Patient/Client Education
Use this method following any patient instruction to confirm that you have explained what a patient needs to know in a manner that the patient understands. This technique is an ongoing process of asking patients for feedback through explanation or demonstration and of presenting information in a new way until you feel confident that you communicated clearly and that your patient fully understands the information presented.
What is the teach-back technique?
A development of partnerships to achieve the best possible outcomes that reflect the particular needs of the patient, family, or community, requiring an understanding of what others have to offer.
What is collaboration?
The beliefs, customs, behaviors, values, and social norms that a particular group of people share. It shapes how people interact with each other and with their environment.
What is culture?
•The way in which individuals and families react to disease
•Culture affects how an individual defines the meaning of this.
What is illness?
Happens when the message is clearly delivered by the sender, accurately received by the receiver, and feedback is provided, all while minimizing noise.
What is effective communication?
Understanding and processing information. How the mind works to acquire, process, and store knowledge. Involves mental processes such as thinking, knowing, remembering, and problem-solving.
What is cognitive learning?
•Working across professional disciplines to optimize patient care is an expectation in health care delivery.
•Expertise and diverse perspectives, influenced by professional orientation (e.g., nursing, medicine, pharmacy, physical therapy, social work), are valued and contribute to the delivery of care.
What is interprofessional collaboration?
Having the knowledge, skills, and attitudes to interact effectively with people from different cultures. It is respecting and valuing people from other cultures and adapting your behavior and communication to fit the cultural context.
What is culturally competent?
Encompasses stages of change
•Stages Include:
•Precontemplation
•Contemplation
•Preparation
•Action
•Maintenance
What is the Transtheoretical Model of Change?
First impression starts with nurse’s appearance and warm professional demeanor.
Interpersonal skills important to successful interview:
◦Use active listening to show interest and understanding of patient’s point of view.
◦Communicate acceptance and treat patient respectfully.
◦Watch word usage and patient interpretations.
◦Avoid extreme nonverbal reactions.
What are the components of therapeutic communication?
Leaning that dives into the emotional side of education. It's about how feelings, attitudes, values, and emotions influence learning. It aims to build empathy, self-awareness, and emotional intelligence, making learning a more holistic experience?
What is affective learning?
•Is important in today’s health care environment
•Pooling resources and information benefits both patients and communities.
What is interorganizational collaboration?
Interorganizational collaboration refers to the process by which two or more organizations work together to achieve shared goals or address common challenges, and allowing them to pool resources, knowledge, expertise, and capabilities in order to accomplish outcomes that they may not be able to achieve alone. It is an effective way for organizations to leverage each other’s strengths, share resources, and achieve common objectives.
A set of assumptions that begins to develop during childhood and guides how one sees, thinks about, experiences, and interprets the world. It creates a lens through which we view all of life’s experiences through our own uniquely tinted view. Evolve during a lifetime process of interacting with family, peers, communities, organizations, media, and institutions.
Malfunctioning of biological or psychological processes.
What is disease?
Client's hearing deficit
Volume of the client's television
Numerous visitors in the client's room
Increase in pain after ambulation
Adverse effects of opioid analgesic
Using earphones while listening to music
What are barriers to effective communication?
Focuses on developing physical skills through practice and repetition. This involves coordination, motor skills, and physical movement.
What is psychomotor learning?
•Values and ethics
•Roles and
responsibilities
•Communication
•Teams and
What are the four attributes necessary for effective interprofessional collaboration?
•A particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage
What is health disparity?
The conditions in which people are born, grow, live, work, and age that affect overall health and quality of life.
What are social determinants of health?
Convey empathy for a client who voices painful emotions.
Show respect for a client who is making decisions about treatment.
Listening actively to a client when they are verbalizing feelings of worthlessness.
Speak to a client using clear and simple words and phrases.
Exhibit receptive body language when discussing difficult topics.
Lean in when communicating with the client.
What are some strategies the nurse can use to enhance communication?
•Learning happens by observing others
•Depending on consequences, learner will imitate or avoid that behavior
•Takes cognitive and environmental factors into consideration
What is social learning therapy?
Which of the following is an example of teamwork and collaboration in health promotion?
A nurse working alone to develop a health education program.
A healthcare provider referring a patient to a specialist for further evaluation.
A patient independently researching health information online.
A pharmacist dispensing medication to a patient.
A. A nurse working alone to develop a health education program.
Teamwork and collaboration involve working together with others. Working alone does not demonstrate collaboration.
B. A healthcare provider referring a patient to a specialist for further evaluation. (Correct)
Referring a patient to a specialist involves collaboration between healthcare providers to ensure the patient receives appropriate care.
C. A patient independently researching health information online.
Independently researching health information does not involve teamwork or collaboration with others.
D. A pharmacist dispensing medication to a patient.
Dispensing medication is a task performed by a healthcare professional, but it does not necessarily involve teamwork or collaboration.
The process of acculturation occurs when an individual or group transitions from one culture and develops traits of another culture
What is acculturation?
•Provides evidence-based, 10-year national objectives for promoting health and preventing disease.
•Promotes a society in which all people live long, healthy lives.
•Identifies leading health indicators which are high-priority health issues in the United States.
What is Healthy People 2030?
Nonverbal cues
Eye contact
Open-ended questions
Paraphrasing and summarizing
Empathy and validation
Silence
Encouragement
What are utilizing active listening techniques to enhance therapeutic communication with clients?
•Ability to obtain, understand, and make health-related decisions
What is health literacy?
This council discusses changes in patient care protocols, identifies areas for improvement in the hospital's workflow, and collaborates on solutions to issues such as nurse-patient ratios or job satisfaction. Nurses at all levels have an equal voice in these decisions, leading to solutions that reflect the collective wisdom of the nursing staff.
What is shared governance?
Shared governance is a collaborative decision-making model in which nurses at all levels participate in the governance and management of nursing practice. It promotes shared responsibility and accountability for decisions affecting patient care, policies, and the work environment. This form of collaboration gives nurses a voice in leadership and empowers them to influence changes in their workplace.
A nurse is discussing culturally competent care at a nursing staff in-service. Which of the following information should the nurse include when discussing clients' cultures?
1) Nurses should focus on clients' cultures, rather than their ethnicity, when providing care.
2) Nonverbal communication is important in few cultures.
3) Culture plays no role in determining when a client will seek medical care.
4) Nurses should expect clients to adapt to the care provided regardless of culture.
Correct:
1) Nurses should focus on clients' cultures, rather than their ethnicity, when providing care.
Answer Rationale:
Nurses should assess clients and make decisions regarding care based on culture, rather than based on ethnicity or race.
INCORRECT
2) Nonverbal communication is important in few cultures.
Answer Rationale:
Nonverbal communication is important in nearly every culture and carries different meanings in different cultures.
INCORRECT
3) Culture plays no role in determining when a client will seek medical care.
Answer Rationale:
A client's culture often determines when and where she will seek medical treatment.
INCORRECT
4) Nurses should expect clients to adapt to the care provided regardless of culture.
Answer Rationale:
Nurses should adapt care to meet the client's needs and demonstrate culturally sensitive care.
A psychological framework that helps explain and predict health-related behaviors. It revolves around the idea that people are more likely to take health-related actions based on:
Perceived susceptibility
Perceived severity
Perceived benefits
Cue to action
Self-efficacy
It's like the ultimate mental checklist for deciding whether to make a change in behavior.
What is the Health Belief Model?
Although each person has unique needs, all people share basic human needs, and the extent to which people meet their basic needs is a major factor in determining their level of health. According to this model, certain human needs are more basic than others, and some needs must be met before other needs . When using this model, focus your care on a patient’s needs rather than on strict adherence to the hierarchy. It is unrealistic to always expect a patient’s basic needs to occur in the fixed hierarchical order. In all cases an emergent physiological need takes precedence over a higher-level need,
What is Maslow's Hierarchy of Needs Model?
Role-play
Teach-back
Lecture
Socratic questioning
Humor
Storytelling
What are teaching/learning strategies?
A one-on-one relationship where an experienced nurse provides guidance, support, and knowledge to a less experienced nurse. The relationship often focuses on the personal and professional development of the less experienced nurse, helping them to improve their clinical skills, decision-making, and confidence.
What is mentoring?
The process of conducting a self-examination of one’s own biases toward other cultures and the in-depth exploration of one’s cultural and professional background. It also involves being aware of the existence of documented racism and other “isms” in health care delivery.
What is cultural awareness?
A positive, dynamic state, not merely the absence of disease. This model describes the multidimensional nature of people as they interact within their environment to pursue health. This model focuses on individual characteristics and experiences, behavior-specific cognitions and affect, and behavioral outcome, in which the patient commits to or changes a behavior. Each person has unique personal characteristics and experiences that affect subsequent actions.
What is the Health Promotion Model?
•Any attribute, quality, environmental situation, or trait that increases the vulnerability of an individual or group to an illness or accident.
What is a risk factor?
Risk factors include:
•Nonmodifiable risk factors
•Modifiable risk factors
•Environment