The The Therapeutic Use of Self: A Concept Analysis Therapeutic Use of Self Concept Analysis
Article Sidebar
Main Article Content
Abstract
Background: The therapeutic use of self is an essential concept in nursing, involving the intentional use of personal qualities, emotional intelligence, and interpersonal skills to promote healing and improve patient outcomes.
Objective: This study aims to conduct a comprehensive concept analysis of the therapeutic use of self, identifying its defining attributes, antecedents, consequences, and empirical referents in nursing practice.
Methods: Using Walker and Avant's eight-step concept analysis methodology, we systematically reviewed existing literature. Data were collected from databases such as PubMed, Google Scholar, and Sci-Hub. Key defining attributes, antecedents, consequences, and empirical referents were identified and analyzed. The data were synthesized to present both qualitative and quantitative insights. The analysis included five main attributes: interpersonal skills, use of self, emotional intelligence, empathy, and self-disclosure. Additionally, we reviewed empirical referents for measuring this concept’s practical efficacy.
Results: The analysis revealed that integrating therapeutic use of self in nursing significantly enhances patient satisfaction by 40%, improves nurse-patient communication by 35%, and reduces nurse burnout by 25%. Moreover, the concept's impact on patient outcomes was positively correlated with the presence of empathy and emotional intelligence.
Conclusion: The therapeutic use of self is a critical factor in improving patient-centered care and reducing nurse burnout. Incorporating it into nursing education and practice will likely yield better patient outcomes and healthcare delivery.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
McQueen AC. Emotional Intelligence In Nursing Work. J Adv Nurs. 2004;47(1):101-108.
Williams A. A Literature Review On The Concept Of Intimacy In Nursing. J Adv Nurs. 2001;33(5):660-667.
O’Brien AJ. The Therapeutic Relationship: Historical Development And Contemporary Significance. J Psychiatr Ment Health Nurs. 2001;8(2):129-137.
Mandell D. Revisiting The Use Of Self: Questioning Professional Identities. Toronto: Canadian Scholars’ Press; 2007.
Currid T, Pennington J. Continuing Professional Development: Therapeutic Use Of Self. Br J Wellbeing. 2010;1(3):35-42.
Freshwater D. The Therapeutic Use Of Self In Nursing. Ther Nurs Improv Patient Care Self Aware Reflect. 2002;1-15.
Taylor RR, Lee SW, Kielhofner G, Ketkar M. Therapeutic Use Of Self: A Nationwide Survey Of Practitioners’ Attitudes And Experiences. Am J Occup Ther. 2009;63(2):198-207.
Travelbee J. Interpersonal Aspects Of Nursing. 2nd ed. Philadelphia: F.A. Davis Company; 1971.
Pedretti HM. Pedretti’s Occupational Therapy, Practice Skills For Physical Dysfunction. St Louis: Elsevier Mosby; 2013.
Rogers CR. The Necessary And Sufficient Conditions Of Therapeutic Personality Change. J Consult Clin Psychol. 1992;60(6):827-832.
Walker LO, Avant KC. Strategies For Theory Construction In Nursing. 4th ed. Upper Saddle River, NJ: Pearson/Prentice Hall; 2005.
Solman B, Clouston T. Occupational Therapy And The Therapeutic Use Of Self. Br J Occup Ther. 2016;79(8):514-516.
Taylor RR, Melton J. Therapeutic Use Of Self: A Model Of The Intentional Relationship. Ski Pract Occup Ther. 2022;79.
Arnd-Caddigan M, Pozzuto R. Use Of Self In Relational Clinical Social Work. Clin Soc Work J. 2008;36(3):235-243.
Cain DJ. What Every Therapist Should Know, Be And Do: Contributions From Humanistic Psychotherapies. J Contemp Psychother. 2007;37(1):3-10.
Knight C. Therapeutic Use Of Self: Theoretical And Evidence-Based Considerations For Clinical Practice And Supervision. Clin Superv. 2012;31(1):1-24.
Carlick A, Biley FC. Thoughts On The Therapeutic Use Of Narrative In The Promotion Of Coping In Cancer Care. Eur J Cancer Care (Engl). 2004;13(4):308-317.
Leahy RL. The Therapeutic Relationship In Cognitive-Behavioral Therapy. Behav Cogn Psychother. 2008;36(6):769-777.
Lum W. Contemporary Family Therapy. Contemp Fam Ther. 2002;24(1):181-197.
Bar-On R. Emotional Intelligence: An Integral Part Of Positive Psychology. South Afr J Psychol. 2010;40(1):54-62.
Barba B, Stump M, Fitzsimmons S. The Role Of Therapeutic Use Of Self In The Application Of Nonpharmacological Interventions. J Gerontol Nurs. 2014;40(8):9-12.
Dewane CJ. Use Of Self: A Primer Revisited. Clin Soc Work J. 2006;34(4):543-558.
Easterbrook CJ, Meehan T. The Therapeutic Relationship And Cognitive Behavioural Therapy: A Case Study Of An Adolescent Girl With Depression. Eur J Couns Psychol. 2017;6(1):85.
Kivlighan DM. Where Is The Relationship In Research On The Alliance? Two Methods For Analyzing Dyadic Data. J Couns Psychol. 2007;54(4):423.
Reupert A. The Counsellor’s Self In Therapy: An Inevitable Presence. Int J Adv Couns. 2006;28(1):95-105.
Brown C. Understanding Person-Centred Counselling: A Personal Journey. [Internet]. 2014. Available from: https://www.torrossa.com/gs/resourceProxy?an=5018900&publisher=FZ7200.
Mearns D, Cooper M. Working At Relational Depth In Counselling And Psychotherapy. London: Sage; 2017.
Sleater AM, Scheiner J. Impact Of The Therapist’s Use Of Self. Eur J Couns Psychol. 2020;8(1):118-143.
Kreski B. Engaging Clients Through The Therapeutic Use Of Self. J Ther Hortic. 2012;22(2):48-55.
Rasheed SP, Younas A, Sundus A. Self-Awareness In Nursing: A Scoping Review. J Clin Nurs. 2019;28(5-6):762-774.
Dulko D, Kohal BJ. How Do We Reduce Burnout In Nursing? Nurs Clin. 2022;57(1):101-114.