Leadership CH 7 - communicating with others and working in the interprofessional team

2. As Jane 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 for help for fear of retribution c. The use of acronyms is confusing to staff members who are new to the unit d. All the above

D

5. Implicit bias affects our understandings 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 clinical decision making and treatment c. Implicit bias contributes to an individual's social behavior d. All the above

D

6. 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 patient's EMR and sees no info regarding his recent hospital stay. How could this have happened?

EMRs are usually practice or hospital specific, so the patient's info will not be accessible to Jane

EHR VS EMR

Electronic medical records (EMRs) are a digital version of the paper charts in the clinician's office. An EMR contains the medical and treatment history of the patients in one practice. EMRs have advantages over paper records. Electronic health records (EHRs) do all those things—and more. More comphrensive. EHRs focus on the total health of the patient—going beyond standard clinical data collected in the provider's office and inclusive of a broader view on a patient's care. EHRs are designed to reach out beyond the health organization that originally collects and compiles the information. They are built to share information with other health care providers, such as laboratories and specialists, so they contain information from all the clinicians involved in the patient's care.

How is communication skills of health-care providers a barrier to effective communication?

Health-care providers lack the training needed for communicating with each other (interprofessional communication) - Terminology known to one individual not known to the other

Devaluation reaction

If the other side is getting what they want, then it has to be bad for us

What is the influence to cultural diversity in patient care?

Impedes the ability to access, understand, and utilize services and information diverese cultural beliefs, customs, and practices can influence nurses or pt perception of care, the ability for a patient to understand their illness or care needed

9. ISBARR provides framework for communicating critical client information. ISBARR is an acronym for:

Introduce, situation, background, assess, recommend, readback

3. Bedside shift report is one of the things that Jane reviews at the staff meeting. She stresses the way she would prefer the report to start. Which of these would be the MOST important to share with the oncoming nurse?

Introducing the client and his or her diagnosis to the oncoming nurse

What is low health literacy?

Lack of skills needed to access and use health information The degree to which individuals don't have the capacity to obtain, process, and understand basic health information needed to make appropriate health decisions

What is cultural competence

Lack of the ability of health-care providers to identify and consider cultural practices a set of similar behaviors, attitudes, and policies that when joined together, enable individals or groups to work effectively in cross-cultural situations

How do nurses use assertive behavior?

Nurses act as patients advocates and ensure the patients recieves safe and effective care

7. Social media issue. 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 social media?

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

10. Who is responsible for accepting, transcribing, and implementing physician orders?

Professional nurse

What is collective bargaining?

a legal documents that governs the relationship between management and staff, who are represented by the union

work intesification

a situation in which employee are required to do more in less time

What is culural humility?

an approach that allows us to let go of our personal point of view so that we may consider another ' s beliefs without bias or stereotype

What does implicit bias refer to?

attitudes or stereotypes that affect our understanding, actions, and decisions in an unconscious manner - can influence our interaction with other people and can influence our clinical decision making and even treatment

What is the goal with workplace conflct?

create an environment in which confl icts are dealt with in as cooperative and constructive a manner as possible, rather than in a competitive and destructive manner.

8. 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:

jot down notes about the situation presented to you, review the patient's history, focus your assessment, and determine what you need for the patient

1. 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 the meeting?

listening

4. TJC attributes 80% of all medial errors to:

poor hand-off communication

nurse to nurse lateral violence

single out one individual as a target, adding a defree of personal malice to their behaviors

fixed pie myth of conflict

" i get half, and you get half"

Benefits of computer-based patient informatio systems (EMR)

- Increased hours for direct patient care - Patient data accessible at bedside - Improved accuracy and legibility of data - Immediate availability of all data to all members of the team - Increased safety related to positive patient identifi cation, improved standardization, and improved quality - Decreased medical errors - Increased staff satisfaction

Negative aspects of conflict?

- Stressful - Bitterness - Anger - Violence

Positive aspects of conflict?

- learning how to manage conflict constructively - developing cooperative ways of working together - empowering - Ppl begin to see each other as people w/ similar needs, concerns, and dereams

what are the steps to problem resolution?

1. identify the problem or issue 2. Generate possible solutions 3. evaluate suggested solutions 4. choose the best solution 5. implement solution chosen 6. problem resolved