Communication and Leadership
After the chief nursing officer (CNO) distributes communication about upcoming staff reductions, the nurse manager sends a follow-up communication. What should be the focus of the nurse leader's communication in this situation? Incorporate the organization's vision on the unit Clarify how the staff reduction will impact staff members Provide reminders of submitting proof of licensure renewal Implement changes in processes on the unit
Clarify how the staff reduction will impact staff members
A nurse leader is working with staff to implement a new process for requesting shift changes during a holiday. To promote clarity of the holiday staffing changes, which steps should the nurse manager take to ensure the email contains communication, rather than information? Click to specify if the action is indicated, nonessential, or contraindicated. Ask the nursing director to send the email. Distribute a printed copy of the email to each staff member. Include contact information for questions. Request acknowledgement that email was received. Share the information in person during staff meetings, although it will take more time for everyone to receive the message.
Contraindicated Nonessential Indicated Indicated Indicated
Select the communication variable being described by the example. _________ A new nurse leader meets with colleagues on all shifts to speak with them about the strengths and weaknesses of relationships in the unit and to explore improving team collaboration moving forward. ________ A colleague violates the new attendance policy sent via email. When coached by the nurse leader, the colleague admits to not reading emails sent from the corporate office. _______ The nurse asks the unlicensed assistive personnel (UAP) to sit with them in the break room and closes the door prior to providing formative feedback. _______ A licensed practical nurse (LPN) expresses frustration when their ideas are ignored by the charge nurse and the same ideas are implemented when suggested by a registered nurse (RN). _______ The nurse manager rotates the time of day for monthly staff meetings to decrease the number of times employees must attend during non-business hours.
Culture Quantity Spatial Distance Power/status Formal structure
The nurse leader has noticed an increase in social media postings from clients and their families that include images taken while in a healthcare facility. Several shots include images of staff with their name badges clearly visible and able to be read or images of other clients. What actions should the nurse leader take to protect the privacy of staff and clients? Select all that apply. Reply to each post asking the poster to remove the image. Discuss updating the facility's social media policy with the nursing director. Create a post to their own social media account reminding people not to post images that include others. Report findings to the facility's legal counsel. Alert identifiable colleagues that their images are being used.
Discuss updating the facility's social media policy with the nursing director. Report findings to the facility's legal counsel.
For each situation, click to specify if the communication does (ethical breach) or does not (no ethical breach) constitute an ethical violation by the nurse or nurse leader. While reading social media, the nurse sees a post that contains information identifying a client recently discharged from the facility. The nurse leader works with marketing colleagues to create blog posts appropriate for a public-facing website. The charge nurse bypasses facility privacy settings to view client information on another unit. An advanced nurse practitioner (ANP) includes client names in email subject lines to help organize their email. The staff nurse shares their work email address with a client for sharing recipes.
Ethical breach No ethical breach Ethical breach Ethical breach Ethical breach
An experienced nurse leader is reviewing communication written by a new nurse leader being mentored. Click to highlight areas of the message that do not follow common tips for better writing. To: 3W Nursing Staff From: 3W Nurse Manager Date: November 22, 20XX Re: Schedule First, don't forget to scan all items used for clients that need to be charged. We had $756 charged to our budget this past month. Since y'all could not agreed on coverage for the winter holidays, I have completed and attached a schedule to this memo. No switches will be approved for any reason!! We are short a registered nurse (RN) on four shifts and overtime will be approved to fill the openings on a first-come, first-served basis. If all openings are not filled, the RNs with the least seniority will be scheduled.
First, don't forget to scan all items used for clients that need to be charged. Since y'all couldn't agreed on coverage No switches will be approved for any reason!!
A nurse leader is working with staff to implement a new process for requesting shift changes during a holiday. For each potential action the nurse manager may take to revise the email, click to specify if the action is indicated or contraindicated. Check for use of clear, professional language. Adhere to communication guidelines of the organization. Rely on word processing software to correct spelling and grammar errors. Place important information in bulleted lists. Place rationale for change first, ending with the details of the change. Review the message prior to sending. Share the revised draft with a colleague for feedback.
Indicated Indicated Contraindicated Indicated Contraindicated Indicated Indicated
______________: Factors that affect communication, such as attitudes, beliefs, perceptions, and understanding of the message. ______________: A factor or stimulus that causes the sender to initiate the communication. Stimulates a message that is sent through a channel to the receiver. T/F: The channel of communication plays a large role in the quality of the communication. For example, the understanding of a message might change dramatically depending on how it is delivered. Identify the definitions of the sender and receiver below. Initiates the communication Receives the message, interprets it, and provides feedback, therefore completing the communication cycle ____________: The message that is received back by the sender from the receiver of the original message. ____________: The setting in which the communication is occurring.
Interpersonal variables Referent True Sender Receiver Feedback Environment
Which type of communication develops from working together over time and building relationships? Metacommunication Therapeutic communication Non-verbal communication Verbal communication
Metacommunication
For each component of communication, click to specify if it is nonverbal or verbal. Posture Hand gestures Distance Tone of voice Eye contact Body movement Words chosen Facial expression Speech pattern
Nonverbal Nonverbal Nonverbal Nonverbal Nonverbal Nonverbal Verbal Nonverbal Nonverbal
___________ communication is the flow of information from employees to leadership and provides upper management with __________ about their communication, suggestions for improving the business, and information needed for _________.
Upward feedback decision making
A nurse leader is working with staff to implement a new process for requesting shift changes during a holiday. Click to highlight the words or phrases that may interfere with interpretation by colleagues. Date: August 22, 20XX Topic: No Changes to Holiday Staffing As most are aware, a lot of you are taking unscheduled time off on holidays, as well as the days before and after the actual holiday. Unfortunately, over the last year, the incidence of absenteeism is 39% higher the day before, day of, and the day after holidays, putting our patients at risk and increasing stress for colleagues working short-staffed, which is unacceptable. For this reason, all holiday schedules will be followed as posted, without exception, and requests for trading shifts will be denied. Any colleague who misses work due to illness must provide proof of evaluation and treatment from a healthcare provider before returning to work. Colleagues who miss a scheduled holiday shift or shifts scheduled the day before or after the holiday will forfeit the holiday differential on their next planned holiday shift. These changes override facility policies for colleagues of this unit.
a lot of you are taking unscheduled time off on holidays increasing stress for colleagues working short-staffed, which is unacceptable without exception these changes override facility policies
Written communication within an organization is the ___________ form of communication, partly because it lacks ________ and _______.
least effective immediate feedback nonverbal cues
A nurse leader is working with staff to implement a new process for requesting shift changes during a holiday. Select the priority three (3) phrases the nurse leader should revise before distributing the holiday staffing email. "These changes override facility policies" "All holiday schedules will be followed as posted" "forfeit the holiday differential on their next planned holiday shift" "A lot of you are taking unscheduled time off on holidays" "Increasing stress for colleagues working short-staffed"
"These changes override facility policies" "A lot of you are taking unscheduled time off on holidays" "Increasing stress for colleagues working short-staffed"
Which outcomes demonstrate that the revised holiday staffing email was received by staff without misinterpretation? Select all that apply. 15% of staff failed to acknowledge receipt of the email. 85% of staff acknowledged receipt of the message within 3 hours of opening the email. One staff member absent on the day before a holiday returned to work on the holiday with a note from their healthcare provider. Two staff requested trading holiday shifts three days prior to the holiday. Seven staff members scheduled meetings with the nurse leader to discuss their schedule.
85% of staff acknowledged receipt of the message within 3 hours of opening the email. One staff member absent on the day before a holiday returned to work on the holiday with a note from their healthcare provider. Seven staff members scheduled meetings with the nurse leader to discuss their schedule.
A nurse leader is working with staff to implement a new process for requesting shift changes during a holiday. After receiving feedback on the draft email, the nurse leader should recognize that staff could feel ___________ , leading to a decline in ________ and making it difficult for the leaders to _________.
unimportant job satisfaction create change
