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NCOMM 1001
Unit 2
| Question | Answer |
|---|---|
| Therapeutic Nurse/Patient Relationship | purposeful, goal orientated, beneficial to patient |
| Best Practice Nursing Behaviours | -professional intimacy -power -empathy -trust -respect |
| Halldorstottir- characteristics of nurse/patient relationship? | -caring -transforming potential of caring -core of nursing |
| 3 nursing prerequisites from patients view? | -Caring -competent -wisdom |
| Stages in the Nursing relationship? | 1. Reaching out 2. Removing masks of anonymity 3. Acknowledgement of connection 4. Reaching a level of truthfulness 5. Reaching a level of solidarity 6. True negotiation of care |
| Concepts of therapeutic relationship? | -solicit feedback -observe body language -Assess appearance -Respond to real message |
| Life Fields theory | Easier to work with someone you have similar culure, beleifs, etc... |
| Self Awareness | Know who you are |
| Self Knowledge | knowledge derived from many sources and people, purposeful and intentional, gives ability to consider many options in relating to others |
| Communication Failure | -Gaps -Misinterpretation -Failure to use critical thinking |
| Occasion | timing inapprpriate to be useful |
| Content | relevant info missing or inaccurate |
| Purpose | not knowing or finding out when info is missing |
| Audience | necessary person not in attendance |
| 2009 WHO study | 1/10 of patients harmed while in hospital care |
| 2004 Canadian study | 9000-24000 die from adverse events -1/2 deemed preventable |
| How to prevent errors? | -documentation -validation -clarification |
| Common barriers in communication? | dont allow patients to express their feelings, belittle, shame, and shut down communication |
| Cultural imposition? | everyone is like us and should act as we do |
| Literacy in Canada | 42% of Canadians lack sufficient literacy skills to cope with work and life demands |
| Health literacy in America | 43% of Americans unable to read and understand and act on basic health information. |
| Why is health literacy a threat to patient safety? | -less compliance -failure to seek preventative care -remain in hospital longer -additional care required |
| Behaviour/Signs of illiteracy | -take material home to read -miss important info and make excuses -embarrasment/shame -coping mechanisms -uncompliant/discontinuing treatments |
| Best practice with iliteracy? | Teachback |
| Patient questions to ask? | -what is the main problem -what do I need to do? -why is it important for me to do this? |
| English as a Second Language | -face them -5 words, 5 letters -normal tone of voice -learn phrases in other languages |
| Strongest predictor of a clients health? | Literacy skills |
| Who has the majority of iliteracy problems? | White Canadians |
| Errors related to fatigue? | -med errors -car accidents -chronic sleep deprivation= risk for cancer |
| Short term memory | -7 items -error prone -interruptions cause errors |
| Frequency of interruptions | 30% of all communication |
| Interruptions for nurses? | 42% |
| Physician interruptions? | 58% |
| More errors occur after how many hours? | 8.5 |
| How much info does a patient forget? | 80% |
| of infor remembered, how much is remembered correctly? | 50% |
| Learning process? | -Assessment -planning -implementation -evaluation -documentation |
| Learning styles? | -cognitive -affective -psychomotor |
| Assessing readiness to learn? | -energy level -stress level -motivation -is it important? -does caregiver need info as well (cognitive) |
| Sick roles? | face life without shield of illness |
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