LPN 120 Week 6: Effective Care & Nursing Leadership PDF

LPN 120 - Week 6: Tools for Effective Care & Nursing Leadership Stephanie Cobb  Quiz #4 LPN 120 – Cobb – Quiz #4! Project Due Week 7 **** 10% of Final Grade Engage Community and Public Health Improving the Community Health Community Program Planning, Implementation, and Evaluatio...

LPN 120 - Week 6: Tools for Effective Care & Nursing Leadership Stephanie Cobb  Quiz #4 LPN 120 – Cobb – Quiz #4! Project Due Week 7 **** 10% of Final Grade Engage Community and Public Health Improving the Community Health Community Program Planning, Implementation, and Evaluation Week 6 Discussion – SOAP Note Select ONE patient from your clinical rotations Look at the patient chart and write a SOAP Note NO identifying information (No name, no DOB, No MRN, etc.) Please refer to patient by initials (Example: John Smith = J.S.) Submit to Week 6 Discussion Board on Moodle by time of next class. Missing Assignments Week 4 Engage Fundamentals 2.0- Professional Nursing: Ethical and Legal Considerations Lesson. Test Skills Modules 3.0 Series: Learning Modules: Health Care Fraud, Waste, and Abuse Prevention located under –Understanding health care fraud, waste, and abuse Lesson. Test Tools for Effective Care & Nursing Leadership Overview Time Management Communication Strategies SBAR & SOAP Interprofessional Collaboration Professional Caregiving Issues Traits of an Effective Nurse Leader Types of Nurse Leaders Time Management Definition: Planning and organizing time to accomplish client care goals Prioritizing tasks to meet time constraints safely and efficiently Importance: Reduces stress and errors Improves client outcomes and nurse efficiency Consequences of Poor Time Management Wasted time and Increased stress Documentation Missed critical care inefficiency and burnout errors or omissions tasks Time Management Strategies for Nurses Plan your day Delegate safely Make lists Say “no” when overextended Prioritize tasks by urgency and focus Take care of yourself on what’s important Document tasks as they are Anticipate and plan for interruptions completed Learn to reprioritize based on changes Use technology to keep on track that occur during the shift (Timers, EMAR, etc.) Limit distractions Take a break when possible Time Management Matrix Urgent & Important: Immediate actions (e.g., unstable vitals, emergency situations, performing CPR for cardiac arrest) Important but Not Urgent: Planning tasks (e.g., educating a client on diabetes management) Not Important but Urgent: Delegate tasks (e.g., answering non-urgent phone calls) Not Important & Not Urgent: Avoid distraction (socializing at nursing station, browsing social media) The Importance of Effective Communication in Nursing Definition: The exchange of information to ensure safe, effective care. Why It Matters: Reduces errors Builds trust with clients and families Facilitates teamwork and collaboration Improves patient outcomes Types of Communication Verbal Communication: Spoken words during interactions, patient education, or team discussions Non-Verbal Communication: Body language, facial expressions, and tone of voice Written Communication: Accurate, clear documentation in client records Electronic Communication: Use of emails, electronic health records, and alerts Barriers to Effective Communication Patient-Related: Language differences, anxiety, or lack of understanding Nurse-Related: Stress, multitasking, or poor listening skills Environmental: Noise, interruptions, and lack of privacy Team Dynamics: Hierarchical barriers or misunderstanding roles Strategies for Effective Communication Active Listening: Focus fully on the speaker without interruptions Repeat or paraphrase to confirm understanding Clear and Concise Language: Use simple terms for patient education Avoid jargon with clients and families Non-Verbal Awareness: Match facial expressions and tone to your message Overcoming Communication Barriers Language Differences: Use professional interpreters or translation tools Cultural Sensitivity: Be aware of cultural norms and practices Emotional State: Use a calm tone to de-escalate anxiety or anger De-escalation in Nursing A therapeutic technique to calm an escalating situation while maintaining safety Importance: Prevents harm to patients, staff, and others. Promotes a calm environment for effective care Key Strategies: Remain Calm: Maintain a steady tone and body language. Active Listening: Show empathy by acknowledging the patient’s feelings. Non-Threatening Posture: Keep open hands, maintain appropriate distance. Clear Communication: Use simple, direct statements. Offer Choices: Provide options to give the patient a sense of control Involve Support: Call for help or involve security if the situation escalates De-escalation Scenario A patient recovering from surgery becomes agitated and begins shouting at the nurse, demanding immediate pain relief. The nurse notes that the patient has already received the prescribed dose of pain medication and cannot administer another dose yet. Question: What is the nurse’s best action to de-escalate the situation? A) Ignore the patient and continue other tasks B) Shout back at the patient to assert authority C) Calmly acknowledge the patient’s pain and explain the situation D) Call security immediately without attempting to communicate What is SBAR? Definition: A structured communication tool for effective handoffs. Situation: Identify the issue Background: Relevant medical history Assessment: Observations and concerns Recommendation: Suggested interventions Example of SBAR Communication S: "Client is short of breath" B: ”76 y/o male with History of COPD" A: "Diminished lung sounds, O2 sat 85% on Room Air " R: "Recommend bronchodilator and respiratory consult" Benefits of SBAR Communication Ensures concise, focused communication Reduces errors caused by miscommunication Improves collaboration between team members Example of SBAR Communication What is SOAP Documentation? A standardized format for clear and detailed client records Subjective: Client’s reported symptoms Objective: Observable clinical findings Assessment: Nurse’s evaluation Plan: Proposed interventions and follow-up Example of SOAP Note S: "Patient reports nausea” O: HR 90 bpm, RR 20, BP 140/90; vomited 100 mL A: Postoperative nausea and vomiting P: Administer antiemetic, keep NPO, insert NG tube Benefits of SOAP Documentation Ensures comprehensive and consistent documentation. Facilitates continuity of care during handoffs. Improves communication between team members. What is Interprofessional Collaboration? Teamwork among healthcare professionals to deliver client-centered care Importance: Essential for managing complex client needs Ensures safe, coordinated, and comprehensive care Team Composition: Varies by setting (acute care, long-term care, home health) and client needs Benefits of Interprofessional Collaboration Improved client access to healthcare interventions Enhanced coordination between sectors Reduction in disability incidence in noncommunicable diseases More comprehensive and safe healthcare system Increased job satisfaction and reduced burnout for healthcare professionals Professional Caregiver Issues Definition: Challenges nurses face that impact personal and professional well-being. Examples: Long hours, physical demands, workplace violence. Bullying, moral distress, stress, and burnout. Importance: Addressing these issues promotes a healthy work environment and improves patient care.  Common Challenges in Nursing Long Hours: Workplace Hazards: 12-hour shifts common in acute care Exposure to infectious diseases Risk of fatigue and errors Improper use of PPE increases risks Solutions: Solutions: Advocate for better scheduling Follow infection control protocols Use blackout curtains and white noise for sleep Practice frequent hand hygiene Avoid screen time before bed Stay home when ill to prevent transmission Physical Demands: Lifting, walking, standing for extended periods Injuries from improper body mechanics Solutions: Use assistive devices and proper lifting techniques Wear supportive footwear Maintain physical fitness to reduce risk of injuries Bullying and Harassment in Nursing Forms of Bullying: Overt: Verbal abuse, micromanagement Covert: Gossip, withholding information, assigning unfair workloads as a form of punishment Impact: Poor patient outcomes, high staff turnover, stress Solutions Implement zero-tolerance policies Provide conflict resolution training Encourage open communication among team members Establish supportive leadership accountability Moral Distress Feeling unable to act according to one’s ethical Solutions: beliefs Use the 4A’s Framework: Ask: Understand the problem Triggers: Affirm: Commit to addressing the Providing futile care issue Assess: Identify source and severity Witnessing inadequate pain relief or suffering Act: Implement changes to resolve distress Manifestations: Emotional: Guilt, frustration, sadness Physical: Headaches, fatigue, insomnia Psychological: Depression, loss of self- worth Stress and Burnout Causes: Inadequate staffing, high client acuity, personal conflicts. Manifestations: Physical: Exhaustion, frequent illness Emotional: Detachment, lack of motivation Behavioral: Procrastination, absenteeism Solutions: Practice mindfulness, journaling, and stress reduction techniques Maintain a healthy routine: diet, exercise, and sleep Utilize support systems: family, friends, or counseling Advocate for workload adjustments and adequate staffing Traits the Predispose Nurses to Burnout Perfectionism: Poor Work-Life Balance: Setting unrealistically high standards for Neglecting personal needs and performance relationships Difficulty delegating tasks or asking for help Spending minimal time on self-care or Overcommitment: relaxation Taking on excessive responsibilities Struggling to say “no” when Low Resilience to Stress: overextended Difficulty coping with high-pressure Empathy Overload: environments Deep emotional investment in patient Lacking strategies to manage stress outcomes effectively Difficulty separating work emotions from Reluctance to Seek Support: personal life High Achievement Orientation: Avoiding help due to stigma or fear of judgment Constantly striving for success without rest Feeling pressure to exceed expectations Feeling isolated in managing workplace challenges Nursing Leadership  Qualities of an Effective Nurse Leader Strong Communication Skills: Critical Thinking and Decision- Clearly conveys goals, Making: expectations, and feedback. Analyzes complex situations to Encourages open dialogue and make informed choices. active listening Prioritizes patient safety and staff well-being Empathy and Emotional Intelligence: Accountability and Integrity: Understands and supports team Holds self and team accountable members’ needs for actions Builds trust and fosters a positive Leads by example with honesty and work environment professionalism Adaptability and Resilience: Advocacy and Support: Responds effectively to changes Advocates for patients, staff, and and challenges. the profession Maintains composure under Provides mentorship and pressure encourages professional growth Types of Leaders Autocratic/Authoritarian Democratic Laissez-Faire Transactional Transformational Bureaucratic Situational Autocratic/Authoritarian Leader Leader makes decisions without input from the team Effective during crisis situations or emergencies Provides clear instructions and strict control Does not encourage team involvement or creativity Focused on quick, decisive actions Often leads to low morale in long-term situations Democratic Leader Encourages team input and collaborative decision-making Focuses on participatory leadership Promotes high morale and team engagement Effective for long-term projects and problem-solving Requires more time to reach decisions Balances group consensus with effective outcomes Laissez-Faire Leader Hands-off approach, allowing team members to work independently Relinquishes decision-making power to the team Provides resources but minimal guidance Effective with experienced and motivated individuals Can lead to poor performance without oversight Leader remains available for consultation Is still ultimately responsible for decisions made by the team  Focuses on rules, tasks, and responsibilities Transactional Uses rewards and punishments to motivate team members Effective for short-term goals and maintaining standards Leader Does not promote creativity or long-term growth Encourages compliance with established norms Best suited for structured environments with clear expectations Transformational Leader Focuses on vision, common values, and inspiring team members Encourages innovation and positive change Builds trust and empowers team through shared goals Promotes continuous improvement and high performance Can lead to burnout due to high expectations Requires constant communication and team engagement Bureaucratic Leader Follows policies and procedures strictly Focuses on rules and standards Effective in environments that require high safety and accuracy Promotes consistency and clarity Stifles creativity and innovation May result in negative work environment due to rigid adherence to rules Situational Leader Adapts leadership style based on the situation and team needs Flexible in choosing the best approach for each scenario Effective at problem-solving and managing crises Communicates clearly and responds quickly to changes Can be challenging to apply to diverse teams Requires a deep understanding of team dynamics and individual needs Focused on short-term goals Next Week Kahoot! 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