unit 1 professional issues and unit 2 biopsychosocial concepts
TRANSCRIPT
Unit One
Professional issues and Nursing Practice
Objectives for today
• Upon completion you will be able to:
– Refine communication skills
– Facilitate goal directed interactions
– Learn to care for the client with cancer
– Refine and reinforce diversity concepts, developmental level, cultural and spiritual assessments
– Prioritize nursing actions with multiple clients
– Review different types of community based nursing
– Refine the use of SBAR during the clinical setting
More of today's objectives
– Develop techniques that will assist the nurse leader in encouraging positive team participation.
– Differentiate between a policy and a procedure.
– Analyze and discuss considerations when determining staffing needs.
– Apply quality management principles to clinical examples.
– Identify and begin to use the steps of the quality improvement process.
– Apply the nursing process to assessing the needs of the health care team members.
Does it seem like an odd assortment??
• Each topic is very important but not long enough for a whole class period so it may
seem scattered but it is still very relevant.
What is evidenced based practice?
• Integrating research, best practice, clinical expertise, and patient values in healthcare decision making
– Where do you find the evidence?
• Research
• List serves
• Collaboratives
• Professional organizations
– Compare the evidence to practice
• Case study
– Evaluate the patients values in relation to the practice
Huber Chapter 22
Case Study
• A senior nurse wants to know
whether bowel sounds are a good
indicator for return of GI motility for
her patients after surgery?
What are some of the roles of the nurse
• List some of the roles of a nurse today
– Think globally
• Think internationally
– Think non-traditionally
» Think outside the box
Roles of Nurse cont.
• Ambulatory Care
• Home Care
• Long Term Care
• Rehabilitation
• Managed Care
Advocacy
• Why is advocacy so important for
nurses?
• Describe instances in the past 2
semesters where you were your
patients advocate?
Leadership
• How many of you consider yourself a leader?
• How many are uncomfortable being a leader?
– What situation are you a leader?
– What situation are you not a leader?
• How many of you did not understand the
thinking and higher level skills required of nurses today?
– Does it fit the stereotype in movies and sitcoms?
• What are some characteristics of nurse
leaders?
Understand the terminology in the text
• Leadership
• Management
• Leadership styles
• Followership
• Empowerment
Huber Chapter 1
Page 7
Leadership styles (pg 13-14)
• Authoritarian
– Activity determined by leader
– Ex. The military
• Democratic
– Relationship and person orientation
– Group decision making, group discussion
– Teamwork
• Laissez-Faire
– Freedom for work or individual decisions
– Minimal leader participation
Team participation
• What can each leader style do to encourage team participation?
• What would make you follow a leader?
• You are team leader, utilizing each leadership style, what would you do to motivate your team?
Ethical Dilemmas (pg. 743-749)
• Group work (15-20 mins)
– Ethics case studies.pdf
• How would you solve each dilemma?
• Looking at the definitions on page 745 Huber, what terms can you apply to explain the
actions or lack of actions of the people involved.
Teaching methods for the diverse client
• How do you learn?
• What barriers to learning do you experience?– How do you think your patients learn?
• What barriers to learning do they experience?
• How does Educational level affect learning?
• How does Socioeconomic level affect learning?
• How do support systems affect learning?
• How does Age affect learning?
• How does Culture affect learning?
Break Time
Come Back in 10 minutes
Policy and Procedure (pg. 220)
• What is a policy?
• What is a procedure?
• Why are these important?
• This week in clinical each of you need to locate the policy and procedures for your hospital.
– These will be your best friend when you are asked to do something you are unfamiliar with or only learned in school.
Policies (pg. 226-227) (Box 10.1)
• Serve as guides
• Help coordinate plans
• Control performance
• Increase consistency of action
• Should be written
• Usually are general in nature
• Refer to all employees
• Provide step-by-step methods• Are written in detail• Provide guidelines for commonly occurring
events
• Provide a ready reference• Guide performance of an activity• Should include the following:
– A statement of purpose– Identification of who performs activity– Steps in the procedure– A list of supplies and equipment needed
Procedures (Box 10.2)
Identify staffing needs
• Analyze and discuss considerations when determining staffing needs.
– How does census affect staffing?
– How does potential surgeries affect staffing?
– How would you plan staffing for OB and ER?
• Flexible census
Quality Management
– Apply quality management principles to clinical examples.
• What is quality management?
– Let’s discuss some examples of how quality management could be used in the clinical setting:
» Family visiting from out of town no money/no food
» Buy in from all levels of employees
PDCA
– Identify and begin to use the steps of the quality improvement process.
– Plan
– Do
– Check
– Act
The Nursing Process.
– Apply the nursing process to assessing the needs of the health care team members.
– The nursing Process:
• Assessment
• Analysis
• Planning
• Implementation
• Evaluation
End of Unit One
You are still responsible for the objectives I have not covered in lecture.
Read your textbooks!!
Unit Two
BIOPSYCHOSOCIAL CONCEPTS RELATED
TO HEALTH CARE
Objectives
At the end of this unit the student will be able to:
– Differentiate between aggressive, assertive, passive and responsive behavior and determine the effects of each.
– Analyze how effective communication principles relate to leadership and management.
– Formulate guidelines for making effective telephone calls to physicians.
– Differentiate between types of pain and therapies for mild, moderate and severe pain.
Behavior
Define each type of behavior and how it relates to leadership and teamwork:
– Aggressive
– Assertive
– Passive
– Responsive
Communication
• Analyze how effective communication principles relate to leadership and
management.
– Why is it important to communicate when in leadership?
– What might happen if the message is not communicated well?
Conflict Resolution
• How do we deal with Conflict?
• Case Study
– Your patient does not want to take their BP medication.
SBAR
– Formulate guidelines for making effective telephone calls to physicians.
– Who wants to role play??
• SBAR
– Situation
– Background
– Assessment
– Request/Recc.
Pain
– Differentiate between types of pain and therapies for mild, moderate and severe pain.
• How do you classify mild moderate or severe? Who says what number equates to
moderate or severe. Establish this with your patient.
• What non pharmaceutical techniques can be used to treat pain?
Pain Management for the Cancer Patient
• 0-2: Relaxation techniques, visuals etc.
• 2-4: Tylenol, NSAIDS
• 4-6: Darvocet, Vicodin
• 6-8: Oxycontin and Vicodin
• 8-10: Morphine, Dilaudid, Fentanyl Patch