NUr 102 exam 4

• Communication


  Process of interaction between people in which symbols are used to create, exchange and interpret messages about ideas, emotion and mind states
• Communication


  • Exchange information with each other
  • Effective vs ineffective
  • Verbal, nonverbal, symbolic and metacommunication
• Effective communication in healthcare is critical
• Nurses' communication competence

  An AACN core competency, a component of QSEN's teamwork and collaboration framework, and is part of the ANA scope and standards of practice
• Verbal spoken communication (SBAR)


  1. Situation

  2. Background

  3. Assessment

  4. Recommendation
• Verbal written communication (SOAP) (DAR) (EHR)


  1. Subjective

  2. Objective

  3. Assessment

  4. Plan
• Advocacy


  Act of speaking for others in order to assist them of meet their needs
• Therapeutic Communication


  • Used while caring for clients, their families, and with other members of the health care team
  • Focuses on interpersonal interaction between the nurse and client
  • Focuses on the effective exchange of information to facilitate meeting clients needs
• How to have effective communication

  • Conveying empathy
  • Open ended question
  • Giving information
  • Reflecting
  • Being silent
• Empathy


  Awareness of, sensitivity to, and identification with the feelings of another person
• ABCs situational awareness

  1. Awareness of the environment

  2. Belief in your gut feeling

  3. Changing what's wrong
• To have good situational awareness three conditions need to be met

  • Perception: what is going on around you
  • Comprehension: why things are happening
  • Projection: what is likely happen next
• Nursing process

  1. Assessment: ask questions, gathering data

  2. Diagnosis: identifying problems, comparing data

  3. Planning: identifying goals, hypothesis

  4. Implementation: experiment, planned interventions

  5. Evaluation: analyze, conclusion, patient progress
• Safety is always the first priority
• Clinical judgment


  • The observed outcome of critical thinking and decision making
  • Process that uses nursing knowledge to observe and access situations, help generate the best possible evidence based solution to deliver safe client care
  • Interpretation or conclusion about a patient needs, concerns, or health problems and to the decision to take action or not
• Clinical Judgement is used during making an assessment
• Assessment is noticing and recognizing cues
• During assessment is when you identify signs and symptoms, gather data, predicting and assessing
• Clinical Judgement related concepts


  • Patient education
  • Professional identity
  • Career coordination
  • Leadership
  • Safety
  • Health care quality
  • Evidence
• QSEN addresses the challenges of preparing future nurses with the knowledge, skills, and attitudes necessary to continuously improve the quality and safety of the healthcare systems within which they
• Nurses must be skilled in interpersonal communications both as a caregiver nurse:patient; nurse:family as a member of the healthcare team
• Four phases of nurse-patient relationship

  1. pre orientation
  2. orientation
  3. working
  4. termination
• Written communication is a form of verbal communication
• Interdisciplinary communication (I-SBARR) is a standardized format for conveying critical information in spoken form

  I- introduction

  S- situation

  B- background

  A- assessment

  R- recommendation

  R- read back
• Avoiding conflict with other professionals by using effective interprofessional collaboration.
• Nurses must conduct a 60 second situational awareness assessment during every patient encounter and at a regular intervals throughout the day
• situational awareness within a team is about maintaining the "big picture" and thinking ahead to plan and discuss eventualities. This on going dialogue, which keeps members of the team up to date with what is happening and how they will respond if the situation changes, is a key factor in patient safety.
• evidence based practice is always evolving
• Examples of science in nursing

  1. research
  2. medicine/treatments
  3. knowledge
• Examples of art in nursing

  1. feelings
  2. communication
• Examples of evidence based practice:

  1. studies/research
  2. labs
  3. learning from experience
  4. create policies based on best practice
  5. patient preferences
  6. patient outcome
  7. clinical experience
• Art and science is related with personal identity
• clinical judgement is decision making
• critical thinking is apart of clinical judgement
• decision making makes you a nurse
• QSEN stands for Quality and Safety Education for nurses

  makes sure nurses are competent nurses

  sets the quality of standards for nursing education

  addresses the challenge of preparing future nurses with the knowledge, skills, and attitudes necessary to continuously improve the quality and safety of the healthcare systems within which they work
• Nonverbal communication consist of body language, eye contact, facial expressions, gesture, posture
• Healthy people 2030 is a vision in which all people can achieve their full potential for health and well being
• Healthy people 2030 helps measure differences across populations
• Healthy people 2030

  1. health disparity- health difference linked with social and economic to advance health equity
  2. health equity- highest level of health
  3. health literacy- health info to make decisions
  4. wellbeing- perceived lives well being
  5. social determinants- physical, social, environments strengthen