T2 - Week 2 Lecture Flashcards
What is emotional intelligence?
- Recognizing, understanding, and managing our own emotions
- Recognizing, understanding, and influence emotions of others
Why does EQ matter?
- Enables us to interact more effectively with patients, providers, and coworkers
- Helps us develop leadership qualities
- Makes us more employable
What are the domains of EQ?
- Self-awareness
- Self-regulation
- Motivation
- Empathy
- Social skills
How does EQ relevant to RxConnection?
Hight emotional intelligence leads to positive patient outcomes
How does one become more self-aware?
- Knowing your own emotions
- Recognizing feelings as they happen
- Awareness of how your emotions and mood impact others
What is the RxConnection of self-awareness?
Our emotions impact our interactions with those around us
What is self-regulation?
- Managing your own emotions
- Ability to control emotions and behaviors and channel them in a positive, productive way
What is the RxConnection of self-regulation?
We can’t control others only ourselves
What is motivation?
- Using emotions to work toward a goal
- Self-motivation is a unifying trait of highly successful people.
What is the RxConnection of motivation?
Our motivation impacts the quality of patient care provided
How do we practice motivation?
- Goal setting
- Motivation/vision board
- Medication
- Empowering questions
What is empathy?
Being attuned to social signals that indicate what people need or want
What is the RxConnection of empathy?
We serve patients best when we know what they need/want
What are some non verbal cues to empathy?
- Eye contact
- Facial expression
- Posture
- Affect
- Tone of voice
What are social skills?
Managing emotions in others
What are the components of social skills?
- Organizing groups
- Negotiating solutions
- Personal connection
- Social analysis
How can we organize groups?
Coordinating the efforts of a network of people
How do we negotiate solutions?
Preventing/resolving conflict, diplomacy
How do we make personal connections?
Recognizing and responding fittingly to others feelings and concerns
How can we socially analyze?
Detect and have insights about other’s feelings, motives, and concerns
What is the Rx Connection of social skills?
We use social skills to build good working relationships
What is intrapersonal?
- Access feelings, discriminate among feelings, use feelings
- Self-awareness
- Self-regulation
- Motivation
What is interpersonal?
- Discern others’ feelings and respond appropriately
- Empathy
- Social skills
What is motivational interviewing (MI)?
- Approach to counseling that helps people resolve their ambivalence about change
- Assumes patients have inherent motivation and ability to change
- Avoids persuasion and advice
Why do we use MI?
- Collaborative partnership
- Patients are responsible for resolving ambivalence, not interviewers.
- Patients choose their own means of change.
When do we use MI?
- Smoking
- Physical inactivity
- Unhealthy eating habits
- Alcohol misuse
- Unsafe sexual behavior
- Poor self-care
What are the components of the spirit of MI?
- Partnership
- Autonomy
- Compassion
- Evocation
How is partnership part of the spirit of MI?
The patient is the expert of their own experiences, therefore we need to use cooperative conversation
How is autonomy part of the spirit of MI?
Acknowledge the person’s freedom to choose by affirming the person and not the behavior
How is compassion part of the spirit of MI?
Actively promoting the person’s welfare by giving priority to the patient’s needs
How is evocation part of the spirit of MI?
Evoking the patient’s own motivation and resources for decision making or change
What are the 5 principles for utilizing MI?
- Express empathy
- Develop discrepancy
- Avoid argumentation
- Roll with resistance
- Support self-efficacy
What is empathy?
The capacity to understand another person’s experience from within that person’s frame of reference
How can we express empathy?
Seek first to understand where empathy focuses on others and not self
How can we develop discrepancy?
- Use reflective/active listening
- Encourage goal setting
- Identify the pros and cons of change
How do we avoid argumentation?
- Recognize that defensiveness is a protective response
- Diffuse defensiveness
In what ways can we diffuse defensiveness?
- Remain calm
- Use reflecting statements
- Identify what the patient values
How do we roll with resistance?
- Remember that resistance is natural
- Shift your approach by using reflective listening and practice reframing
- Affirm the patient’s autonomy
How do we support self-efficacy?
- Build the patient’s confidence
- Let the patient know you believe in them
- Offer the patient hope
What are the 4 strategies of MI?
- Open ended questions
- Affirmation
- Reflective listening
- Summarizing
How does character pertain to MI?
Spirit of MI
How does chemistry pertain to MI?
Principles of MI
How does competence pertain to MI
Strategies of MI
What is the pharmacist role in stages of change?
- Pre-contemplation
- Contemplation
- Preparation
- Action
- Maintenance
- Relapse
How do we achieve pre-contemplation?
Engage, build relationship, determine knowledge deficit, review reasons for and against change, increase awareness of risks and problems with current behavior
How do we achieve contemplation?
Tip the decisional balance, strengthen self-efficacy, explore ways to overcome barriers, develop discrepancy
How do we achieve preparation?
Help develop a plan, find resources, role play change
How do we achieve action?
Help implement the plan, problem solve, support self-efficacy, plan for potential challenges
How do we achieve maintenance?
Help identify and use strategies to prevent relapse, anticipate potential challenges and determine strategies to overcome them
How do we achieve relapse?
Help recycle through the stages without becoming stuck or demoralized
What is a growth mindset?
- People have the capacity to change
- Effort leads to success
How do we have a fixed mindset?
- Abilities are fixed and unchangeable
- Effort does not lead to success
What is the underlying principle for MI?
All motivation is self motivation
