Nurse-Patient Relationship Phases
1. Nurse-Patient Relationship Phases
a. Orientation (beginning)
i. Therapeutic Relationship
1. Develop trust
2. Establish goals
3. Therapeutic contract
4. Nursing diagnosis
b. Working (Middle)
i. Planning and Implementation
1. Communication skills to help client
2. Work on behavioral changes
3. Explore feelings and problems
c. Termination (End)
i. Evaluation
1. Inform client of other sources of help available
2. Evaluate therapeutic outcome
3. Evaluate nurse-patient relationship
4. Nurse may have mixed feelings (happy with result, sad to say bye)
2. Inappropriate Boundaries
a. Know and respect the boundaries
i. Nurses need to get own emotional needs met outside patient relationship ii. Under involvement vs. over involvement …show more content…
Courteous tone
b. Cell phone
i. Avoid use around patient ii. Pay attention to other-disregard the phone iii. Be professional when texting
13. Principles of Leadership and Management
a. Leadership-inspire other to work towards a goal/ ability to influence the behaviors of others
i. Leaders emerge/evolve into role ii. Focused on the leader iii. Style Theory:
1. Laissez-faire
a. Non-direct or passive
b. Group determines goals
c. Lack of involvement by the leader
2. Democratic
a. All aspects to achieve a goal are shared by the group
b. Leader provides guidance to the group
c. Leader makes finial decision based on what’s best for the group
3. Authoritarian
a. Strong control over all aspects of group
b. Give orders
c. Final decision is made by leader
b. Management-influencing employees to be as productive as humanly possible
i. Managers are appointed ii. Focused on influencing employees to be as productive as possible iii. Not all managers are good leaders; not all leaders are good managers
14. Conflict Management
a. Conflict-nurses feel overworked and overwhelmed
b. Nurses are uncomfortable with conflict because
i. Fear of ridicule/ alienation ii. Think they don’t have the right to speak …show more content…
Ethical implications
7. What is Nursing Research?
a. A scientific process
b. Validates and refines existing knowledge
c. Generates new knowledge
d. Directly and indirectly influences practice
8. Review of the literature
a. absolutely necessary to see what has been done, and the results of any previous research. Replication of studies is a validation of a need. When there is limited or no data found, there is also a need
9. Problem Solving
a. Research is different than problem solving
b. Problem solving is specific to a given situation and is designed for immediate action
c. Research is generalizable (transferable) to other situations and deals with long term
10. What is Evidenced Based Practice?
a. Provides empirical evidence to support nursing interventions
b. Incorporates health care research evidence from a variety of disciplines
c. Goals
i. Include cost effective practice based on data produced by research and implement best practice interventions into nursing practice
d. Evaluates scientific evidence
9. Based Practice (EBP)
Formalized Process Steps:
1. Definition of a patient problem
2. Identification of information necessary to solve the
a. Orientation (beginning)
i. Therapeutic Relationship
1. Develop trust
2. Establish goals
3. Therapeutic contract
4. Nursing diagnosis
b. Working (Middle)
i. Planning and Implementation
1. Communication skills to help client
2. Work on behavioral changes
3. Explore feelings and problems
c. Termination (End)
i. Evaluation
1. Inform client of other sources of help available
2. Evaluate therapeutic outcome
3. Evaluate nurse-patient relationship
4. Nurse may have mixed feelings (happy with result, sad to say bye)
2. Inappropriate Boundaries
a. Know and respect the boundaries
i. Nurses need to get own emotional needs met outside patient relationship ii. Under involvement vs. over involvement …show more content…
Courteous tone
b. Cell phone
i. Avoid use around patient ii. Pay attention to other-disregard the phone iii. Be professional when texting
13. Principles of Leadership and Management
a. Leadership-inspire other to work towards a goal/ ability to influence the behaviors of others
i. Leaders emerge/evolve into role ii. Focused on the leader iii. Style Theory:
1. Laissez-faire
a. Non-direct or passive
b. Group determines goals
c. Lack of involvement by the leader
2. Democratic
a. All aspects to achieve a goal are shared by the group
b. Leader provides guidance to the group
c. Leader makes finial decision based on what’s best for the group
3. Authoritarian
a. Strong control over all aspects of group
b. Give orders
c. Final decision is made by leader
b. Management-influencing employees to be as productive as humanly possible
i. Managers are appointed ii. Focused on influencing employees to be as productive as possible iii. Not all managers are good leaders; not all leaders are good managers
14. Conflict Management
a. Conflict-nurses feel overworked and overwhelmed
b. Nurses are uncomfortable with conflict because
i. Fear of ridicule/ alienation ii. Think they don’t have the right to speak …show more content…
Ethical implications
7. What is Nursing Research?
a. A scientific process
b. Validates and refines existing knowledge
c. Generates new knowledge
d. Directly and indirectly influences practice
8. Review of the literature
a. absolutely necessary to see what has been done, and the results of any previous research. Replication of studies is a validation of a need. When there is limited or no data found, there is also a need
9. Problem Solving
a. Research is different than problem solving
b. Problem solving is specific to a given situation and is designed for immediate action
c. Research is generalizable (transferable) to other situations and deals with long term
10. What is Evidenced Based Practice?
a. Provides empirical evidence to support nursing interventions
b. Incorporates health care research evidence from a variety of disciplines
c. Goals
i. Include cost effective practice based on data produced by research and implement best practice interventions into nursing practice
d. Evaluates scientific evidence
9. Based Practice (EBP)
Formalized Process Steps:
1. Definition of a patient problem
2. Identification of information necessary to solve the