Two Psychosocial Factors that can lead to Aggression
Lack of choices, autonomy, ability to meet needs
Staff attitudes, behaviors, body language/voice tone
Unwelcome news
Staff's lack of cultural responsiveness
"Walking in someone else's shoes"
A technique/practice to develop awarenss of internal states
Mindfulness
Bossy
Natural leader, visionary
A supportive physical presence made by entering the room or moving closer to the person
Proximity
Two Potential Impacts of Power Struggles
Learned helplessness- Vulnerability-Lack of Autonomy- Sense of being devalued - Dependency- Codependency
A non-empathic response when one points out the "good" in a difficult situation
Saying "At least..."/"Silver-lining it"
Phrases staff use that can be triggering for patients
"Calm down" "Stop that" (focusing on behavior vs underlying emotion) "Not now" "You can't"
Attention-seeking
Seeks connection, socially driven
Using your voice and body language to convey helpfulness, trustworthiness, and safety through tone, speed, volume, word choice, how you present yourself
Two Reasons to use Mindfulness at Work
Awareness helps us recognize our feelings and choose a response
Enhances collaboration/Build therapeutic relationships
Maintain calm/respectful interactions/prevent escalation
A word for being non-judgmental, non-blaming, and non-shaming
Compassion
Type of Roadblock that includes pain, chronic illness, fatigue, F/F/F
Biological Considerations
Argumentative
Stands up for their beliefs
Providing affirmations - shining the light on positive moments
Short, specific, sincere praise
Two Components of a Safe Environment
Physical Space
P&Ps
Therapeutic Interventions
Positive Staff Attitudes
The "Platinum Rule"
Treat others the way THEY want to be treated
Type of Roadblock that makes it difficult for staff to form a professional relationship with the individual/patient/person served
Staff Trauma History
Frequent Flyer
High healthcare utilizer
Committed to keep trying to recover
Reflecting back what the other person has said both the words and the accompanying feeling
Active Listening
Two Aspects a staff's Physical Presentation that can Erode the Therapeutic Environment
How they dress (enviable or offensive clothing)
What they bring (iPhone, Starbucks)
Offering a sandwich
What can be an empathy or sympathy! Distinguish the difference!
Body Language, Voice Tone, Word Choice
Aspects of communication
Resistant
Cautious and thoughtful before committing to something
Nursing Pioneer who wrote a foundational text "Interpersonal Relations in Nursing" in 1952
Hildeguard Peplau