Lesson 1
What is the linear model
The sender- the message- the receiver. Used for emergency purposes
What does non therapeutic communication look like?
Arguing, asking personal questions, giving personal opinions, changing the subject, automatic responses
Define a group
A group is a gathering of 2 or more people who:
Share a connection,
Meet over a substantial period of time,
Meet face to face or use technology to interact, and
Achieve an identifiable goal.
What is Disenfranchised grieving?
the grief nurses can experience after the death of a client with whom they have had an important relationship with.
What is Moral distress?
it is associated with helping clients and families resolve conflicts about EOL care. For example, the use of technology and life support, and use of phase I or II clinical trial drugs with terminally ill clients.
Which part of the Johari window is unknown to self, known to others
The Blind
What does SOLER stand for
Sit facing client
Open posture
Lean towards client
Eye contact- intermittent
Relax
Breast cancer survivors would be categorized into which type of group?
Support Group
What is Compassion fatigue?
A syndrome associated with serious spiritual, physical, and emotional depletion related to caring for clients that can affect the nurse's ability to care for other clients
What are some examples of effective listening?
Using body language to show you're engaged, using reflection and paraphrasing, asking open ended questions, withholding judgement, avoiding distraction
What is the difference between the symmetric role and the complimentary relationship?
Symmetrical- mutually defined goals and working as a partnership
Complimentary role- holds a higher position in the communication process. Nurse may be the educator
How do you describe therapeutic communication?
Active listening, asking appropriate questions, open ended questions, clarification, reflection, holding space/silence, providing information
The stage that the members are most productive?
Performing
Patients with life threatening illness, still receiving curative treatment, with no time restrictions regarding prognosis.
During the “handoff” of the client, there can be frequent interruptions, inconsistent reporting format, and omission of key information. What is this referred to as?
Fragmentation
what does the unknown window represent?
Should get smaller over time as the unknown becomes know to both self and others
What is SBAR stand for?
Situation
Background
Assessment
Recommendation
The stage when the members explore their ideas, not necessarily agree with each other, conflicts arise, and emotions can come into play is called?
Storming
What constitutes a good death?
§Pain and symptom relief
§Transparent decision making
Preparation for what to expect
Comfort and quality of life
Achieving a sense of completion
Contributing to others
Receiving affirmation as a whole person
maintaining a sense of control over what happens during the dying process
who is present at the end
having access to spiritual, emotional, and knowledgeable supports and
being afforded hope, dignity, and privacy
What leadership style works best with a group that needs structure and when there is limited time to reach a decision?
Authoritarian leaders
What is the circular transactional model?
Sending and receiving influences each other feedback, decoding and coding messages.
How Does Safe Communication help?
Reduce Mortality, decrease med errors, promotes effective teamwork
What are some characteristics of a high performing team?
Setting clear goals, results-driven structure checklists, clear roles, collaboration, competent team members, commitment from everyone, Create standards of excellence, common goal, support and recognition, Have “principled leadership"
What are the 5 stages of dying?
Denial - “No, not me”
Anger - “Why me?”
Bargaining - “Yes, me, but … I need just a little more time.”
Depression - “Yes, me”
Acceptance – client acknowledges the inevitability of EOL. As the client approaches death, there is a gradual detachment from the world, and the person is almost “void of feeling,” which eventually gives the client a sense of peace.
what does an effective leaded look like?
Adequate preparation, professional leadership attitudes and behavior, responsible selection of members, and use of a responsible scientific rationale for determining a specific group approach, are good listeners, adaptable leadership style, respectfully support the integrity of group members as equal partners in meeting group goals , trust the group process enough to know that group members can work through conflict and difficult situations, know that even mistakes can be used to promote group member growth