Final Exam Flashcards
Code of Conduct in the workplace
A standard across organizations of what is acceptable or unacceptable behaviors with zero tolerance for disruptive or bullying behaviors
Some sources of interpersonal conflict that may come from different expectations.
Being asked to give more information than you feel comfortable sharing
The principles of conflict resolution
Know your own responses take responsibility for your response recognize your own triggers and hot buttons
The DESC intervention strategy for conflict resolution
D- describe the behavior (the problem)
E-express their concern
S-specify a course of action
C-obtain consensus
Some ways to create a climate in which participants view negotiation as a collaborative effort
Model communication with staff in a respectful, courteous manner
Important aspects in physician-nurse communication relationship
Nurse :
- influences physician-client communication
- assesses what physicians tell clients
- encourage clients to seek clarification and support client’s right to ask questions
- have a responsibility to foster good physician-client communication
In order to promote conflict resolution during nurse nurse Authority discussions what should be avoided when providing feedback
Avoid Emotion during discussion
Strategies that are important when receiving feedback
- Listen and paraphrase
- Acknowledge you are taking suggestions seriously
- Give your side by stating supportive facts, without being defensive
Characteristics of primary and secondary groups
An informal structure and close personal relationships;
Group membership is automatic like in a family members are chosen because of a common interest;
These groups are open-ended
Characteristics of secondary groups
Members have less personalized time limited relationship with an established beginning and end;
Will have a planned prescribed structure designated leader and a specific identified purpose
The four therapeutic group types
Therapy
support
activity
education
The purpose of therapy group
Encouraging personal growth inspiring hope strengthening personal resources
The purpose of support group
Giving and receiving practical information and advice
supporting coping skills
promoting self-esteem
strengthening hope and resilience
The purpose of activity Group
Getting people in touch with their bodies releasing energy enhancing self-esteem encouraging cooperation supporting creativity
The purpose of education Group
Learning new knowledge
promoting skill development providing support and feedback
promoting discussion of important health related issues
The stages in order of the life cycle of the group and what happens during each phase
Forming phase - begins when members come together to form a group High dependence on a leader for direction and orientation to purpose and expectations for Behavior
Storming phase - focus is on power and control issues testing behaviors around boundaries communication styles and personal reactions with other members in the leader; is uncomfortable
norming phase - group holds members accountable and challenges individuals members who fail to adhere to expected behaviors
performing phase - work is accomplished by interdependence and cohesion members are comfortable taking risks and investing in each other
adjourning phase - review what has been accomplished reflect on meaningful group work and make plans to move on in different directions
What happens during blank phase
What happens during blank phase
What happens during blank phase
What happens during blank phrase phase
Group norms
Behavioral rules of conduct expected of group members provide needed predictability for Effective group functioning and make the group safe for its members there’s two types Universal - stated behavioral standards
group specific- evolve from the group itself in the storming phase
Example arriving on time for shift
Homogeneous group membership
Share common characteristics such as the Breast Cancer Society
Heterogeneous group membership
Represent a wider diversity of human experience and problems very in age, gender and psychodynamics
What is needed for effective leadership behaviors
- Adequate preparation
- professional leadership attitudes and behaviors
- responsible selection of members -use of an evidence-based approach
Three types of leadership styles
Authoritarian - takes full responsibility for group Direction and controls group interaction works best with a group that needs structure
democratic - allows members to feel the ownership of solutions encourages Act of discussion and decision making
Laissez-faire - leaders function without significant leader input or structure are less likely to be productive or satisfying to group members
Cultural diversity
Varies between cultural groups people notice differences related to language mannerisms and behaviors and people of different cultures
Acculturation
How immigrants from a different culture initially learned the behavior norms and values of the dominant culture and begin to adopt its behaviors and language patterns
Assimilation
Takes place as the individual from a different culture fully accepts and adopts the behaviors customs and values of the mainstream culture as part of his or her social identity
Multiculturalism
Heterogeneous society where diverse cultural World Views coexist with some general characteristics shared by all cultural groups and some perspectives that are unique to a particular population
Worldview
The way people tend to look old upon their world or universe to form a picture of values dance about life or the world around them describes an individual’s perception of their reality within Society
Subculture
A smaller group of people living within the dominant culture with a distinct lifestyle shared beliefs and expectations that set them apart from the mainstream
Ethnocentrism
Believe that one’s own culture is superior to all others and should be the norm
Ethnicity
A group of people who share a common social identity based on ancestral National or cultural experiences
Cultural relativism
Each culture is unique and should be judged only on the basis of its own values and standards
The goals of Intercultural communication
To find a common ground through which people from different cultures can connect on many different levels with each other
What is needed from one’s self to obtain cultural competence
Requires awareness of your own cultural behaviors and attitudes
In Larry purnell’s cultural competence model what are the different domains of cultural assessment
Personal Heritage - country of origin politics education class distinctions
communication - dominant language and dialects personal space time relationships
family roles and organization- gender roles rules of extended family elders family goals
Workforce issues - alteration and assimilation gender roles
bioecology - genetics hereditary factors
high risk Health behaviors - drugs nicotine and alcohol use
nutrition - meaning of food availability and food preferences taboos
pregnancy and childbearing - rituals and constraints during pregnancy newborn postpartum care labor and delivery practices
death rituals - how is death viewed death rituals preparation of the body care after death
spirituality - religious practices spiritual meanings prayer
Healthcare practices - traditional practices religious Healthcare beliefs
Healthcare practitioners- use of traditional and/or folk practitioners gender role preferences in healthcare
What is the AANDS and what is their role
Aboriginal Affairs and Northern development Canada
To support Aboriginal people First Nations Inuit and metis and Northern their efforts to
- improve social well-being and economic prosperity
- develop healthier more sustainable communities
- participate more fully in Canada’s political social and economic development for the benefit of all Canadians
What are some causes that lead to communication deficits
Maybe developmental or acquired and may range from mild to severe includes any impairment and body structure function that interferes with communication
Aphasia
A neurological linguistic deficit that can be either an expressive or receptive disorder
A crisis state
And a cute normal human response to severely abnormal circumstances not a mental illness
A situational crisis
Unusual stressful life event that exceeds a person’s resources and coping skills simple illness or injury car accident loss of home spouse job
How would you establish report and engage with a client in crisis
Listen help the client and family feel more comfortable reduce anxiety bring client to a quiet lighted room with no Shadows away from mainstream activity
Palliative care
Clinical approach designed to improve the quality of life for clients and families coping with a life-threatening illness
Five stages of dying
Denial anger bargaining depression acceptance
Bowen’s systems theory on families
Family is an interactive emotional unit members assume recall family roles self-differentiation fundamental means of reducing chronic anxiety within the family system and enhances effective problem solving thinking rather than feeling in communication
Is Bowen’s Theory what Bowen referred to as triangles
A defensive way of reducing neutralizing or diffusing heightened anxiety between two family members by drawing a third person or object into the relationship
Interventive questioning
Used to identify family strengths help family members sort out their personal fears concerns and challenges in healthcare situations provides a vehicle for exploring alternative options can be linear or circular
What is communicated in each step of sbar
Situation - identify yourself the client and the problem
background - date relevant context and brief history
assessment - State your conclusion what you think is wrong with your opinion about the client’s current status
recommendation - State your informed suggestion for the continued care of this client propose an action
Three things that may result when there is a failure to communicate in the healthcare workplace
Loss of productivity
Poor moral
increased errors
