Week 2 Flashcards
CNO Professional Standards:
Accountability (admitting mistakes)
Continuing Competence (recertification, QA programs)
Ethics (Issues, discussion, don’t let personal values conflict with actions)
Knowledge (differences in skill between RPN, RN, NP)
Knowledge Application (Critical thinking, problem solving)
Leadership (Following guidelines even though other nurses stop)
Relationships (Proper and professional in all regards: nurse-patient,family,professional)
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Nurse-Client Relationship:
Certain methods of interaction; nurse is in a position of power + responsibility, relationship needs to be clearly defined with a beginning and end.
You establish, direct, and take responsibility for it
The focus is on the patient; not you
Objectivity, Confidentiality, Non-judgemental – client’s needs
DON’T ASSUME — ASK
Helping relationship
Components of the Nurse-Patient Relationship:
Trust
Respect
Professional Intimacy
Empathy: Don’t confuse with sympathy; here you understand the patient to help them, you don’t take their feelings upon yourself — understand their situation
Power
Whenever there’s something that you’re not sure if it’s okay to do
Is it part of the plan of care?
What’s the context of the action? Will it help the patient?
How does your manager feel about it?
Psychotherapeutic Relationship:
A planned and structured psychological/social/interpersonal intervention aimed at influence (behaviour, mood a/o the emotional reactions) to different stimuli
Boundaries
Self Disclosure? Only if it’s helping the patient, limit it — WHAT and WHY
Accepting Gifts? It should be for the group of nurses, or if it’s a child giving and it’ll make them happy to accept it
Giving gifts? It could be considered favouritism — you also have to consider if other patients would be upset
Nursing Family & Friends: NO WAY, you can’t maintain objectivity
Attending a Patient’s Funeral: Discuss in the plan of care, check policy. Ask supervisor
Don’t treat any patient any more specially than any other patient
Off-duty time, defensive when asked, giving phone #, disclosing personal problems, thinking more than usual about them
Abuse
A misuse of nurse’s power
Betrayal of trust and violation of respect, it’s unacceptable
ALL FORMS must be reported immediately if suspected, it’s misconduct if you don’t
Communication
key aspect of the Nurse-Client relationship
Can harm or heal a patient and relationship — don’t be rude
There are so many patients and different types, everybody is unique
Words = 10%, Tone = 35%, Non-verbal = 55%
Communication is essential:
Reflective Practice
Plan of Care needs to be established and comprehensive, made with the client’s input
Meet your own needs outside of the relationship
Understand confidentiality
Be aware of the context where the relationship is: ex., differences between home vs hospital care
Active Listening
Listening attentively with one’s whole being:
Learning to listen non-judgementally without worrying about what to say next
Meant to understand the patient and their situation
Clarify responses
Restate/Summarize
Paraphrasing (Objective)
Reflection (Emotions)
Silence — allows nurse/patient to reorganize their thoughts
Being assertive
Open-ended vs. Close Ended vs. Focused questions
Nonverbal
About 55% of communication
Posture
Facial expression
Eye contact
Gestures
Touch
Bridges of Communication:
Respect
Caring
Patient Empowerment (allows patient to assume responsibility for their own health)
Communication
Trust
Empathy
Barriers of Communication:
Communication style: Personal questions/opinions, changing subject, automatic responses, false reassurance
Blocking behaviours: Sympathy, judgemental, no paying attention/probing, patronizing
Health Conditions: Being unable to respond due to stroke, anxiety, condition
Stereotyping/Bias/Overinvolvement/Cultural Differences
Language barrier: requires interpreter, don’t assume they know
Healthcare system: Rushed, fast-paced, inconsistent nurse assignment
Using Technology:
Ask yourself: Does it promote active listening?
Why are you checking your phone?
Inform patient: maybe it’s to check you have the right dose
They could interpret it as you’re not being engaged in the care
Be aware of confidentiality; don’t record
