Acronyms and Theories
SBAR and ISBARR
I (yourself/patient) Situation Background Assessment Recommendation Readback
Three phases of the nurse patient relationship
Orientation, Working Phase, Termination
Verbal vs. Nonverbal Communication
Verbal- consists of spoken and written words
Non-verbal-no words but can include silence, behavior, appearance, and touch.
The nurses legal duty after providing teaching/education to a patient.
Documentation
Autocratic leadership
aka directive leadership or authoritarian. efficient yet may be resented by people.
TEACH Model for effective patient teaching
Tune into the patient, Edit patient info, Act on teaching moments, Clarify often, Honor the patient as a partner
Four zones of communication
Intimate (0-18in), Personal (18in-4ft), Social (4-12 ft), Public (12-25ft)
Intrapersonal vs. interpersonal communication
Intrapersonal- only yourself (think self-motivational talk)
Interpersonal-two or more people exchanging a message
Describe motivational interviewing.
Evidenced based counseling approach to help patient with motivation and commitment to change. (often used for childhood obesity)
Number one care priority when assessing patient for care
Airway/breathing/circulation
PEARLA for conflict management
Presence, Empathy, Acknowledgment, Reflect, Listen, Ask questions
Factors that affect patient learning
Age/development, health literacy, language, and resources
Therapeutic vs. Social relationships
Therapeutic- has a specific cause, information sharing is client-led, based on patient needs.
Social- may occur spontaneously, equal sharing of info, all needs are considered
Quantum leadership
Theory that views a group and its members as interconnected and collaborative.
Steps of the nursing process that generally should not be delegated.
Assessment, Planning, and Evaluation
Lewins Change Theory (3 stages)
Unfreezing, Moving, Refreezing
Knowles four assumptions about adult learners
1. self-concept moves from dependence to independence. 2. learning impacted by previous experience 3. readiness to learn is based on developmental task or social role. 4. material should be useful immediately rather than in the future.
Conflict management vs. engagement
Management- work through conflict while minimizing negative effects and consequences.
Engagement- Helps nurses face conflict instead of finding a work around
Reasons nurses have power.
Trust from the public, large numbers, seen as knowledgeable.
The IHI triple aim. (Institute for healthcare improvement)
Population Health, Experience of Care, Per Capita Cost.
System to help optimize healthcare performance.
Chart that helps to determine basic needs (5 levels)
Maslow's Hierarchy of needs
Physiological, safety and security, love and belonging, self-esteem, and self-actualization.
Cognitive, psychomotor, and affective learning
Cognitive- storing and recalling new knowledge.
Psychomotor- hands-on learning
Affective- involves changes of attitude, values and feelings. (think role-playing)
Medicare vs Medicaid
Medicare- have disabilities, end-stage renal disease or be over the age of 65 Parts A,B, and D
Medicaid- Based on income/ poverty level
Primary, secondary and tertiary health care levels
Primary- Average health care/primary care
Secondary- more specialized care such as a hospital
Tertiary- rare and complex disorders
Five areas of social determinants of health
economic, education, social/community, health/healthcare, neighborhood/built environment