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2 Aspects

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2 ASPECTS

 TECHNICAL – TASK, PROCEDURE, MATERIALS, AND EQUIPMENTS


FOR INCOMPETENCE STAFF
- SHOW
- TEACH
- DEMONSTRATE
- SUPERVISE
- DO OR PERFORM IT WITH A NURSE
 INTERPERSONAL – ATTITUDE, BEHAVIORS AND STYLES OF DIRECTION
GIVING
FOR ATTITUDE
- VERBALIZATION OF FEELING (BEST ANSWER)
- ASSERTIVENESS (THERAPUETIC)

POINTERS OF DELIGATION (WHAT AND WHO)


1. KNOW THE POSITION OF THE STAFF (KNOW IF LICENSED OR
UNLICENSED)
2. WARD (SA GALING AT SAN PUPUNTA)
3. CAPABILITIES OF THE STAFF (POSITION AND THE WARD)
4. CONDITION OF THE PATIENT

COMMUNICATION – INFORMATION FROM SENDER TO RECEIVER AND


HOPING THE INFORMATION IS UNDERSTOOD

ELEMENTS OF COMMUNICATIONS

 MESSAGE
 ENCODING
 TRANSMITTING (CHANNEL OF COMMUNICATION)
 DECODING
 FEEDBACK/ACTION

3 BARRIERS IN COMMUNICATION

 PHYSICAL BARRIERS (ENVIRONMENTAL)


EXAMPLE: NOISE, DISTANCE
 SOCIAL-PSYCHOLOGIC BARRIER
EXAMPLE: LACK OF TRUST
 SEMANTIC BARRIER
EXAMPLE: SIGNS AND SYMBOLS (SIGN LANGUAGE)
CONFLICT – MISUNDERSTANDING OR MISAGGREMENT BETWEEN
TWO OR MORE PERSON, AGENCIES OR ORGANIZATION.

 RESOLUTION STRATEGIES
1. AVOIDANCE
2. DOMINANCE AND SUPPRESSION (NEGATIVE) (BOSS)
3. RESTRICTION/POWER (POSITIVE) (AKO BAHALA BOSS)
4. MAJORITY RULE (VOTING)
5. SMOOTHING (UNACCEPTABLE APPEARED TO BE ACCEPTABLE)
6. COMPROMISE – BATI PERO MAY CONDITION
7. COLLABORATION – WORKING HAND IN HAND IN SOLVING
PROBLEM

BRAIN STORMING RULE


1. ALL IDEAS ARE WELCOME

4 APPROACHES

(FIRST PART – MANAGE AND YOU)

(SECOND PART – MEMBERS OR OTHERS)

1. WIN – LOSE (DOMINANCE)


2. LOSE - WIN (RESTRICTION)
3. LOSE – LOSE (COMPROMISE)
4. WIN – WIN (COLLABORATION)

CHANGE MANAGEMENT – CHANGE IN ANY ALTERATION IN THE


STATUS QUO (PRESENT SITUATION)

THE CHANGE PROCESS

 PERCEIVE THE NEED FOR CHANGE


INITIATE A GROUP INTERACTION (THE KEY TO PROBLEM SOLVING)
1. IDENTIFY INTERNAL AND EXTERNAL FORCES\
2. STATE THE PROBLEM
3. IDENTIFY THE CONSTRAINTS
4. LIST THE CHANGE STRATEGIES
5. DEVELOP PLAN FOR IMPLEMENTATION
6. SELECT OR DEVELOP TOOLS FOR EVALUATION
 IMPLEMENT PLAN ONE STEP AT A TIME (GRADUALLY) (AVOID
RESISTANCE)
 EVALUATE OVER-ALL RESULTS (2 ASPECT)

BON RES. 220 SERIES OF 2004 – READ NURSING CORE OF ETHICS

CONTROLLING (EVALUATING, REVIEWING, CHECKING, COMPARING)


 SEEING TO IT THAT WHAT IS PLANNED IS DONE

4 BASICS STEPS IN CONTROLLING

1. DEVELOP STANDARDS AND CRITEREA (BASIS OF EVALUATION)


 3 TYPES OF STANDARD (SPO)
o STRUCTURE (FACILITIES, EQUIPMENT, MATERIALS AND
MANAGEMENT SYSTEM)
o PROCESS (PLANS AND PROCEDURE)
o OUTCOME (RESULTS)
2. DETERMINE COMPLIANCE TO STANDARDS AND CRITERIA
 NURSING AUDIT – PATIENT FOCUSED
 PERFOMANCE APPRAISAL – STAFF FOCUSED

2 TYPES OF NURSING AUDIT

 CONCURRENT (EVALUATING AS THE CARE IS GIVEN)


 RETROSPECTIVE (PATIENT CHART)

PERFORMANCE APPRAISAL

2 TYPES

 INFORMAL – INCIDENT PERFORMANCE APPRAISAL


 FORMAL – SYSTEMATICALLY DONE BASED ON THE PROCEDURE,
USUALLY ENDS UP IN REVIEW SESSIONS
3. IDENTIFY STRENGTHS AND WEAKNESSES
4. ACT TO REINFORCE STRENGTHS AND TO TAKE CORRECTIVE
ACTIONS ON THE WEAKNESSES

RESEARCH

 SCIENTIFIC METHOD
 RESEACH
o NSG RESEARCH – CLINICAL PROBLEMS
o RESEACH IN NSG – ISSUES
o EVIDENCE – BASED PRACTICE – CURRENT “BEST” EVIDENCE
(LATEST FINDINGS)

I IMPORTANCE OF RESEARCH IN NURSING

 PROFESSIONALISM
 ACCOUNTABILITY
 SOCIAL RELEVANCE OF NURSING
 ULTIMATE GOALS (HIGHEST GOAL OF RESEARCH) – TO
IMPROVE THE PRACTICE OF THE PROFESSION, NURSING,
CLIENT CARE, PATIENT CARE, HEALTH CARE, NURSING CARE

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