvement is crucial to respecting their dignity. Choice should be offered to the patient as much as possible and patients should be involved in the decision-making process. For example, the timing of removing staples and the level of comfort of the patient during the surgery. This not only helps the patient but also provides the assurance that they are receiving care that meets their requirements (Haugan et al. 2020).

Individualized Care: This makes certain that the patient is given the personal care that they deserve thus enhancing their health. The notion of a communication board that the patients sister suggested is also under this principle. It should be applied in all forms of care that the patient receives and should consider the physical, emotional, and psychological state of the patient. The health issues and choices of the patient can be met by individualized patient care that improves patient satisfaction and outcomes.

Holistic Approach: Holistic care involves taking into account the physical, psychological, and spiritual state of the patient. Nurses should attend to the comfort needs of the physical, social, emotional, and spiritual health of the patient. Other aspects of care like maintaining the patients dignity during sponge bathing, exercising, and engaging the patient in activities of interest are also in line with Jacquis conception of the framework of care. This comprehensive care model comprises the patients physical, psychological, and social state of being hence enhancing the patients experience of care.

Compassionate Communication: Transpersonal caring consists of several processes, and communion is one of them. Nurses should strive to speak in ways that would make patients feel that their voice is important to the Nurses. This encompasses speaking, listening, gesturing, and even the use of, for example, eye contact, facial expressions, and even body posture. Empathy may help decrease the level of anxiety and loneliness, which patients can have during the treatment and make them feel more secure (Leone-Sheehan, 2021).

Creating a Healing Environment: The environment in which care is provided has a strong role in determining the outcomes of patient care. Nurses thus need to create an environment that will favor the healing process of the patients. This includes ensuring cleanliness and a comfortable environment as well as ensuring that people are patient with others. It is possible that stress and anxiety interfere with the healing process and reducing them with the help of creating the right conditions could be beneficial.
Therefore, by incorporating transpersonal caring principles into the communication process with the focused patient, one can enhance the quality of care as well as patient satisfaction. By being caring, empathetic, patients value, person-centered, good communication, and therapeutic environment, nurses can meet several dimensions of patient needs. These principles do not only improve the health of the patients but also the human feel in the healthcare system.

Conclusion

In conclusion, applying the elements of transpersonal caring to address the value assumptions raises the quality of the communication experience seen in the case description. Explaining that divergent decisions, individualizing care, practicing assertive empathy, honoring patient autonomy, and being patient-compassionate must be done as it modifies the patients experience and their feeling from helpless and humiliated to dignified. They also capture the organizational and indeed patient-orientated model of care that is not restricted to the medical condition of the patient.

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