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Questions and Answers

What is one benefit of clients actively participating in their care?

  • They need more frequent check-ups.
  • They require less medication.
  • They have less communication with healthcare providers.
  • They tend to recover faster. (correct)

How does mutuality impact nurses in a clinical setting?

  • It decreases their authority in decision-making.
  • It fosters greater autonomy and authority. (correct)
  • It creates less equal relationships with physicians.
  • It reduces job satisfaction.

What is a key aspect of creating an environment that supports questioning?

  • Limiting the options presented to clients.
  • Encouraging clients to take a passive role.
  • Avoiding teachable moments.
  • Promoting open communication and curiosity. (correct)

Which of the following is a practical strategy for mutual problem solving?

<p>Share your professional insights. (A)</p> Signup and view all the answers

What is one impact of bias on patient care?

<p>It can lead to misdiagnosis or poor treatment. (A)</p> Signup and view all the answers

How can respect for gender identity improve healthcare outcomes?

<p>It fosters a safe and inclusive environment for clients. (A)</p> Signup and view all the answers

What distinguishes gender from sex in a healthcare context?

<p>Gender is how people identify, while sex is biological. (D)</p> Signup and view all the answers

What principle supports the concept of creating a safe space in healthcare?

<p>Promoting open dialogue and acceptance. (D)</p> Signup and view all the answers

What is the main goal of effective communication in healthcare?

<p>To ensure clear understanding of expectations and responsibilities (B)</p> Signup and view all the answers

Which of the following represents a common cause of ineffective communication?

<p>Absent or malfunctioning channels (D)</p> Signup and view all the answers

Which of these is NOT one of the characteristics of effective communication?

<p>Complex (B)</p> Signup and view all the answers

How can proxemics impact communication in nursing?

<p>By determining the patient’s comfort level with physical space (A)</p> Signup and view all the answers

What is a significant risk of miscommunication in healthcare settings?

<p>Patient harm or fatalities (C)</p> Signup and view all the answers

What is a key difference between active listening and simply hearing?

<p>Active listening includes emotional engagement. (D)</p> Signup and view all the answers

How can mutuality in nurse-client relationships benefit caregivers?

<p>It reduces caregiver stress and depression (B)</p> Signup and view all the answers

What can happen if a client feels unheard?

<p>They could experience client disillusionment. (D)</p> Signup and view all the answers

What does the term 'mutuality' in nursing imply?

<p>A balanced relationship based on understanding and respect (A)</p> Signup and view all the answers

Which of the following is an example of nonverbal communication?

<p>Eye contact (A)</p> Signup and view all the answers

Which of the following is a barrier to effective listening?

<p>Self-absorption. (A)</p> Signup and view all the answers

What is a potential effect of implicit bias in healthcare?

<p>Worsening health outcomes for certain groups (A)</p> Signup and view all the answers

Which strategy is NOT recommended for improving listening?

<p>Opinionated interpretation of the speaker's words. (A)</p> Signup and view all the answers

Which is a key consideration when communicating with patients who have psychological disorders?

<p>Use simple language and clear messages (B)</p> Signup and view all the answers

How can nonverbal cues contribute to effective listening?

<p>They provide insight into unspoken feelings. (A)</p> Signup and view all the answers

What does the 'S' in the SURETY Framework stand for?

<p>Sit at an angle to the client. (A)</p> Signup and view all the answers

How does cultural sensitivity play a role in communication?

<p>It helps in understanding the patient's background and reactions (A)</p> Signup and view all the answers

Which communication barrier might occur if a message is misinterpreted?

<p>Failure in the reception of the message (B)</p> Signup and view all the answers

What is a critical outcome of listening for the unsaid?

<p>Recognizing underlying issues not expressed verbally. (A)</p> Signup and view all the answers

Which action helps create a safe space for client disclosure?

<p>Practicing self-awareness. (D)</p> Signup and view all the answers

What role does clear communication play in patient satisfaction?

<p>It is linked to higher patient satisfaction through collaboration (B)</p> Signup and view all the answers

What should a listener focus on to improve understanding during communication?

<p>Non-verbal communication. (A)</p> Signup and view all the answers

In which way can gestures enhance communication with patients?

<p>They can complement verbal communication (D)</p> Signup and view all the answers

What does the relaxing aspect of the SURETY Framework suggest?

<p>Listeners should relax to promote openness. (A)</p> Signup and view all the answers

What type of environment is essential for effective client listening?

<p>A safe and comfortable space. (B)</p> Signup and view all the answers

What is a common reaction when clients feel their values are not respected?

<p>Feelings of neglect or disconnection. (A)</p> Signup and view all the answers

Which of the following is critical for managing emotions during listening?

<p>Using self-talk effectively. (B)</p> Signup and view all the answers

What does effective listening enable clients to feel?

<p>Valued and understood. (D)</p> Signup and view all the answers

Flashcards

Mutuality in Nursing

A collaborative approach where both nurses and clients actively participate in care, enhancing recovery and healing.

Client Benefits of Mutuality

Faster recovery through active client participation in their care.

Nursing Benefits of Mutuality

Greater autonomy, equal relationships with physicians, increased job satisfaction, and client advocacy.

Mutual Problem Solving

A collaborative process where clients are encouraged to take an active part in their care.

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Sharing Professional Knowledge

Encouraging clients to participate in care decisions by openly sharing professional knowledge.

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Avoiding Assumptions

Not assuming what clients need without properly understanding their perspective.

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Offering Appropriate Choices

Giving clients genuine choices in their care. Don't offer choices where none exist.

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Teach moments for Behavior Change

Identifying opportunities to educate clients about behavior change.

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Active Listening

Engaging both physically and emotionally when listening to someone else.

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Client Disillusionment

When clients feel unheard, and their needs are not met.

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Safe Space

A crucial atmosphere during client interaction, fostering disclosure.

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Barriers to Listening

Obstacles that hinder effective listening.

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Self-absorbed

Focusing only on oneself; ignoring the concerns of others.

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Information Overload

A listening barrier, where too much information is being absorbed at once.

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Speaker-Focused

Paying too much attention only on the speaker, causing a lack of attention of the content.

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Noise/Distractions

External factors interfering with listening ability.

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Feeling unwell

Emotional or physical state impeding active listening.

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Multitasking

Trying to do more than one thing at once, which harms attention.

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Nonverbal Cues

Changes in voice tone, body language, and eye contact.

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Listening for the Unsaid

Picking up on subtle signals in conversations, beyond the spoken words.

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Listening Outcome

The result of effective listening, as perceived by and affecting the listener.

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SURETY Framework

A structure for active listening in conversation.

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Active Listening Importance

Important for building relationships and understanding client's needs.

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Effective Communication

A two-way exchange of information ensuring client and provider expectations are understood.

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Ineffective Communication

Communication problems due to system failure, channel issues, or message misinterpretation.

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Verbal Communication

Communication through spoken words.

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Denotative Meaning

The literal meaning of a word or phrase.

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Connotative Meaning

The implied or associated meaning of a word or phrase.

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Nonverbal Communication

Communication through body language, gestures, and eye contact.

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Proxemics

The study of personal space in communication.

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Client

The individual receiving care.

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Mutuality

Balanced relationship based on understanding and respect; client is an expert on their own experience.

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Miscommunication

A failure to communicate clearly or accurately.

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Communication Challenges

Obstacles to effective communication due to physical or psychological factors.

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OARS

A mnemonic for effective communication (Open-ended questions, Affirmations, Reflections, Summaries).

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Patient Satisfaction

Positive feelings a patient has about their healthcare experience.

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Cultural Sensitivity

Awareness and respect for different cultural backgrounds.

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Avoiding Miscommunication

Strategies to prevent misunderstanding and ensure clarity in communication.

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Communication Problems

Failures in the communication system and transmission / reception.

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Study Notes

NURS 1511 Week 2 Lecture 1

  • Knowing the "Self" in Relational Practice is the focus of this lecture and chapter 3
  • Balzer-Riley Learning Outcomes:
    • Recognize self-assessment importance for communication skills development
    • Identify personal strengths and apply them to communication
    • Understand and assess emotional intelligence competencies
    • Describe strategies to improve emotional intelligence
    • Identify and assess conflict management styles, adapt them
    • Apply self-awareness to enhance assertive and caring communication skills
    • Understand and apply SMART goals for personal and professional development

Self-Assessment as a Starting Point for Building Communication Skills

  • Use quality tools to assess natural talents, attributes, and life skills to grow communication skills
  • Assess: Strengths, Emotional Intelligence, Conflict Management Style

Identifying Personal Strengths

  • Tools for measuring strengths: Clifton Strengths-Finder, Values in Action (VIA) inventory of strengths
  • A strength begins with a talent, defined as the ability for near-perfect consistent performance
  • Identifying and focusing on strengths balances the negative aspects of psychology

Strengths and Communication Skills

  • Identify and use your top talents and strengths
  • Enhance self-awareness and discover new ways to apply your strengths
  • Appreciate unique qualities to gain confidence
  • Appreciate talents as strengths to feel excitement about your potential
  • Improve discernment to focus on activities in line with your strengths
  • Enhance career and life clarity

Emotional Intelligence

  • Affects how we manage behavior and achieve positive results
  • Personal competence includes self-awareness and self-management
  • Social competence includes social awareness and relationship management
  • Nurses need high emotional intelligence for:
    • Workplace functioning
    • Quality patient-centered care
    • Communication in therapeutic relationships
    • Compassionate care
    • Teamwork and collaboration

Why Does Emotional Intelligence Matter?

  • Importance of Self-Reflection
  • Emotionally Intelligent Nurse
  • Professionalism and Critical Thinking

Test Your Emotional Intelligence

  • A QR code is provided to take a test to access emotional intelligence.

Improving Your Emotional Intelligence

  • Components of Emotional Intelligence:
    • Self-Awareness
    • Self-Management
    • Social Awareness
    • Relationship Management

Conflict Management

  • Defined as a disagreement in values or beliefs, potentially causing harm
  • Also considered a catalyst for change
  • Can stimulate either detrimental or beneficial effects

Modes of Conflict Management

  • Two basic dimensions: Assertiveness and Cooperativeness
  • Assertiveness is the degree to which one satisfies their own concerns.
  • Cooperativeness is the degree to which one tries to meet the concerns of the other person
  • Conflict Management Modes include: Competing, Collaborating, Compromising, Avoiding, and Accommodating

Self-Understanding

  • Key to Building Caring Communication Skills
  • Communication is the heart of healthcare
  • Using self-assessments helps build a strong foundation for building communication skills

What Is Your Learning Style?

  • Identify your learning needs and develop fulfillment strategies
  • VARK Learning Preference tool
  • Copyright English Version (version 3) held by VARK Learn Limited, Christchurch, New Zealand

VARK Modalities

  • Visual: Maps, diagrams, charts
  • Aural/Auditory: Lectures, group discussions, radio. email, speaking
  • Read/Write: Text-based input, reading and writing, manuals, reports, essays, PowerPoint.
  • Kinesthetic: Demonstrations, simulations, videos, case studies, practice

Why is Knowing Your Learning Style Important?

  • Understanding what works best for you
  • Adapting your educational experiences
  • Choosing learning methods that best suit learning preference

Developing a Learning Plan

  • This will help you achieve success in the BSCN program.
  • A requirement for a CNO RN license.
  • Steps:
    • Identify gaps in your practice
    • Develop learning goals
    • Link goals to CNO's Code of Conduct
    • Identify and complete learning activities

Guest Speaker, Holly Maki, from Student Health & Wellness

  • Introduction to mindfulness
  • Text anxiety

NURS 1511 Week 3 Lecture 1

  • Becoming "Other" Oriented, Reflection and Reflexivity are covered.
  • Learning Objectives:
    • Key components of relational inquiry
    • Relational inquiry approach fostering knowledge development
    • Importance of inquiry in delivering safe and effective nursing care
    • Interconnections between patient/family well-being, nurse well-being, and the overall health care system
    • Relational perspectives on people, families, and communities

What is Relational Inquiry?

  • A skilled and thoughtful approach that involves:
    • Relational orientation
    • Comprehensive knowledge base
    • Advanced inquiry, observational, and analytical skills
    • Strong clinical skills (e.g., judgment, decision-making, competencies)
    • Particular ways of being

Inquiring Actions

  • Asking questions of others
  • Asking questions of yourself about how your own behavior affects others

Knowledge & Knowing

  • Challenges traditional views of knowledge
  • Uses a pragmatic approach – focuses on the usefulness of knowledge
  • Knowledge is fallible and requires continual examination
  • Knowing is an inquiry process at the point of care
  • Encourages a purposeful, ongoing evaluation of knowledge

Confidence & Knowledge

  • Knowledge does not equal confidence
  • Confidence does not come from knowing it all
  • Inquiring is key to safe and responsive practice
  • Expert knowledge can hinder critical questioning
  • Confidence in nursing comes from asking questions, not knowing everything

Developing a Nursing Standpoint

  • Nursing knowledge makes a difference to patient, nurse, and system well-being
  • Nurses can feel devalued in healthcare systems
  • Biomedical knowledge often overshadows nursing knowledge
  • A nursing standpoint focuses on more than disease treatment
  • Combining nursing and biomedical knowledge leads to better care

Nursing in Contemporary Health Care Settings

  • Often works between own values and others' values, competing interests, and obligations
  • Nurses need high emotional intelligence
  • Includes many forms of assessment tools.

How to Support Well-Being (3 Interrelated Components of the Holistic Support Approach)

  • Patient / Family well-being
  • System well-being
  • Nurse well-being

Reflection & Reflexivity

  • Learning Objectives:
    • Why reflection is essential for effective nursing
    • Difference between reflection in action and reflection on action
    • Apply reflective questioning to your practice
    • Key differences between novice and expert nurses
    • Examine underlying assumptions in your nursing practice
    • Elements of effective, artful nursing practice

Reflection in Action vs. on Action

  • Reflection in action: Thinking ahead, analyzing, experiencing, critically responding
  • Reflection on action: Thinking through subsequent situations, discussion, reflective journaling

Gibb's Reflective Cycle Model

  • Step 1: Description
  • Step 2: Feelings
  • Step 3: Evaluation
  • Step 4: Analysis
  • Step 5: Conclusion
  • Step 6: Action plan

Reflection: The 5Ws

  • What: What are you relating to?
  • Who: Who are you relating to?
  • When: When are you relating?
  • Why: Why are you relating?
  • Where: Where are you relating?

CNO: How to Become a Reflective Practitioner

  • Process of considering and critically questioning assumptions and values
  • Being aware of own interests, motivations, power, privilege, and biases
  • Considering the impact these may have on client relationships
  • Othering

Reflection vs. Reflexivity

  • Reflection: Looking back on past experiences

Othering

  • Process identifying different from our mainstream experiences

Reflective Practice

  • Continuously learning from experience

NURS 1511 Week 3 Lecture 2

  • Learning Outcomes
    • Define communication (with 5 levels)
    • Describe human communication as a transaction
    • Describe the role of communication in the nurse-client relationship
    • Identify relational practice competencies
    • Describe the influence of verbal and nonverbal language
    • Understand perception and its influence on communication.
    • Understand communication concepts of mutual relationships
    • Identify the need for mutual problem-solving (to engage clients)
    • Explain the importance of interprofessional collaboration within the nursing process

The Importance of Communication in Nursing

  • Effective communication in professional relationships requires skill, knowledge, motivation, self-awareness, and critical thinking
  • Reflections on communication styles
  • Misunderstandings in health care can have many serious consequences

Why Does Effective Communication Matter?

  • Effective patient education
  • Improved patient understanding and care
  • Fosters trust and therapeutic relationships
  • Reduces misunderstandings and errors
  • Builds trust with clients/families

What is Your Communication Style?

  • A process by which information is exchanged between individuals
  • Two-way exchange (Verbal and nonverbal)

Effective Communication in Healthcare

  • Nurses must be understood and understanding of clients
  • Interprofessional Collaboration
  • Improvements in outcomes due to effective interprofessional communication improving employability, relationships and overall health

Developing Communication Skills

  • Self-assessment is required
  • Skill, knowledge, self-awareness, practice, and reflection are required.
  • Critical thinking is required

Levels of Communication

  • Intrapersonal, Transpersonal, Interpersonal, and Public
  • Understanding of levels of communication improves understanding in the professional setting

Transactional Model of Communication

  • Communication as a process in which communicators generate social realities
  • We communicate to exchange information, create relationships, form alliances, shape self-concept, and build community

Elements of Communication Process

  • Sender is responsible for encoding the information
  • Receiver must understand the message
  • Using appropriate channels are key

Message

  • Content being communicated (verbal, written or nonverbal)
  • Unintentional or intended

Channel

  • The method of exchanging/sending the message to the recipient.
  • Critical to sending a message effectively
  • Direct communication is best, but other choices can also be used (e.g., telephones, social media)

Noise

  • Interferences in communication
  • Physiologic, psychological, environmental, semantic
  • Understanding sources of interference is critical

Nurses Responsibility as a Sender

  • Recognize individual differences in age, education, cognitive ability, culture, and professional knowledge
  • Individualize each message to the recipient.

Effective Communication

  • Two-way exchange of information among clients and healthcare providers.
  • Key to clarifying expectations and responsibilities for all parties
  • Clear, concise, concrete, complete, and courteous communication.

Ineffective Communication

  • Communication problems occur when there are failures in one or more categories (e.g., the system, transmission, channels or reception)
  • Key Barriers/Categories include:
    • Verbal and nonverbal categories (e.g. Denotative/connotative meaning, bypassing, congruence/discrepancies)
    • Cultural considerations

Proxemics in Nursing

  • Includes spatial zones: Intimate, Personal, Social, and Public
  • Cultural sensitivity is key in physical and emotional interactions

Avoiding Miscommunication

  • Importance to avoid to maintain positive communication

Mutuality in Nurse-Client Relationships

  • Trusting clients (who know their own stories)
  • Mutuality as a balanced relationship
  • Key Concepts: Empathy, equality, and interdependency

Enhancing Mutuality in Practice

  • Use a mnemonic (OARS): Open-ended questions, affirming, reflecting, and summarizing
  • Ongoing knowledge-sharing

Interprofessional Communication

  • Important for effective care
  • Potential for communication errors

Core Competencies for Collaborative Practice

  • Mutual respect, shared values
  • Interprofessional communication
  • Relationship-building
  • Client-centered care

Developing Communication Skills

  • Importance of self-assessment, practice, and reflection in communication skills development
  • Being comfortable with the possibility of discomfort when initiating change.

Levels of Communication

  • Understanding the different levels of communication is crucial for a successful relationship-based approach
  • Intrapersonal, transpersonal, interpersonal, and public interactions

Additional Notes

  • The provided documents contain lecture notes for a course on nursing, emphasizing the importance of communication skills, cultural awareness, and ethical decision-making in various healthcare situations.
  • These notes cover numerous topics and strategies related to improving communication and care techniques.
  • The information included in the supplemental documents is focused on using these practical approaches rather than theoretical frameworks in healthcare settings.

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