Communication
Examples of non-therapeutic communication
close-ended
asking why?
Advice-giving
agreeing
asking unnecessary questions
What can humor do for patients
Put them at ease
Celebrate shared victories
Relieve tension
What is the nursing process?
ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
This act protects the privacy of patient-specific healthcare information and provides the patient with control over how this information is used and distributed.
The Health Insurance Portability and Accountability Act (HIPAA)
The A in ISBARR is this
Assessment
Phases of Helping Relationships
Pre-Interaction phase- preperation, review data
Orientation phase- gain patient's trust, assess the patient, prioritize
Working phase- encourage expression of feelings, help set goals, implements interventions
Termination phase- evaluation, summarize
This type of humor shows perspective and reassures patients
Positive Humor
The four types of data are
1) subjective (what the pt tells you)
2) objective (what you observe)
3) Primary data (what you assess and gather first hand)
4) Secondary data (data out of a health record or from a coworker)
When caring for a patient they disclose they committed a crime. The nurse tells her manager and notifies the police. What did the nurse do to the patient's confidentiality?
Breach it appropriately
When a provider gives an order, this R is used
Read-back
This method of a standardized method for hand-off communication was originally developed by the US Navy
SBAR
This type of humor may involve sarcasm or put-downs or include stereotypical or inappropriate undertones
Negative humor
The Lady with the Lamp, a statistician known for creating the first pie chart and improving the safety and cleanliness of hospitals and laying the foundation of nursing education
Florence Nightingale
Removing one's own beliefs and prejudices from the patient's words and behaviors when charting
I am nurse Rachel, caring for Mr. Smith, a 72-year-old male in ED room 12. This is an example of which part of ISBARR
Identify
Communication with colleagues
-Mutual respect
-Trust/Honesty
-Team mentality
-Direct communication
-Adult to Adult
This type of humor should never be shared with patients
Dark Humor
Nurses are known to sit with their patients and talk to them, offering touch or humor, and forming relationships. This is known as what type of communication.
Therapeutic Communication
While at the nurse's station, the nurse shares her patient's diagnosis to another nurse and that it is terminal, she is overheard by family walking past, who recognize the diagnosis and the nurse from yesterday. What did the nurse do?
I am concerned for the patient, I am uncomfortable with their vital signs, and I do not feel it is safe to care for him on this floor. This is an example of which communication acronym?
CUS
I am Concerned
I am Uncomfortable
It is not Safe
Crossing the arms and legs and avoiding eye contact is what type of communication
The highest form of humor
the ability to laugh at yourself
Nurses often are physically close to patients to provide care. A distance of 3 to 4 feet is what type of distance.
Social Distance
While caring for a client in their home, the nurse becomes very comfortable and enjoys having conversations. When asked about their children, she discloses one is very sick and shares her worries with the client. This is an example of:
Professional boundary crossing
This type of handoff is considered best practice, and evidence supports it can improve patient safety and quality, the patient experience, nursing staff satisfaction, time management, and accountability among nurses
Bedside report