Travelbee Theory
What is Travelbee's first name?
Joyce
Name all 9 roles in the competency framework
Clinician, professional, communicator, collaborator, coordinator, leader, advocate, educator, and scholar
What is the importance of screening?
Early detection which equals better patient outcomes
What client population was being study in the required reading, published by Tanta Scientific Journal
Women undergoing a hysterectomy in hospital
Name the 4 stages of the Theory
1.Oringial encounter
2.Emerging identities
3.Empathy
4.Sympathy
How many competencies are there?
101
What are 3 common symptoms of endometrial cancer?
Abnormal vaginal bleeding, irregular menstruations cycle, pain during intercourse, post menopausal bleeding
What were the three main themes discussed from the psychological changes required reading?
Immediate reaction, early post procedure & late post procedure
How can the psychological impact and these emerging sub themes be applicable to one the Travelbee's Theory stages?
From the empathy stage, we are using what we know to piece together how Laura may be feeling
Give an example of the role of the coordinator in Laura's care scenario
5.1 Consults with clients and health care team members to make ongoing adjustments required by changes in the availability of services or client health status.
5.2 Monitors client care to help ensure needed services happen at the right time and in the correct sequence.
5.3 Organizes own workload, assigns nursing care, sets priorities, and demonstrates effective time management skills
5.4 Demonstrates knowledge of the delegation process.
5.5 Participates in decision-making to manage client transfers within health care facilities.
5.6 Supports clients to navigate health care systems and other service sectors to optimize health and well-being.
5.7 Prepares clients for transitions in care.
5.8 Prepares clients for discharge.
5.9 Participates in emergency preparedness and disaster management.
Name at least 2 risk factors for endometrial cancer?
Age 40+, T2DM, Obesity, and family history
How can the psychological impact and these emerging sub themes be applicable to one of the Travelbee's Theory stages?
From the empathy stage, we are using what we know to piece together how Laura may be feeling
Describe the difference between empathy and sympathy as described by Travelbee
Sympathy is the desire to aid an individual to relieve distress
Empathy is the nurse perceives the stress and tries anticipate behaviour
Give an example of the role of the communicator in Laura's care scenario
3.1 Introduces self to clients and health care team members by first and last name, and professional designation (protected title).
3.2 Engages in active listening to understand and respond to the client’s experience, preferences, and health goals.
3.3 Uses evidence-informed communication skills to build trusting, compassionate, and therapeutic relationships with clients.
3.4 Uses conflict resolution strategies to promote healthy relationships and optimal client outcomes.
3.5 Incorporates the process of relational practice to adapt communication skills.
3.6 Uses information and communication technologies (ICTs) to support communication.
3.7 Communicates effectively in complex and rapidly changing situations.
3.8 Documents and reports clearly, concisely, accurately, and in a timely manner.
How can you reduce your risk of endometrial cancer?
Maintain a healthy weight and physically active lifestyle and treat pre-cancer disorders like endometrial hyperplasia
True or False
The subtheme of disturbed marital relationship occurred in the immediate reaction towards hysterectomy
False, this occurred in early post procedure, talking about fear of intimacy, sad things about “how will my husband deal with me”
Give 2 examples of how this relates to 2 different stages of the theory using our care scenario
Original Encounter: Nurse notices that Laura upset and encourages her to talk about how she feels
Emerging Identities: The nurse now views Laura as more than a patient, rather she is a woman who has lost the ability to carry her own biological children
Empathy: The nurse begins to interpret how Laura may be feeling post procedure, ie. struggling with role of femininity
Sympathy: The nurse aids in relieving Laura’s distress by comforting Laura when she expresses saddened feelings towards hysterectomy
What role does this competency describe? “Selects, develops, and uses relevant teaching and learning theories and strategies to address diverse clients and contexts, including lifespan, family, and cultural considerations. .”
Educator
What is the gold standard way to diagnose/screen for endometrial cancer?
Endometrial biopsy and transvaginal ultrasound
What was the purposeful sample amount from the reading, how many women were interviewed?
15