communication pt 2

• working 1-on-1 with pt
• coordinating care with others
• delegating
• providing leadership

• organizational resources and routines
• providing direct pt care and time management
• collaborating with team memers.

• demonstrate nursing knowledge and display confidence
• demonstrate knowledge of roles, responsibilities, and functions of a nurse
• recognize own limitations and see support of validation of decisions as needed

are good communicator, manages conflict, knowledgeable, role model, uses participatory approach in decision making, delegates appropriately, sets objectives/guides staff, displays caring and sympathy, motivates, and is flexible

empower the nursing team to make changes and bee innovative resulting in a strong collaborative relationship among team members and improved pt quality of care outcomes

• RN leads team of RNs, practical nurses and CNA: Team members provide direct pt care under supervision and develop pt care plans, coordinates care among team members, and provides care requiring complex nursing skills.
• hierarchical communication from charge nurse to charge nurse, charge nurse to team leader and team leader to team members
• decision making occurs at clinical level

• RN is responsible for all aspects of care for one or more pts during a shift of care.
• care can be delegated and the RN works directly with the pt, family, and team members.
• high number of RN needed.
• pt satisfaction is high

• One primary RN assumes responsibility for caseload. works with a limited amount of pts
• communication is lateral from nurse to nurse and from caregiver to caregiver.
• flexible model uses a variety of staffing levels and mixes.

is an advanced practice nurse who helps improve pt outcomes via specific interventions

• that decision making occurs at the level of the staff including:
• responsibility: duties and activities an individual is employed to perform.
• autonomy: independent decisions about pt care
• authority: legitimate power to give commands and make final decisions specific to a give position
• accountability: answerable for the actions

transfers responsibility while remaining accountable for outcomes, requires knowing which skills can be transgered, and results in improved quality of pt care, improved efficacy, increased productivity, and an empowered staff.

• Right: Tast
• circumstance
• person
• direction
• supervision

• the nurse must know each employees capabilities.
• identify tastk, analyze skill and knowledge needed to accomplish the task, assign task, periodically evaluate the deligation

• effective communication
• collaborative relationships
• promotion of nurses decision making.

is generally regarded as the best way to resolve conflict because it reduces competition and avoidance without excessive accommodation or collaboration.

• agree on a common goal
• change the pronouns to we
• listen actively
• position equally-all parties sitting or standing
• set ground rules for the discussion
• limit the number of people in the discussion

• places blame, tells the listener about themselves, attacks
• The listener feels: put down, attacked, defensive
• reacting by: pulling away, shutting of, discounting, attacking back

• talks about the speaking YOU OWN IT
• does not attack
• makes the speaking right.
• "I observe that"

shared goals, commitment to pt care, accountability for pt outcomes, and open communication about interventions

The line of authority and responsibility along which orders are passed within the nursing department, hospital, and between different units

• talk to the charge nurse or team leader (clinical instructor)
• Unit or department of nursing (DON)
• chief nursing officer (CNO)
• document