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NCOMM 1001

Unit 2

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
Created by: 578765356