title: Therapeutic relations decision making: the Rainbow Framework.
abstract: The giving and receiving of gifts, funeral attendance, post-discharge babysitting, usurping of parental roles, indiscriminate sharing of personal information, and other issues prompted a pediatric tertiary care facility in the Midwest to examine intricacies involved in the promotion and maintenance of therapeutic relationships. A multidisciplinary group developed a therapeutic relations decision-making framework to (a) foster a proactive process of conscious deliberation regarding nurse/patient interactions, and (b) afford a nonthreatening mechanism for retrospective review of apparently non-therapeutic relationships. The framework, based upon an "act utilitarian" approach to moral reasoning, promotes the clarification of personal philosophy and values. The framework provides a basis for deliberate, consistent, and confident nursing care delivery and the impetus for developing of new patient and family care initiatives.
authors.forename: L G
authors.initials: LG
authors.lastname: McAliley
authors.forename: S A
authors.initials: SA
authors.lastname: Lambert
authors.forename: M D
authors.initials: MD
authors.lastname: Ashenberg
authors.forename: S M
authors.initials: SM
authors.lastname: Dull
mesh_terms: D002648:Child; D003657:Decision Making; D028663:Ethical Theory; D004993:Ethics, Nursing; D005653:Fund Raising; D037921:Gift Giving; D006801:Humans; D016294:Models, Nursing; D009723:Nurse-Patient Relations; D010371:Pediatric Nursing; D011368:Professional-Family Relations; D012945:Social Values