Podcast
Questions and Answers
What is one benefit of clients actively participating in their care?
What is one benefit of clients actively participating in their care?
How does mutuality impact nurses in a clinical setting?
How does mutuality impact nurses in a clinical setting?
What is a key aspect of creating an environment that supports questioning?
What is a key aspect of creating an environment that supports questioning?
Which of the following is a practical strategy for mutual problem solving?
Which of the following is a practical strategy for mutual problem solving?
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What is one impact of bias on patient care?
What is one impact of bias on patient care?
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How can respect for gender identity improve healthcare outcomes?
How can respect for gender identity improve healthcare outcomes?
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What distinguishes gender from sex in a healthcare context?
What distinguishes gender from sex in a healthcare context?
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What principle supports the concept of creating a safe space in healthcare?
What principle supports the concept of creating a safe space in healthcare?
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What is the main goal of effective communication in healthcare?
What is the main goal of effective communication in healthcare?
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Which of the following represents a common cause of ineffective communication?
Which of the following represents a common cause of ineffective communication?
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Which of these is NOT one of the characteristics of effective communication?
Which of these is NOT one of the characteristics of effective communication?
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How can proxemics impact communication in nursing?
How can proxemics impact communication in nursing?
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What is a significant risk of miscommunication in healthcare settings?
What is a significant risk of miscommunication in healthcare settings?
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What is a key difference between active listening and simply hearing?
What is a key difference between active listening and simply hearing?
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How can mutuality in nurse-client relationships benefit caregivers?
How can mutuality in nurse-client relationships benefit caregivers?
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What can happen if a client feels unheard?
What can happen if a client feels unheard?
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What does the term 'mutuality' in nursing imply?
What does the term 'mutuality' in nursing imply?
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Which of the following is an example of nonverbal communication?
Which of the following is an example of nonverbal communication?
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Which of the following is a barrier to effective listening?
Which of the following is a barrier to effective listening?
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What is a potential effect of implicit bias in healthcare?
What is a potential effect of implicit bias in healthcare?
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Which strategy is NOT recommended for improving listening?
Which strategy is NOT recommended for improving listening?
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Which is a key consideration when communicating with patients who have psychological disorders?
Which is a key consideration when communicating with patients who have psychological disorders?
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How can nonverbal cues contribute to effective listening?
How can nonverbal cues contribute to effective listening?
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What does the 'S' in the SURETY Framework stand for?
What does the 'S' in the SURETY Framework stand for?
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How does cultural sensitivity play a role in communication?
How does cultural sensitivity play a role in communication?
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Which communication barrier might occur if a message is misinterpreted?
Which communication barrier might occur if a message is misinterpreted?
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What is a critical outcome of listening for the unsaid?
What is a critical outcome of listening for the unsaid?
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Which action helps create a safe space for client disclosure?
Which action helps create a safe space for client disclosure?
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What role does clear communication play in patient satisfaction?
What role does clear communication play in patient satisfaction?
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What should a listener focus on to improve understanding during communication?
What should a listener focus on to improve understanding during communication?
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In which way can gestures enhance communication with patients?
In which way can gestures enhance communication with patients?
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What does the relaxing aspect of the SURETY Framework suggest?
What does the relaxing aspect of the SURETY Framework suggest?
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What type of environment is essential for effective client listening?
What type of environment is essential for effective client listening?
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What is a common reaction when clients feel their values are not respected?
What is a common reaction when clients feel their values are not respected?
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Which of the following is critical for managing emotions during listening?
Which of the following is critical for managing emotions during listening?
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What does effective listening enable clients to feel?
What does effective listening enable clients to feel?
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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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