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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.</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.</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.</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.</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.</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</p> Signup and view all the answers

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

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

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

    <p>Complex</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</p> Signup and view all the answers

    What is a significant risk of miscommunication in healthcare settings?

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

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

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

    How can mutuality in nurse-client relationships benefit caregivers?

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

    What can happen if a client feels unheard?

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

    What does the term 'mutuality' in nursing imply?

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

    Which of the following is an example of nonverbal communication?

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

    Which of the following is a barrier to effective listening?

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

    What is a potential effect of implicit bias in healthcare?

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

    Which strategy is NOT recommended for improving listening?

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

    How can nonverbal cues contribute to effective listening?

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

    What is a critical outcome of listening for the unsaid?

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

    Which action helps create a safe space for client disclosure?

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

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

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

    In which way can gestures enhance communication with patients?

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

    What does the relaxing aspect of the SURETY Framework suggest?

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

    What type of environment is essential for effective client listening?

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

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

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

    What does effective listening enable clients to feel?

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

    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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