Communications - 1155

Why does using SBAR help us with communication?

Decreases risk of giving bad information, organizes thoughts before calling the physician, and improves communication.

Why does using CUS help us with communication?

Raises level of concern for patients, what you need gets done, and people will listen to you.

Related Nursing Diagnoses

Readiness for enhanced communication: wellness 1 part Impaired verbal communication: r/t & aeb actual nursing diagnosis 3 parts

Give examples for SBAR.

S- Hi my name is ... and I'm calling about my patient Mrs. Robins in room 1163 because I'm concerned of...... B- Any information important to problem the patient is having; Mrs. Robins o2 levels continue to drop. A- I think the problem is SOB/ I don't know the problem R- Patient needs XYZ.../ I don't know what she may need.

What does the acronym SBAR and CUS stand for?

S- Situation B- Background A- Assessment R- Recommendation C- Concerned U- Uncomfortable S- Safety

What is an effective communication tool?

SBAR AND CUS

What are examples of electronic communications?

Social media E-mail Text

What do we mean when we say unintended of foreign object?

Something left behind in surgery

What is interpersonal communication?

The transmission of messages between two or more people. Goal is to exchange messages, can be through; 2 nurses giving report, nurse to physician, pt to nurse.

Helping relationship is different than social relation ship because why?

This is one sided, nurse and patient, not spontaneous unequal sharing of information, patient needs not yours.

Describe what is non-verbal.

Touch Body language Eye contact Facial expression Posture Gait Gesture Overall appearance (dress, grooming) Sounds Silence TONE OF VOICE

What are forms of communication?

Verbal Non-Verbal Electronic

Describe verbal communication, and what can interfere with it?

Verbal is speaking Interference: Language barrier, lack of education, and cognitive development Geographic can also be a language barrier ex) soda vs pop

Describe aggressive communication

dominate others, impulsive, overbearing

What is the termination phase?

occurs at the end of a relationship Discharging patient, end of your shift, transferring patient to new unit.

First step of intrapersonal is?

self awareness

What is intrapersonal communication?

self-talk, the communication we have with ourselves. encourage positive self talk <3

What does concise mean?

short and to the point avoid unnecessary amount of information because it can blur the important information needed.

Describe assertive communication

speaking up without stomping on everyone else WHERE WE WANT TO BE! 'I' statements

What are some factors of Rapport builders?

specific objectives comfortable environment privacy confidentiality patient vs task focus using nursing observations optimal pacing

Who is the decoder?

Decoder is the receiver Person getting the message

What are some tips for communication via telephone?

-Use SBAR/CUS -State who you are right away -Don't apologize for calling -State business briefly and completely -Ask for specific orders when appropriate -If patient want physician to assess them say so -If provider is coming, ask when. -If you get cut off call again -Document amount of times you tried to reach provider -Notify chain of demand

When using SBAR and CUS we talk in what manner?

Assertive

What are some culture considerations?

Be aware of your personal beliefs regarding people from different cultures Plan care based on communication needs and cultural beliefs/backgrounds Respect patient and their needs Non-threatening manner Be considerate of sexual manner Use interpreters to improve communication

What is organizational communication?

Between people and groups within an organization examples; staff meeting, teaching, support groups *

What are some conversational blockers that we normally don't assume is bad?

Calling/Referring a patient as honey, sweetie, etc. we should ask what the patient prefers.

What is channel in communication? Give an example.

Channel is auditory, visual, and kinesthetic part of communication, way the message is conveyed. Example: Touch

What are the 4 C's of initial direction?

Clear Concise Correct Complete

What is group communication?

Communication within a small group; communicate to achieve a goal. *

What are factors of influencing communication? List some examples of each.

Developmental level: language barrier/psychosocial Biological sex: men vs women communications Sociocultural differences: Non-verbal Roles and Responsibilities: discharging a nurse and not telling them their discharge papers because you assume they know. Space and Territoriality: personal space Physical, Mental, Emotional state Values Environment: noise or comfort object like stuffed animal from home.

Factors that Promote Effective Communication in helping relationship.

Dispositorial traits & Rapport builders

Who is the encoder?

Encoder is the source Person giving the message

What does feedback mean?

Evidence that the person understood the message

What are some communication blockers?

Failure to perceive patient as a human being. Failure to listen Non-therapeutic comments and questions Changing the subject False reassurance Gossip and rumors Disruptive and interpersonal behavior and communication

What are the top 5 sentinel events by joint commission?

Falls Unintended retention of a foreign object Suicide Wrong surgery Delay in treatment COMMUNICATION IS TOP 3 ROOT CAUSE OF EVENTS

What is the best way to know that your patient understands what you taught them?

Have the patient demo how their going to do it at home and watch them, answer any questions they may have. example: dressing changes, stoma care, etc.

What are some factors of health literacy?

Identify and address them Dont assume Ask how they learn Match delivery of message to patient means, ability, and culture No medical Jargon Determine resources needed to reduce language and cultural barriers Confirm understanding of information and patients ability by using teach back method

What are the levels of communication?

Interpersonal Intrapersonal Group Organizational

What does noise mean in communication?

Interruptions like pain, emotional distress, tv, machines, or others interrupting.

What are some conversational skills?

Listen Silence Touch (when appropriate) Humor (when appropriate)

Patient surveys state we need to work on...?

Listening to them Ask them what they want Don't treat them like the disease they have Do not dismiss their concerns Talk to them not at them Respect their privacy Don't keep them waiting Don't tell them what to do without teaching Keep them informed Remember who they once where: ask what they do/did for living! Let them know you care for them!

What does it mean when we say failure to perceive patient as human being?

Meaning were thinking of all the things we need to get done instead of patient needs Calling/Thinking (of) the patient as their diagnosis and not their name

What are components of the communication process?

Message Channel Encoder Decoder Feedback Noise

What is message in communication? give an example.

Message is verbal and non-verbal part of communication Examples: can be 1 on 1, lecture, reading, writing a nursing note

What are the 3 phases of helping relationship?

Orientation Working Termination

How do you document the amount of times you tried to reach the provider?

Page Dr. so and so awaiting call back @ said times NO BIAS

Describe passive in communication

anxious and often fail to speak up for themselves

What are the factors of Dispositorial traits?

warm and friendliness open and respect-fullness empathy honest, authenticity, trusting caring competence (comfortable/uncomfortable like if you're struggling w bp cuff patient might be hesitant to work with you.)

What is the orientation phase?

when the nurse and the patient meet and get to know each other

What is the working phase?

when the nurse and the patient work together to solve problems and accomplish goals Longest phase can be all shift, every shift.