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Questions and Answers
What is the primary means of expression in verbal communication?
Which of the following is an essential factor in enhancing effective communication?
What is the primary means of expression in verbal communication?
What percentage of communication is nonverbal?
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Which of the following is an important quality to demonstrate when working with an interprofessional team for safe and effective patient care?
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Which of the following is not an aspect of nonverbal communication?
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What is therapeutic communication?
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What is the nurse's role as a collaborative member of the healthcare team?
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What are some communication blockers?
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What is the goal of collaborative conflict resolution?
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What are some communication facilitators?
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Which of the following is a communication blocker?
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What is the ejection fraction of J.E. according to the echocardiogram results?
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What are the steps to collaborative conflict resolution?
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What is the nurse's role as a collaborative member of the healthcare team?
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What is the current diet order for J.E.?
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Who is included in the interprofessional team?
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What is the current order for potassium for J.E.?
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What are some qualities to demonstrate when working with an interprofessional team?
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What is the current order for enalapril for J.E.?
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What is the current order for furosemide for J.E.?
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What is the current order for monitoring intake and output and daily weights for J.E.?
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Study Notes
Collaboration
NUR 211
Unit 5
Module 5D
Jill Huffman, MSNed, RN
Learning Outcomes
● Describe the nurse’s role as a collaborative member of the healthcare team.
● Summarize the benefits and nature of interprofessional collaborative practice.
● Analyze aspects of conflict prevention and management.
Learning Resources
● Ignatavicius, D. (2021). pp. 6-7
● ATI Engage Fundamentals: (Review)
○ Foundational Concepts of Nursing Practice - Collaboration and Teamwork
● Evidence-Based Practice Articles as posted in Open LMS
Teamwork and Collaboration
● The nurse functions effectively within nursing and interprofessional teams, fostering open communication, mutual respect, and shared decision making to achieve quality patient care.
● Communication is an essential process for evaluating patient care together using an interprofessional plan of care.
● Interprofessional team includes the patient, family, primary health care providers, nurses, assistive personnel, and other health care professionals and their assistants
Teamwork and Collaboration
● When working with an interprofessional team it is important to demonstrate the following qualities for safe and effective patient care:
○ Asks other disciplines about patient progress in their area on a regular basis
○ When planning patient discharge home safety is coordinated among all team members
○ Participate in comprehensive patient rounding
○ Delegate tasks appropriately
○ Consult with other disciplines on patient care
Communication
● All interactions consist of both verbal and nonverbal communication
● 10% of communication is verbal whereas 70-90% is nonverbal
● Verbal communication is how we express our beliefs, values, perceptions, meanings, ideas, desires, feelings, and understanding. It is the primary means of expression.
● Nonverbal communication includes tone, pitch, inflection, and intensity of how we speak. It also includes posture, body movements, facial expressions, personal appearance, eye contact, eye cast, physical characteristics, how we listen, and how we use silence, touch and space.
Communication
● Therapeutic communication - establishment of a therapeutic relationship through the use of empathy, genuineness, positive regard, and self-awareness.
● Communication Facilitators - factors that enhance effective communication. By projecting warmth, acceptance, friendliness, openness, empathy, and respect in all interactions with the patient and family it fosters open communication.
● Active Listening - being attentive to the patient’s verbal and nonverbal communication and helps the patient to feel as if they were heard, and establishes trust. Requires an open mind and full concentration to hear what the patient is saying and requires clarification and verification of messages.
Communication Blockers and Facilitators
Blockers
● Making value judgements
● Excessive questioning
● Giving approval or disapproval
● Advising
● Minimizing feelings
● Environmental factors
● Blurring boundaries
● Making irrelevant comments
● Making ambiguous comments
● Not responding to questions
● Using too familiar language
● Changing the subject from patient concerns
● Turning away from the patient
● Being distracted
● Inappropriate kidding and joking
● Displaying annoying tics or habits, such as tapping a foot
Facilitators
● Responding directly to the patient’s statements
● Nodding one’s head or leading toward the patient
● Staying on the topic at hand or directing the topic toward theSteps to Collaborative Conflict Resolution:
- Open a dialogue that is respectful of each individual's point of view.
- Determine a group or shared goal.
- Identify the expertise and contribution of each individual.
- Review the goal and move to honestly accept or reject it.
- Design a plan to meet the new goal, using the expertise of the group to design interventions to meet the goals.
- Determine the roles of the members in carrying out the interventions.
- Set an evaluation point and include all individuals in the evaluation process. Maintain respect for everyone's input or contribution, focus on interventions and actions rather than personalities, feelings, or prejudices.
Types of Conflict Resolution:
- Sacrifice Resolution
- Competition Resolution
- Win-Win Resolution
Case Study:
J.E. is a 70-year-old female who was admitted to the ICU with a report of increasing shortness of breath, fatigue, and weight gain. She has a history of hypertension for 20 years and a myocardial infarction at 58 years of age. She reports increasing shortness of breath, fatigue, and unexplained 11-pound weight gain during the past 2 weeks. She had a respiratory tract infection 2 weeks ago. She is noted to have a persistent cough and edema in both lower extremities. She cannot climb stairs without getting short of breath and sleeps with her head elevated on 3 pillows. She lives alone and does not always remember to take her medication.
Currently, J.E. is noted to have moderate respiratory distress, using accessory muscles, respiratory rate of 36 bpm, an audible systolic heart murmur, bilateral crackles in all lung fields, cyanotic lips and extremities, and cool and diaphoretic skin. Chest X-ray results show cardiomegaly with right and left ventricle hypertrophy and fluid in the lower lung fields. Echocardiogram results show an ejection fraction of 20%.
Current Orders:
- Furosemide (Lasix) 40 mg IV twice daily
- Potassium 40 mEq PO twice daily
- Enalapril (Vasotec) 5mg/day PO
- Continuous ECG monitoring
- Diet: 2-gram sodium diet
- Titrate O2 to keep O2 sat >93%
- Monitor intake and output; Daily weights
- Serum electrolytes; cardiac biomarkers q 8hr X 3
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Description
Test your knowledge on collaboration and conflict resolution in healthcare with our NUR 211 quiz. Learn about the nurse's role as a collaborative member of the healthcare team, the benefits of interprofessional collaborative practice, and effective communication techniques. Explore conflict prevention and management strategies and apply your knowledge to a case study. Improve your understanding of teamwork and collaboration in healthcare with this informative quiz.
