Communication & Collaboration Flashcards
Multiple health workers from different backgrounds working together with patients, families, caregivers, and communities to deliver highest quality of care.
Interprofessional Collaborative Practice
Communication between patients, families, communities, and professionals in health and other fields in a responsive and responsible manner that supports a team approach to promoting and maintaining health and prevention/treatment of disease.
Interprofessional Communication
What is the leading cause of patient harm?
Communication failures between healthcare settings, departments, and team members
Communication characterized by a confident declaration of affirmation of what you want/need to say. Form of communication that affirms our POV without being aggressively threatening or submissive.
Assertive Communication
Characteristics of Assertive Communication:
- Feeling free to express ourselves
- Being able to initiate/maintain relationships
- Knowing your rights
- Controlling anger & talking in reasonable manner
- Willingness to compromise
- Having good self-esteem
- Respecting boundaries of others
- Fulfill needs of ourselves and others
- Using “I” statements
How can you overcome barriers to assertive communication?
- Keep in mind that the PATIENT IS THE GOAL OF THE DISCUSSION
- Use two-way communication
- Unite common vocabulary
- Elicit verbal and nonverbal feedback
- Engage in meta-communication
Communicating about your communication to resolve a problem. *i.e- “what can I do to improve our communication?”
Meta-communication
The reason for the organization’s existence that influences the design of the structure.
- Final structure developed
- Formal expression for purpose or reason
- Vision is present within
Mission / Mission Statement
The articulated goal to which the organization aspires to be.
- 2nd structure developed
- Contains 4 elements: written down, in present tense, uses action words, and balances needs or providers/patients/environment
Vision / Vision Statement
Expresses the values and beliefs that members of the organization hold about the nature of their work, about whom they provide service to, and about their behavior as an organization.
- 1st structure developed
- “Value Statement”; “Core Beliefs”
- Include terms like: “patient-centered”, “partnering”, “healing environment”
- Beliefs incorporated into everything
Philosophy
What is the goal of organizational structure?
To facilitate the execution of their mission and goals to establish reporting lines and communication within the structure.
The reflection of the norms or traditions of the organization, exemplified by behaviors that illustrate values and beliefs.
Organizational Culture
How is organizational culture expressed?
In formal manners, such as:
- Written visions, missions, philosophies
- Job descriptions
- Policies and procedures
And day-to-day experience of staff & patients.
What characteristic of organizational structure is this?
“The division of labor, specialization of labor, number of hierarchal levels, and geographic dispersion of units.”
Complexity
What characteristic of organizational structure is this?
“Separation of processes into tasks performed by designated people.”
Specialization
What characteristic of organizational structure is this?
“Degree to which an organization has rules stated in terms of policies that define a member’s function.”
Formalization
*often inversly related to specialization
What are FUNCTIONAL organizational structures?
These structure arrange departments and serices according to specialty and are common to healcare organizations.
* Tends to support expertise & encourage advancement
* May result in discontinuity of patient care services and decision making
* Not too many people between nurse at bedside and CEO
What are SERVICE LINE organizational structures?
The functions necessary to **produce a specific service or product **are brought together in an integrated organizational unit **under control of a single manager or executive. **
* Coordination of services, expedited decision-making process, and clarity of purpose
* More expensive due to duplication of services, loss of professional/technical affiliation, lack of standardization
* More people within the structure in general
What are **MATRIX ** organizational structures?
Complex structures designed to reflect **both function and services **in integrated organizational structure where a manager of unit *reports to both a functional manager and service line manager. *
* Timely response to forces in external environment and faciliates internal efficency through promoting cooperation among disciplines
* Personnel from various departments assigned to specific programs and become responsible to TWO supervisors to create an interdisciplinary team
* Nursing care delivered in teamwork setting or collaborativ emodel
* Puts teams together to minimize number of members needed to care for clients and allows for sharing of specialized resources.
* Difficult to coordinate various tasks between team to save time/money.
i.e- director of peds nursing > VP of peds services & VP of nursing
What are FLAT organizational structures?
Structures with few layers in reporting structure; decision-making delegated to professionals doing the work.
* Decentralizaed decision making replaces centralized
* Providing staff with authority to make decision at place of interaction with patients
* Allows individualized decisions for specific situations and needs
* Focus is to improve patient safety outcomes
DISADVANTAGES:
1. Potential for inconsistent decision making
2. Need to educate managers to communicate effectively
3. Size-oriented; better in smaller settings
Degree to which an organization has spread it’s lines of authority, power, and communication.
Centralized v. Decentralized Structure
What are Centralized Structures?
The chain of command must be followed to communicate with others in the structure.
Bureaucratic & Service-Line