Therapeutic Relationships

No.	Competency Item	NAC	DEV	COM	DTE	EXC
	Demonstrate understanding and knowledge of therapeutic use of self as the basis for psychiatric nursing, including:
BF-01-01	Awareness that basic tools and competencies of psychiatric nursing centre on therapeutic use of self
BF-01-02	Definition of therapeutic use of self
BF-01-03	Elements of therapeutic use of self.
	Demonstrate knowledge and ability to apply the therapeutic use of self, including:
BF-01-04	Purposeful application of therapeutic use of self in the best interests of the patient
BF-01-05	Application of conscious and continuous self reflection on own behaviour, and the possible effect on patients, and an understanding of how their behaviour affects oneself
BF-01-06	Self awareness, including knowledge of personal response patterns, strengths and limitations
BF-01-07	Knowledge of benefits of self awareness
BF-01-08	Knowledge of problems around lack of self awareness
BF-01-09	Ability to recognize and deal with transference and counter-transference
BF-01-10	Ability to provide empathy, genuineness, acceptance and positive regard
BF-01-11	Knowledge of communication principles
BF-01-12	Adequate knowledge base of the common disorders and interventions
BF-01-13	Ability to confront when necessary
BF-01-14	Willingness to learn from patients
BF-01-15	Ability to interpret behaviours of self and others
BF-01-16	Use of clinical techniques to raise self awareness, e.g. reflecting teams, two-way mirrors, co-therapy, video feedback and post session debriefing.
	Demonstrate knowledge and understanding of the therapeutic relationship, including:
BF-01-17	Knowledge of theories guiding therapeutic relationships, including nursing, psychological, and existential frameworks
BF-01-18	Knowledge of unique characteristics of a therapeutic relationship, and how it differs from social relationships.
	Demonstrate knowledge of the curative factors in therapeutic relationships, including:
BF-01-19	The patient's emotional experience of the relationship such as feeling valued, listened to and having thoughts and feelings understood
BF-01-20	Assisting patient to identify personal strengths, community resources, and alternative strategies to resolve his or her problems.
	Demonstrate knowledge and ability to pay attention to therapeutic factors such as:
BF-01-21	respecting boundardies by providing structure to the relationship
BF-01-22	respecting boundardies by protecting patient's right to privacy and confidentiality
BF-01-23	respecting boundardies by providing full information about their disorder and treatments
BF-01-24	respecting boundardies by providing security from harmful behaviours to self or others
BF-01-25	respecting boundardies by being able to effectively and appropriately end relationship
BF-01-26	caring based on sound knowledge and intuition
BF-01-27	caring based on a respect for the uniqueness of the individual
BF-01-28	caring by being fair, truthful and consistent
BF-01-29	caring based on behaviours that are professional and ethical
BF-01-30	advocacy to ensure access to care and treatment
BF-01-31	advocacy to acknowledge positive changes
BF-01-32	advocacy to make appropriate referrals
BF-01-33	advocacy to act as advisor
BF-01-34	advocacy to present their case to team members
BF-01-35	unconditional acceptance and ability to affirm patient's experience without judgement
BF-01-36	mutuality in the shared experience
BF-01-37	empathy as attitude and communication strategy
BF-01-38	wanting to know and understand the patient as a person
BF-01-39	going beyond appearance and superficialities
BF-01-40	listening actively to understand fully the patient's message, intent and associated feelings
BF-01-41	ability to understand what it would be like to walk in patient's shoes
BF-01-42	ability to reflect on what nurse is hearing and observing, and intuitively thinking and developing an appropriate response
BF-01-43	sharing observations or reflecting feelings with patient
BF-01-44	ability to model and promote authenticity by being genuine
BF-01-45	develop trust by providing a secure atmosphere
BF-01-46	instill confidence that nurse respects, understands and responds fairly to patient
BF-01-47	provide reliability, honesty and consistency.
BF-01-48	Demonstrate knowledge and ability to plan, structure, implement, evaluate and terminate a therapeutic relationship.