Chapter 7 - Communicating With Others and Working With the Interprofessional Team

A true collaborative effort comprises the following key components

1. sharing 2. partnership 3. interdependency 4. power

Interprofessional communication

Communication is considered to be a core competency to promote interprofessional collaboration practice.

T/F Collaboration assumes that members do not share responsibilities, values, and resources.

False, members DO

Electronic health record (EHR)

Focus on the total health of a patient extending beyond the data collected in the health-care providers office - includes summaries of the EMR - more inclusive view of patient's care and are designed to share information with other HCP's, such as as laboratories and specialists so that they contain information from ALL the clinicians involved in the patient's care - shared among institutions, insurance companies, the government, or patients themselves

Barriers to Communication - Interprofessional communication education

Health-care providers lack the training needed for communicating with each other like, medical terminology

I PASS the BATON

I - introduction P - patient A - assessment S - situation S - safety concerns the B - background A - actions T - timing O - owner N- next

Barriers to Communication - Cultural diversity

Impedes the ability to access, understand, and utilize services and information

Superficial listening

Often results in misinterpretation of the message

As Janes speaks with the team, she learns why the staff members have had difficulty following policies. Which of these would be considered barriers to effective communication? a. The charge nurse is unavailable to help the nurses when they have questions about policies. b. Some staff are afraid to ask particular charge nurses when they have questions about policies. c. The use of acronyms is confusing to staff members who are new to the unit. d. all of the above

d. all of the above

Barriers to Communication - Implicit bias

refers to attitudes or stereotypes that affect our understanding, actions, and decisions in an unconscious manner

Criteria for effective interpersonal communication

1. Selective (occurs on more intimate level) 2. Unique 3. Dynamic and ongoing process

ISBARR

Introduce, Situation, Background, Assessment, Recommendation, Read back

Interprofessional collaboration

Multiple health care workers from different professional backgrounds work together with patients, families, caregivers, and communities to deliver the highest quality care.

TJC attributes 80% of all medical errors to: a. Poor hygiene and hand washing b. Poor hand-off communication c. Poor work environment d. Lack of care

b. Poor hand-off communication

Jane is a new nurse manager who will be holding her first staff meeting tomorrow. She has learned that the staff members have not been following important patient care policies. What is the most important communication skill that she should use at this meeting? a. Talking to the staff b. Laughing with them c. Listening d. Crying

c. Listening

Assertive communication requires an individual to state his or her position using ______ statements.

"I"

Interprofessional communication

A process that gives people the opportunity to reflect, construct personal knowledge, and develop a sense of collective knowledge about others.

____ focus on the total health of a patient, extending beyond the data collected in the health-care provider's office. a. E M R's b. C O W's c. E H R's d. W O W's

C. E H R's

Interprofessional collaboration

Effective communication among all members of the healthcare team is essential in the provision of safe patient care. This includes the patients, families, caregivers, communities.

Barriers to Communication - Cultural competency

Lack of ability of health-care providers to identify and consider cultural practices

Barriers to Communication - Low health literacy

Lack of the skills needed to access and use health information

Assertiveness

This allows people to stand up for themselves and their rights without violating the rights of others. Helps in expressing your ideas and position however, it does not necessarily guarantee you will get what you want.

Social media is commonly used to update friends and groups on things we have going on in our lives. Health-care organizations routinely use social media to promote medical facts, services, and recognitions. What is important for nurses to remember when deciding to post something work related on a social media site? a. Nurses should never post protected health information on a social media site. b. Stories with good outcomes can be posted to your media page. c. Stories and photos can always be shared if patient's name or face is not visible. d. Posting stories on personal time is OK because the nurse is not working.

a. Nurses should never post protected health information on a social media site.

The EMR has many advantages compared with paper charting. It helps track data through time and can help monitor things such as preventative care in primary care practices. Jane is the office nurse in a local practice. She is meeting a new patient for the very first time who informs her that he was recently hospitalized. Jane pulls up the patient's EMR and sees no information regarding his recent hospital stay. How could this have happened? a. The patient's discharge was so recent that it is not yet available. b. EMRs are usually practice or hospital specific, so the patients information would not be accessible to Jane. c. The patient was hospitalized out of state. d. The patient has not signed the necessary consents to give Jane access.

b. EMRs are usually practice or hospital specific, so the patients information would not be accessible to Jane.

Who is responsible for accepting, transcribing, and implementing physician orders? a. Unit clerk b. Medical intern or resident c. Professional nurse d. Medical assistant

c. Professional nurse

Implicit bias affects out understanding in an unconscious manner. A person's ability to recognize these biases can improve communication with patients and colleagues alike. Which of the following statements is true about implicit bias? a. Implicit bias forms during a lifetime. b. Implicit bias can influence a clinical decision making and treatment. c. Implicit bias contributes to an individual's social behavior d. All of the above

d. All of the above

Electronic medical record (EMR)

The norm in today's nursing practice, hospital care institutions, and throughout healthcare.

T/F Transactional models differ from earlier linear models in that the transactional models label all individuals as communicators and not specifically as "senders" or "receivers".

True

T/F Assertiveness is different from aggressiveness. People use aggressive behaviors to force their wishes or ideas on others.

True

____ models of communication label individuals as communicators, not "senders" or "receivers." a. Transactional b. Linear c. Aggressive d. Assertive

a. Transactional

You are working on the trauma unit today, and your new patient with a femur fracture complains of leg pain and seems a little diaphoretic and short of breath You assess the patient and prepare to contact the surgeon. In preparation for contacting the physician, you: a. Immediately page the MD; it could be a pulmonary embolism, and time is of the essence. You will give him the particulars when the MD arrives. b. Wait for the MD to round on his patient because it should be within the next hour or so. c. Medicate the patient for pain and plan to contact the MD when he rounds. d. Jot down notes about the situation as it is presented to you, review the patient's history, focus your assessment, and determine what you need for the patient.

d. Jot down notes about the situation as it is presented to you, review the patient's history, focus your assessment, and determine what you need for the patient.

Electronic Forms of Communication

- Electronic medical record (EMR) - Electronic health record (EHR) - Computer on wheels (WOW) - E-mail - Text messaging - Social media

When building a team...

- identify strengths and weaknesses - understand team goal - act as role model - reward team

Communication

Involves spoken word as well as the nonverbal message, the emotional state of people involved, outside distractions, and the cultural background that affects their interpretation of the message.

10 Qualities of an Effective Team Player

1. Dependability 2. Communicates constructively 3. Active listening 4. Actively participates 5. Shares information openly and willingly 6. Supports and offers assistance 7. Displays flexibility 8. Exhibits loyalty to the team 9. Acts as a problem-solver 10. Treats others in courteous and considerate manner