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Nursing 2100H > Group Interventions > Flashcards

Group Interventions Flashcards

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1
Q

What are the steps in the nursing process?

A
  1. Assessment
  2. Nursing Diagnosis
  3. Outcome Identification
  4. Planning
  5. Intervention
  6. Evaluation
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2
Q

Group Interventions: Assessment

A

Questions to ask:
Is a group the best way to deal with the issue?
What type of group would be best?
What characteristics of the population would affect the group? (age, sensory deficits).

–> Initial ground work, place time, confidentiality

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3
Q

Group Interventions: Nursing Diagnosis

A

Ineffective coping

Ineffective denial

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4
Q

Group Interventions: Outcome Identification

A

Students will not experience relapse into substance abusing behavior.
Cost will be less than one inpatient treatment
Students will pass their classes
Students will be satisfied with the group

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5
Q

What are Psychoeducation groups?

A
  1. Task groups- ex. Quality Improvement, meal planning, staffing
  2. Teaching groups- increase knowledge
    - Symptom identification & management
    - Stress management
    - Medication management
    - Communication skills development
    - Assertiveness skills
    - Aggression management
    - Multiple family – teach disease process
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6
Q

What are Supportive groups?

A

Less intense than psychotherapy
Focus on coping for pt & family
–> ex. epilepsy support group, caregivers support group

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7
Q

What are types of self-help groups?

A

AA

NA

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8
Q

What are Psychotherapy groups?

A
  • Group therapy implemented from a theoretic framework

- Examine & resolve psychological & interpersonal issues within a safe group

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9
Q

What are the different types of intervention groups?

A
  1. Psychoeducational
  2. Support
  3. Self-Help
  4. Age-Related
  5. Psychotherapy
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10
Q

Types of members in a group

A

Homogenous - Members chosen for pre-selected criteria (i.e. sexually abused women)

Heterogeneous - Regarding diagnosis, sex, age, etc.

Mixed - Share essential feature (i.e. same diagnosis but various ages, sex, etc.

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11
Q

Inclusion definition and types

A

affects cohesiveness and trust

Closed: No new members added after group begins
Open: Members and leaders change

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12
Q

Tips to choosing a group size

A

Group size— 7-10 members preferred

Length of sessions— Optimum length = 20 to 40 minutes for lower-functioning groups, 60 to 120 minutes for higher-functioning groups

Seating– circular without barriers (ex. tables)

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13
Q

Questions to consider when considering participants

A

Does the purpose of group match the need of the patient?
Does the patient have the skills to participate?
Will other group members accept the new member?
Will the new member be able to make the commitment to attend?

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14
Q

Steps to good Group Leadership

A
  1. Establish the presence of each member
  2. Build a working relationship with the group and among participants
  3. Clarify outcomes, processes, and skills related to the group’s purpose
    - -Process: how interactions occur, timing of interactions, roles of members, seating arrangements, tone of voice, nonverbal behavior
    - -Content: What is said in the group
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15
Q

What are good leadership skills?

A
  • Listening
  • Tracking verbal and nonverbal interactions
  • Maintaining a neutral, nonjudgmental style
  • Not showing preference to one member over another
  • Providing everyone with an opportunity to contribute
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16
Q

Intervention: Power

A

The ability to influence the group and other members

17
Q

Intervention: Norms

A

Standards of behavior in the group; influence communication and behavior. Standard patterns of interaction and behaviors expected within the group

18
Q

Types of norms

A

Explicit (overt) norms: stated rules (confidentiality, everyone speaks, respect each other)

Implicit (covert) norms: unspoken rules, (ex. where each person sits, how much trust is given)

–> Some norms foster curative work and some don’t

19
Q

Strategies for Successful Intervention

A
  • Monopolizer -acknowledge & redirect (may be extravert)
  • “Yes, but…”-encourage own problem solving
  • Disliked member-, stay neutral, acknowledge contributions, discuss underlying issues, get assistance, try not to move to another group but this may be necessary at times
  • The silent member-respect their silent nature, understand the meaning of the silence (may be introvert)
  • Group conflict- normal part of process
  • -> ID the problem, win-win expectations, ID what each wants. brainstorming, combine options into win-win expectations
20
Q

Group Development: Forming

A

Polite, impersonal, not committed, figuring out goals, testing group relationships

21
Q

Group Development: Storming

A

Conflict, resistance, apathy

22
Q

Group Development: Norming

A

Develop rules, standards, giving constructive feedback, collaborating, committed to getting the work done. Group develops emotional intelligence (goal oriented, empathetic, able to confront, caring).

23
Q

Group Development: Performing

A

Work is getting done, supportive of each other, flexible in their roles

24
Q

Group Development: Termination Stage

A

Members grieve for loss of the group

Reestablish themselves as individuals

25
Q

Group Communication

A
  1. Verbal communication
    - Communication network: sociometric analysis, sit next to each other, talk to each other
    - Group themes-hopelessness, hope
  2. Nonverbal communication
    - Seating arrangement
    - Eye contact
    - Posture
    - Body gestures
26
Q

Group Roles/Functions: Task Roles

A

Focused on group business

  • Initiator, information seeker (clarifier)
  • Coordinator (spells out relationships between ideas)
  • Recorder (serves as group memory)
27
Q

Group Roles/Functions: Maintenance Roles

A

Keeping group together

  • Harmonizer (mediator & tension reliever)
  • Compromiser (may admit error to avoid conflict)
  • Gatekeeper (keep flow of communication going)
28
Q

Groupthink and Decision Making

A

Tendency of groups to avoid conflict and adopt a normative pattern of thinking

  • Can lead to poor decision making because the group is more concerned about being part of the group, rather than thinking independently
  • Unclear whether cohesive groups are more likely to experience groupthink
  • Be aware of the possibility in decision making groups
29
Q

Evaluation: Category of Outcomes

A

Clinical-symptoms, relapse, readmission, complications, mortality

Functional-social interaction, activities of daily living, work, quality of life, relationships, housing arrangements

Satisfaction-patient, family related to outcomes, provider, group intervention

Financial-resource use, length of stay, cost, revenue

Nursing 2100H (28 decks)

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