NURS 1511 Week 2 Lecture 1 PDF

2024-08-31 NURS 1511 Week 2 Lecture 1 Knowing the “Self” in Relational Practice 1 Ch. 3 Balzer-Riley Learning Outcomes 1. Recognize the 2. Identify personal 3. Understand and importance of self-...

2024-08-31 NURS 1511 Week 2 Lecture 1 Knowing the “Self” in Relational Practice 1 Ch. 3 Balzer-Riley Learning Outcomes 1. Recognize the 2. Identify personal 3. Understand and importance of self- 4. Describe strategies to strengths and apply assess emotional assessment for improve emotional them to intelligence developing intelligence. communication. competencies. communication skills. 7. Understand and apply 5. Identify and assess 6. Apply self-awareness SMART goals for conflict management to enhance assertive personal and styles, and learn to and caring professional adapt them. communication skills. development. Samantha Santorelli Fall 2024 2 2 1  2024-08-31 Use quality tools to assess your natural talents, attributes Self-Assessment and life skills to grow your as a Starting communication skills Point for Building Communication Strengths Skills Emotional Intelligence Assess: Conflict Management Style Samantha Santorelli Fall 2024 3 3 Samantha Santorelli Fall 2024 4 Identifying Tools for measuring strengths : - Clifton Strengths-Finder Personal - Values in action inventory of strengths (VIA) Strengths 4 2  2024-08-31 Samantha Santorelli Fall 2024 5 Identifying A strength begins with a talent Defined as the ability to Personal provide consistent, near- perfect performance in a given activity (Clifton et al. 2006) Strengths Identifying and focusing on strengths is meant to balance the negative side of psychology 5 Strengths and Communication Skills Identify and use your top talents and strengths: Enhance self-awareness and discover new ways to apply your strengths. Gain confidence by affirming your unique qualities. Appreciate your talents and embrace them as strengths. Feel excitement about your potential and future. Improve discernment to focus on activities aligned with your strengths. Naturally gravitate toward what you do best, bringing clarity to your career and life. Saturday, August 31, 2024 6 6 3  2024-08-31 Emotional Intelligence Affects how we manage behaviour, navigate socially, make personal decisions, and achieve positive results Emotional intelligence can develop into emotional competence Categories: Personal competence Social competence Self-awareness and self-management Social awareness and relationship management Samantha Santorelli Fall 2024 7 7 Nurses need high emotional intelligence for: Why Does Workplace functioning Emotional Quality patient-centered care Communication in therapeutic Intelligence relationships Compassionate care Matter? Teamwork and collaboration Samantha Santorelli Fall 2024 8 8 4  2024-08-31 Why Does Emotional Intelligence Matter? - Professionalism - Importance of - Emotionally and Critical Self-Reflection Intelligent Nurse Thinking Samantha Santorelli Fall 2024 9 9 Test Your Emotional Intelligence: Samantha Santorelli Fall 2024 10 10 5  2024-08-31 Improving Self- Self- Awareness Management Your Emotional Intelligence Social Relationship Awareness Management Samantha Santorelli Fall 2024 11 11 Conflict Management Defined as a disagreement in values or beliefs within self or between people that causes harm or has the potential to cause harm Also considered a catalyst for change – sometimes conflict is necessary for change Can stimulate either detrimental or beneficial effects Samantha Santorelli Fall 2024 12 12 6  2024-08-31 Two basic dimensions Assertiveness Cooperativeness Modes of Assertiveness Conflict Management The degree to which you try to satisfy your own concerns Cooperativeness The degree to which you try to satisfy the other person’s concerns Samantha Santorelli Fall 2024 13 13 Conflict Management Modes Competing Collaborating Compromising Avoiding Accomodating Samantha Santorelli Fall 2024 14 14 7  2024-08-31 Self-Understanding is Key to Building Caring Communication Skills Communication is the Using self-assessments Post your top 5 strengths Make plans to grow your Reassess your EI at Take note of conflict heart of healthcare will help you build a where you can see them EI specific intervals in the situations and how you strong foundation for daily future (i.e., at the end of handled them building communication each semester or the end skills of each clinical block). Samantha Santorelli Fall 2024 15 15 What is Your Learning Style? It is important to identify your learning needs and develop strategies to fulfill them Let’s do a quick self- assessment VARK Learning Preference tool (© Copyright English Version (version 3) held by VARK Learn Limited, Christchurch, New Zealand) Samantha Santorelli Fall 2024 16 16 8  2024-08-31 Visual Maps, diagrams, charts Aural/Auditory Lectures, group discussions, radio, email, speaking VARK Read/Write Modalities Text-based input and output, reading and writing, manuals, reports, essays, PowerPoint Kinesthetic Demonstrations, simulations, videos of “real” things, case studies, practice https://vark-learn.com/introduction- to-vark/the-vark-modalities/ Samantha Santorelli Fall 2024 17 17 Why is Knowing Your Learning Style Important? If you prefer reading and You know what works best writing, you may find for you, and you can adapt sitting through a lecture your education experience more difficult than accordingly auditory/visual learners Such as, you may find taking detailed notes and reading them after lecture more beneficial Samantha Santorelli Fall 2024 18 18 9  2024-08-31 Developing a Learning Plan This will help you be successful in your BScN program Also, a requirement for a CNO RN license to practice every year Samantha Santorelli Fall 2024 https://www.cno.org/en/myqa/self-assessment/19 19 Setting SMART Goals Samantha Santorelli Fall 2024 20 20 10  2024-08-31 Samantha Santorelli Fall 2024 Guest speaker Holly Maki from Student Health & Wellness Introduction to mindfulness Tomorrow.. Text anxiety 21 21 11  2024-08-31 NURS 1511 Week 2 Lecture 1 Knowing the “Self” in Relational Practice 1 Ch. 3 Balzer-Riley Learning Outcomes 1. Recognize the 2. Identify personal 3. Understand and importance of self- 4. Describe strategies to strengths and apply assess emotional assessment for improve emotional them to intelligence developing intelligence. communication. competencies. communication skills. 7. Understand and apply 5. Identify and assess 6. Apply self-awareness SMART goals for conflict management to enhance assertive personal and styles, and learn to and caring professional adapt them. communication skills. development. Samantha Santorelli Fall 2024 2 2 1  2024-08-31 Use quality tools to assess your natural talents, attributes Self-Assessment and life skills to grow your as a Starting communication skills Point for Building Communication Strengths Skills Emotional Intelligence Assess: Conflict Management Style Samantha Santorelli Fall 2024 3 3 Samantha Santorelli Fall 2024 4 Identifying Tools for measuring strengths : - Clifton Strengths-Finder Personal - Values in action inventory of strengths (VIA) Strengths 4 2  2024-08-31 Samantha Santorelli Fall 2024 5 Identifying A strength begins with a talent Defined as the ability to Personal provide consistent, near- perfect performance in a given activity (Clifton et al. 2006) Strengths Identifying and focusing on strengths is meant to balance the negative side of psychology 5 Strengths and Communication Skills Identify and use your top talents and strengths: Enhance self-awareness and discover new ways to apply your strengths. Gain confidence by affirming your unique qualities. Appreciate your talents and embrace them as strengths. Feel excitement about your potential and future. Improve discernment to focus on activities aligned with your strengths. Naturally gravitate toward what you do best, bringing clarity to your career and life. Saturday, August 31, 2024 6 6 3  2024-08-31 Emotional Intelligence Affects how we manage behaviour, navigate socially, make personal decisions, and achieve positive results Emotional intelligence can develop into emotional competence Categories: Personal competence Social competence Self-awareness and self-management Social awareness and relationship management Samantha Santorelli Fall 2024 7 7 Nurses need high emotional intelligence for: Why Does Workplace functioning Emotional Quality patient-centered care Communication in therapeutic Intelligence relationships Compassionate care Matter? Teamwork and collaboration Samantha Santorelli Fall 2024 8 8 4  2024-08-31 Why Does Emotional Intelligence Matter? - Professionalism - Importance of - Emotionally and Critical Self-Reflection Intelligent Nurse Thinking Samantha Santorelli Fall 2024 9 9 Test Your Emotional Intelligence: Samantha Santorelli Fall 2024 10 10 5  2024-08-31 Improving Self- Self- Awareness Management Your Emotional Intelligence Social Relationship Awareness Management Samantha Santorelli Fall 2024 11 11 Conflict Management Defined as a disagreement in values or beliefs within self or between people that causes harm or has the potential to cause harm Also considered a catalyst for change – sometimes conflict is necessary for change Can stimulate either detrimental or beneficial effects Samantha Santorelli Fall 2024 12 12 6  2024-08-31 Two basic dimensions Assertiveness Cooperativeness Modes of Assertiveness Conflict Management The degree to which you try to satisfy your own concerns Cooperativeness The degree to which you try to satisfy the other person’s concerns Samantha Santorelli Fall 2024 13 13 Conflict Management Modes Competing Collaborating Compromising Avoiding Accomodating Samantha Santorelli Fall 2024 14 14 7  2024-08-31 Self-Understanding is Key to Building Caring Communication Skills Communication is the Using self-assessments Post your top 5 strengths Make plans to grow your Reassess your EI at Take note of conflict heart of healthcare will help you build a where you can see them EI specific intervals in the situations and how you strong foundation for daily future (i.e., at the end of handled them building communication each semester or the end skills of each clinical block). Samantha Santorelli Fall 2024 15 15 What is Your Learning Style? It is important to identify your learning needs and develop strategies to fulfill them Let’s do a quick self- assessment VARK Learning Preference tool (© Copyright English Version (version 3) held by VARK Learn Limited, Christchurch, New Zealand) Samantha Santorelli Fall 2024 16 16 8  2024-08-31 Visual Maps, diagrams, charts Aural/Auditory Lectures, group discussions, radio, email, speaking VARK Read/Write Modalities Text-based input and output, reading and writing, manuals, reports, essays, PowerPoint Kinesthetic Demonstrations, simulations, videos of “real” things, case studies, practice https://vark-learn.com/introduction- to-vark/the-vark-modalities/ Samantha Santorelli Fall 2024 17 17 Why is Knowing Your Learning Style Important? If you prefer reading and You know what works best writing, you may find for you, and you can adapt sitting through a lecture your education experience more difficult than accordingly auditory/visual learners Such as, you may find taking detailed notes and reading them after lecture more beneficial Samantha Santorelli Fall 2024 18 18 9  2024-08-31 Developing a Learning Plan This will help you be successful in your BScN program Also, a requirement for a CNO RN license to practice every year Samantha Santorelli Fall 2024 https://www.cno.org/en/myqa/self-assessment/19 19 Setting SMART Goals Samantha Santorelli Fall 2024 20 20 10  2024-08-31 Samantha Santorelli Fall 2024 Guest speaker Holly Maki from Student Health & Wellness Introduction to mindfulness Tomorrow.. Text anxiety 21 21 11  2024-09-13 NURS 1511:Week 3 Lecture 1 Becoming “Other” Oriented Reflection and Reflexivity 1 Learning Outcomes (Doane & Varcoe, 2021) Learning Objectives: Key components of relational inquiry How a relational inquiry approach fosters knowledge development for confident and competent nursing The importance of inquiry in delivering safe and effective nursing care The interconnections between patient/family well-being, nurse well-being, and the overall health care system Relational perspectives on people, families, and communities. Samantha Santorelli Fall 2024 2 Samantha Santorelli Fall 2024 1  2024-09-13 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 Samantha Santorelli Fall 2024 3 Relational HOW PEOPLE ARE BEAHAVING A Orientation what they are priotizing. body cu Hospital Policies, norms Samantha Santorelli Fall 2024 4 Samantha Santorelli Fall 2024 2  2024-09-13 second key component of relational inquiry Inquiring Actions Asking ourselves how certain hospital polices affect the Asking ourselves particular response how our own behavior affects Samantha Santorelli Fall 2024 5 Relational Inquiry: Attention, Intention & Actions A purposeful process Attention: Observe Intention: Purposefully Action: Respond connections between engage and reflect on effectively within the people, environments, how to provide complexity of and processes thoughtful care relational realities. be responsive and responsable Samantha Santorelli Fall 2024 6 Samantha Santorelli Fall 2024 3  2024-09-13 Challenges traditional (Cartesian) views of knowledge Uses a pragmatic approach—focuses on the usefulness of knowledge Knowledge & Knowledge is fallible and requires continual Knowing examination Knowing is an inquiry process at the point of care Encourages a purposeful, ongoing evaluation of knowledge. Samantha Santorelli Fall 2024 7 Knowledge doesnt not equal confidence. Confidence doesn’t come from knowing it all Inquiring is key to safe and responsive practice Confidence Expert knowledge can hinder critical & Knowledge questioning Let go of “know-it-all” mindset Confidence in nursing comes from asking questions, not knowing everything challenges the know-it-all mindset Always ask questions Samantha Santorelli Fall 2024 8 Samantha Santorelli Fall 2024 4  2024-09-13 need to know what you are doing Developing a Nursing Standpoint Nursing knowledge makes a profound 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. Samantha Santorelli Fall 2024 9 Often working between: Nursing in - Own values and others’ Contemporary values - Competing interests Health Care and obligations Settings - Nursing ideals and healthcare realities - The real and the ideal - Making conscious choices about how to spend the time we have Samantha Santorelli Fall 2024 10 Samantha Santorelli Fall 2024 5  2024-09-13 to mke sure there is attention to all 3 How to Support Well-Being social wellbeing Samantha Santorelli Fall 2024 11 Reflection & Reflexivity (Gregory et al. 2020) 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. Samantha Santorelli Fall 2024 12 Samantha Santorelli Fall 2024 6  2024-09-13 Reflection Reflection: The process of wondering about a phenomenon and seeking deeper understanding about it Key to becoming a skilled nurse Reflection on actions Reflection in action Samantha Santorelli Fall 2024 13 Text In Action vs On Action Samantha Santorelli Fall 2024 14 Samantha Santorelli Fall 2024 7  2024-09-13 Gibb’s Reflective Cycle Model Step 1: Description Step 2: Feelings Step 3: Evaluation Step 4: Analysis Step 5: Conclusion Step 6: Action plan Samantha Santorelli Fall 2024 15 Reflection: The 5 W’s who are you relating to When are you relating? time What Who Why When Where what are you relating to whay are you relating. where are you relating Samantha Santorelli Fall 2024 16 Samantha Santorelli Fall 2024 8  2024-09-13 CNO: How to Become a Reflective Practitioner Samantha Santorelli Fall 2024 17 The process of considering and critically questioning the assumptions and values that motivate and underlie our nursing practice Pushes us to be aware of our own interests and Reflexivity motivations Encourages us to consider the power, privilege and biases that may affect our client relationship Othering Samantha Santorelli Fall 2024 18 Samantha Santorelli Fall 2024 9  2024-09-13 Reflection vs. Reflexivity Relection: looking back on past experiences to help us to learn from it reflexivity: critical examination that help us to question power dynamics and biases Samantha Santorelli Fall 2024 19 A process that identifies those that are thought Othering to be different from ourselves or the mainstream and, in so doing, reinforces and reproduces positions of power and subordination eg: racializing Samantha Santorelli Fall 2024 20 Samantha Santorelli Fall 2024 10  2024-09-13 Continuously learning from experience and adapting Reflective your approach Adapt actions to unique circumstances of the patient or Practice context Requires critical thinking and adaptability Samantha Santorelli Fall 2024 21 Samantha Santorelli Fall 2024 11  2024-09-16 Samantha Santorelli Fall 2024 1 Define communication, including the five levels of communication Describe human communication as a transaction Describe the role of communication in the nurse-client relationship. Identify relational practice competencies required to initiate and maintain the therapeutic relationship. Learning Describe the influence of verbal and nonverbal language. Understand perception and its influence on communication. Outcomes: Define the concept of mutuality in the context of nurse-client relationships Identify core competencies essential for interprofessional collaborative practice Explain the role of mutual problem-solving in engaging clients during the nursing process Samantha Santorelli Fall 2024 2 Samantha Santorelli Fall 2024 1  2024-09-16 The Importance Communicating effectively in professional interpersonal relationships requires skill, of knowledge, motivation, self-awareness, practice, reflection, and critical thinking Communication Reflect on your communication style(s): o Are you often misunderstood? in Nursing o Do you often misunderstand what others say to you? In health care, misunderstandings can have serious consequences: o Poor patient outcomes o Patient dissatisfaction o Longer hospital stays o Disciplinary action Samantha Santorelli Fall 2024 3 Why Does Effective Communication Matter? Samantha Santorelli Fall 2024 4 Samantha Santorelli Fall 2024 2  2024-09-16 What is Your Communication Style? 5 Samantha Santorelli Fall 2024 A process by which information is exchanged between individuals Two-way exchange Verbal and nonverbal Written and electronic Communication Effective communicators: Have a clear purpose Have ability to adapt their message to others Ensure message contains appropriate conent 6 Samantha Santorelli Fall 2024 3  2024-09-16 Key to Nurse–Client Relationships: Nurses must be understood and understand clients Effective Interprofessional Collaboration: Communication Nurses communicate with doctors, therapists, in Healthcare dieticians, and pharmacists to create care plans Improves Outcomes: Effective communication enhances employability, relationships, and overall health. Samantha Santorelli Fall 2024 7 Requires: Skill, knowledge, self-awareness, practice, reflection, and critical thinking Developing Self-Assessment: Communication Reflect on your communication style— consider misunderstandings and how they Skills affect your interactions Comfort in Discomfort: Be ready to make positive changes by being comfortable with discomfort. Samantha Santorelli Fall 2024 8 Samantha Santorelli Fall 2024 4  2024-09-16 Samantha Santorelli Fall 2024 Levels of Communication critically thinking. also can make you lose active listening Intrapersonal Transpersonal spiritual inquiry: ask about spiritual believe and how you can help th Interpersonal between 2 individuals by treating each pt s an individual communiction Small during shift changes, group confernces there will be small discussions. or as students we talk after Public advocating for health and nursing issues 9 Transactional Model of Communication Communication is a process in which communicators generate social realities within social, cultural, and relational contexts. We communicate to: o Exchange information o Create relationships o Form alliances o Shape our self-concept o Build community Samantha Santorelli Fall 2024 10 Samantha Santorelli Fall 2024 5  2024-09-16 Elements of Communication Process Cycle that involves a sender, message, receiver and response/feedback they both share accountability for the communication Samantha Santorelli Fall 2024 11 the way we encode will differ with who Sender we are talking to Sender is responsible for: Encoding the information, conveying thoughts, ideas, or emotions in such a manner that will be understood by the receiver-selecting an appropriate channel Verifying that the recipient understands the message Hold a great responsibility for the success of the communication process Samantha Santorelli Fall 2024 12 Samantha Santorelli Fall 2024 6  2024-09-16 Message The message: It is the content being communicated through verbal, written, and nonverbal gestures and body language. Intentional Unintentional misinterpretation can occur due to medical jargon, Samantha Santorelli Fall 2024 13 Channel Channel refers to the medium or method used to send a message. Nurses must use the most appropriate channel to convey their message effectively. Face-to-face communication is the preferred channel because it enables the nurse to use visual, auditory, olfactory, and tactile senses. Other channels (telephones, Social media etc.) medium used for effective communication. it is hard to effectively communicate by mail. Samantha Santorelli Fall 2024 14 Samantha Santorelli Fall 2024 7  2024-09-16 Noise Interferes with communication Physiologic (pain, fatigue, sensory impairments …) Psychological (stress, anxiety, embarrassment, emotions, stereotypes … Environmental (equipment noises, distractions like TV, visitors, cold or hot temp.) Semantic (language barrier, using jargon or complex terminology) Samantha Santorelli Fall 2024 15 using ipads or interpreters to help communicate with people Nurses Responsibility as a Sender Individualize (encode) each message Take into consideration the age, education, and literacy level, cognitive ability, culture, language, and professional knowledge of the individual(s) they are communicating with. Samantha Santorelli Fall 2024 16 Samantha Santorelli Fall 2024 8  2024-09-16 Transactional Model of Communication we are always a sender and a reciever. we are always communicating Samantha Santorelli Fall 2024 17 we can not not communicate Effective Communication A two-way exchange of information among clients and healthcare providers, ensuring that the expectations and responsibilities of all are clearly understood Effective and Correct communication is: Clear Concise Concrete Complete Courteous Samantha Santorelli Fall 2024 18 Samantha Santorelli Fall 2024 9  2024-09-16 Ineffective Communication Communication problems occur when there are failures in one or more categories: The system Absent or malfunctioning channels The transmission Channels exist but the message is either unclear or not sent The reception Channels exist, the message is sent, but the receiver misinterprets the message what you’re communicating is not being recieved eg not clear or recieved Samantha Santorelli Fall 2024 19 Samantha Santorelli Fall 2024 Verbal Denotative meaning Connotative meaning Bypassing this can occur when the entrie meaning of the message is not conveyed Communication Nonverbal Categories 90% can be nonverbal Eye contact Gestures Congruence between verbal and nonverbal Cultural considerations how you come in and greet your patient tells them is the communiction will be a good or bad one 20 Samantha Santorelli Fall 2024 10  2024-09-16 Samantha Santorelli Fall 2024 Proxemics Personal space Proxemics in Spatial Zones Nursing Intimate Personal Social Public Cultural sensitivity and facial expressions pt way not be comfortable with certain physical contact so always ask before touching and get permission 21 Samantha Santorelli Fall 2024 Physical and psychological disorders Stroke, depression, dementia, Parkinson’s, Challenges in schizophrenia Communication Treatments and medications Developmental disorders Technology 22 Samantha Santorelli Fall 2024 11  2024-09-16 Avoiding Miscommunication Samantha Santorelli Fall 2024 23 Miscommunication Can Cause Patient Harm or Fatalities Samantha Santorelli Fall 2024 24 Samantha Santorelli Fall 2024 12  2024-09-16 Mutuality in Nurse- Client Relationships mutuiality: trusting clients know thier own stories best People are experts on their own experience Mutuality in nursing reduces caregiver stress and depression Mutuality” is defined as a balanced relationship based on understanding and respect Mutuality is linked to patient satisfaction through empathy, collaboration, and shared Key concept: Mutuality is characterized by empathy, equality, and interdependency Samantha Santorelli Fall 2024 25 A useful mnemonic: O.A.R.S. (Open-ended questions, Affirming, Reflecting, Summarizing) Enhancing Ongoing knowledge-sharing and Mutuality in decision-making lead to higher satisfaction Samantha Santorelli Fall 2024 Practice Nurses play a key role in fostering these behaviors in practice 26 Samantha Santorelli Fall 2024 13  2024-09-16 Interprofessional Communication A patient interacts with up to 50 hospital staff during a 4-day stay Communication errors are the 3rd leading cause of death due to medical errors in the U.S Ineffective communication leads to poor outcomes Samantha Santorelli Fall 2024 27 Core Competencies for Collaborative Practice Ethics for mutual respect and shared values Responsibilities shared between professions Effective communication within healthcare teams Relationship-building for safe, client- centered care Samantha Santorelli Fall 2024 28 Samantha Santorelli Fall 2024 14  2024-09-16 Samantha Santorelli Fall 2024 Assertive Communication in Collaborative Care Use assertive communication with Red flag: requests to withhold Nurses’ input is critical for safety, the healthcare team to achieve information from the team quality, and discharge planning mutual goals be able to express your views and communications while moring rounds 29 Mutual Problem Solving in Nursing Mutual problem-solving involves client participation at every stage Validation is key, seeking clients' input and ensuring they understand and agree with each step of their care Encourages a collaborative partnership between nurse and client. Samantha Santorelli Fall 2024 30 Samantha Santorelli Fall 2024 15  2024-09-16 Benefits of Mutual Problem Solving Encourages client compliance and reduces anxiety Increases accuracy of data and enhances nursing care Builds trust, enabling clients to feel supported in making health behavior changes. Samantha Santorelli Fall 2024 31 helping pt take more control of their health The Role of the Client as a Partner Clients today expect more involvement in their healthcare Nurses must encourage clients to take responsibility for their health while respecting their rights Mutual problem-solving transforms clients from passive patients into active healthcare participants. Samantha Santorelli Fall 2024 32 Samantha Santorelli Fall 2024 16  2024-09-16 Evolving Healthcare and Client Expectations Modern healthcare demands more client involvement due to shorter hospital stays and home-based care Nurses need to provide education and guidance for self-care at home. Clients and families now play a more significant role in healthcare decisions, making mutual problem-solving essential. Samantha Santorelli Fall 2024 33 Benefits of Mutuality in Nursing Mutuality fosters growth for both clients and nurses Clients who actively participate in their care tend to recover faster A patient-driven healthcare model empowers clients and promotes healing. Samantha Santorelli Fall 2024 34 Samantha Santorelli Fall 2024 17  2024-09-16 Positive Impacts on Nurses GREATER AUTONOMY AND MORE EQUAL RELATIONSHIPS INCREASED JOB SATISFACTION AUTHORITY IN DECISION- WITH PHYSICIANS AS CLIENT ADVOCATES MAKING Samantha Santorelli Fall 2024 35 Mutual Problem Solving in Clinical Practice ENCOURAGE CLIENTS TO TAKE CREATE AN ENVIRONMENT THAT IDENTIFY TEACHABLE MOMENTS AN ACTIVE ROLE IN THEIR CARE SUPPORTS QUESTIONING AND FOR BEHAVIOR CHANGE. CURIOSITY Samantha Santorelli Fall 2024 36 Samantha Santorelli Fall 2024 18  2024-09-16 Practical Strategies for Mutual Problem Solving 01 02 03 Share your Avoid assuming Don’t offer choices professional you know what’s where none exist. opinions with best without confidence consulting the client 37 Empowering Clients in Care Ask Ask yourself: “Could my clients do this for themselves?” Empower clients by providing them with the tools and information Empower they need Save time and energy by enabling clients to take responsibility for Save their care. Samantha Santorelli Fall 2024 38 Samantha Santorelli Fall 2024 19  2024-09-22 Samantha Santorelli Fall 2024 NURS 1511: Week 4 Lecture 1 Therapeutic Communication I 1 Learner Outcomes: At the end of week 4 (parts 1 and part 2), students will be able to: Explain Relational Practice Competencies that support meaningful relationships with clients Differentiate between therapeutic communication and therapeutic relationship Describe the phases of the therapeutic relationship Identify various communication skills that support a positive nurse-client relationship Identify communication that negatively impacts the nurse-client relationship Examine aspects of communication style Samantha Santorelli Fall 2024 2 Samantha Santorelli Fall 2024 1  2024-09-22 Therapeutic Communication Results in meaningful connections with clients and their families Underpinning of nursing practice Therapeutic communication is Samantha Santorelli Fall 2024 In the best Communication Purposeful Goal directed Time limited interest of the with rather than client to a client 3 Importance of Therapeutic Communication Key to nursing practice: Goal-directed relationship: Nurse's role: Focused on client’s well-being Promotes best outcomes for clients Always secondary to client's needs. Samantha Santorelli Fall 2024 4 Samantha Santorelli Fall 2024 2  2024-09-22 Samantha Santorelli Fall 2024 Personal vs. Professional Relationships Professional: Personal: Governed by ethical Guided by personal codes, time-limited, values, often unequal power lifelong, equal power 5 Phases and Relational Skills of the Therapeutic Nurse- Client Relationship Samantha Santorelli Fall 2024 6 Samantha Santorelli Fall 2024 3  2024-09-22 Preorientation: Reviewing the client’s information Orientation: Phases of the Building rapport, introducing oneself Therapeutic Working: Samantha Santorelli Fall 2024 Relationship Active engagement and intervention Termination: Conclusion of the professional relationship. 7 Relational Inquiry in Nursing 1 2 3 Active listening: Contextual Beyond labeling: Engage with clients understanding: Avoid objectifying using empathy and Acknowledge the clients based on reflection client's life conditions or room experiences and numbers. challenges Samantha Santorelli Fall 2024 8 Samantha Santorelli Fall 2024 4  2024-09-22 Samantha Santorelli Fall 2024 1 2 3 Orientation Phase Self-awareness: Building rapport: Fostering trust: Understanding how Establishing trust with Essential for a personal determinants a respectful successful nurse- of health shape introduction client relationship communication 9 Building Rapport in the Orientation Phase 1 2 3 Introduce yourself clearly and Ask how the client prefers to Use open-ended questions to warmly be addressed invite the client to share their story Samantha Santorelli Fall 2024 10 Samantha Santorelli Fall 2024 5  2024-09-22 Working Phase COLLABORATION: KEY TO SUCCESS EFFECTIVE COMMUNICATION: USE EMPOWERMENT: ENABLE THE IN THIS PHASE SILENCE, TOUCH, OPEN-ENDED CLIENT TO EXPLORE FEELINGS AND QUESTIONS, AND PARAPHRASING SET GOALS Samantha Santorelli Fall 2024 11 Termination Phase Summarizing care: Review care plans, goals, and outcomes Client involvement: Encourage reflection on the therapeutic relationship Emotional closure: Both clients and nurses may experience feelings of sadness or grief Samantha Santorelli Fall 2024 12 Samantha Santorelli Fall 2024 6  2024-09-22 The Nursing Challenge Competing demands: Balancing client care, interdisciplinary team, and institutional expectations Hearing the client’s story: Focusing on what the client needs in the moment Relational inquiry: Viewing each relationship as unique and responsive Samantha Santorelli Fall 2024 13 Avoiding the “Iceberg Effect” 1 2 3 Iceberg effect: Avoid Understand Personal factors: reducing clients to determinants of Consider life labels health: Recognize experiences that may social, economic, affect health and and environmental communication factors Samantha Santorelli Fall 2024 14 Samantha Santorelli Fall 2024 7  2024-09-22 Relational Practice Competencies Caring profession: Nursing goes Relational space: Authentic and Client-centered: Listening to beyond physical care responsive communication understand the client’s experience Samantha Santorelli Fall 2024 15 Authenticity in Nursing Practice Be true to yourself: Engage genuinely with clients Self-awareness: Reflect on your values and beliefs Present in the moment: Respond to the client as they are Samantha Santorelli Fall 2024 16 Samantha Santorelli Fall 2024 8  2024-09-22 What are my values toward communication? Think About Why are these values Your Values important to me? How do I communicate with someone who doesn’t share my values? Samantha Santorelli Fall 2024 17 Active Listening vs. hearing: Listening in Engage both physically Nursing and emotionally Client disillusionment: Happens when clients feel unheard Creating a safe space: Samantha Santorelli Fall 2024 Essential for client disclosure 18 Samantha Santorelli Fall 2024 9  2024-09-22 Barriers to Listening: Self-absorbed Information overload Speaker-focused Barriers and Noise/distractions Feeling unwell Multitasking Strategies for Emotions Listening Strategies for Listening: (Table 27.4) Stop talking and focus Focus on non-verbal cues Listen for meaning not just words Eliminate distractions Show empathy Be self-aware and focused Manage emotions through self-talk Samantha Santorelli Fall 2024 19 Listening Beyond Words Nonverbal cues: Changes in voice, body language, and eye contact Listening for the unsaid: Pick up on subtle signals Client listens to feel heard: Listening is both a process and an outcome Samantha Santorelli Fall 2024 20 Samantha Santorelli Fall 2024 10  2024-09-22 SURETY Framework for Active Listening (Box 27.1) S: Sit at an angle to the client U: Uncross legs and arms R: Relax and avoid fidgeting E: Eye contact to show engagement T: Use touch appropriately Y: Trust your intuition Samantha Santorelli Fall 2024 21 Why is it important to actively Reflect listen to the client? on How am I demonstrating Active active listening in practice? Listening What strategies can I use to improve my listening skills? 22 Samantha Santorelli Fall 2024 11  2024-09-22 Client-centered focus: Meeting client needs, not the nurse's own Self- Reflective practice: awareness Understanding your inner world in Nursing Managing anxiety: Awareness helps control reactions in uncertain situations 23 Why do I feel the way I do? Why do I react to people and situations Reflective this way? Questions What needs to change? for Self- What strategies are available to me? awareness How will these changes enhance the therapeutic relationship? Samantha Santorelli Fall 2024 24 Samantha Santorelli Fall 2024 12  2024-09-22 Unconscious Incompetence: Unaware of ineffective communication Conscious Conscious Incompetence: Aware but not yet skilled in communication Competence Model (Box Conscious Competence: Skilled but effortful communication 27.2) Unconscious Competence: Communication becomes second nature Samantha Santorelli Fall 2024 25 Listen and watch others: Gain insight from observing other nurses Enhancing Self- Self-disclosure: Sharing about awareness in yourself can foster feedback Nursing Seek feedback: Use constructive feedback to improve your communication Samantha Santorelli Fall 2024 26 Samantha Santorelli Fall 2024 13  2024-09-22 How do I currently reflect on my actions and behavior? Reflect on Self- What feedback have I received, and how have I used it to grow? awareness What are my next steps in enhancing self-awareness? Samantha Santorelli Fall 2024 27 Courage and openness: Receiving feedback requires an open mind Seeking Feedback in Understanding perception: Feedback varies depending on who you ask Nursing Growth opportunity: Helps nurses grow personally and professionally Samantha Santorelli Fall 2024 28 Samantha Santorelli Fall 2024 14  2024-09-22