Transcript Team Work and Team Building

Team Work and Team
Building
B86
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8 Characteristics of Teams
1. Clear and elevating goals
specific
something they can take pride in
desirable enough for team members to
commit to the goal
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2. Results driven
environment conducive to goal achievement
team and performance constantly evaluated
a dynamic team that can handle change
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3. Competent team members
just because you have title of RN/LVN doesn’t mean you can work in a team
are successful on a team if
knowledgeable about how a team works and are
a team worker
have a skill that is desirable to the team and its
goal
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4. Unified commitment
nothing will happen without commitment
entire group needs to buy in
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5. Collaborative climate
team members are comfortable - not
threatened
members can be both teachers and learners
decisions are made as a group not
individually
group empowers the team members
dysfunctional - if not all members are
engaged
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6. Standards of Excellence
is an outcome of all the other characteristics
refers to excellence in goal achievement
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7. External Support and Recognition
support from administrative staff
who to call when the team is threatened
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8. Principled Leadership
being focused on the goal
being focused on the members of the team
and their needs
able to assist and facilitate the team
maintains high standards for personal and
professional conduct
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Stages of Team
Development
1. Forming
members get to know one another
recognize and value each other’s expertise
develop trust
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2. Storming
stage of conflict
voice opinions, state beliefs
define roles and objectives
needs to happen before the real work can
begin
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3. Norming
establishing the work schedule and roles
when can we get together
 where for how long
how will we progress
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4. Performing
need to complete the above 3 stages first
this is where the team is the most productive
goals are successfully met
work stage
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Role of manager in team
building
1. Group norms
resources, time ,money, moral
2. Feedback
functional vs. dysfunction
3. Patience
allow the them time to develop
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Role of the LVN
Pay attention to detail - group behaviors
and personalities
observing functional and dysfunctional
behavior and sharing this in an open way
communicating in a way that allows for
open dialogue and feedback
consider being a risk taker
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Communication
 Words, sentences and the ability to think are crucial to
your survival .
 Your use of words also has a significant impact on the
survival and quality of life of the patients to whom you
give care.
 Communication is the effective use of words to share
ideas, meaning and emotion with others.
 Ability to think critically and put together thoughts.
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Communication
 Communication occurs when the sender and the
receiver of the message have understood the meaning
of the communication.
 To be an effective nurse and give quality patient care
you must learn how to communicate in the clinical
setting.
 This process continues as you mature as a nurse.
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Communication
 Listening- Very important when caring for patients. It
can help you to identify the emotions, troubles of
another person so that you can respond to that person
appropriately.
 Listen visually as well- you are observing the behavior,
appearance, and attitude of the person with whom you
are speaking
 The most honest communication is made through nonverbal channels.
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Communicaion
 Nonverbal communication is nonspecific communication
that transmits information.
 Examples:
 Movements of a person
 Spatial relationships
 Type of lanuage
 Cultural attributes
 Pay attention to nonverbal communication so you
understand the entire message of the communication
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Communication
 The secret to effective communication is to observe for
nonverbal cues and to listen until the person has
finished speaking.
 This is called Active Listening.
 Major responsibility of a LVN is to communicate
effectively with all people necessary to provide patient
care.
 To communicate effectively in the clinical setting follow
these communication principals:
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Communication Principals
 1. Think prior to speaking- Working in the clinical setting
is not the same has having lunch with a friend. Saying
whatever you want is not acceptable.
 2. Be quiet and gentle in your communication- Patients
are sick, families are grieving and staff members
generally are stressed. Be sensitive to the environment.
Do not scream or run, it could cause a panic among
patients and families.
 3. If you are not giving care to the person do not ask or
make inquiry about them.
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Communication Principals
 4. Do not talk about patients or their families in
inappropriate places.
 5. Treat all staff members with equal respect.
 6. Continue to be a lifelong learner- Find out what you
don’t know or correct information about which you are
unsure.
 Successful communication is an art form that is based
on the concept of caring for the other person and
ensuring that the communication is successfully received
and acknowledged.
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Culture in Nursing
 Culture- Is a way of life that a particular group of people
chooses to follow.
 Unique characteristics of human beings who share
similar symbols, lanuage, rituals, rules, and other
learned behaviors.
 Culture is not ethnicity.
 Culture encompasses the interpretation of the behavior
of others and goes beyond a person’s ethnicity.
 Race is not the same as ethnicity.
 Race is the biological and genetically transmitted set of
distinguishable characteristics.
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Culture in Nursing
 Culture includes the group values, customs,
communication style, behavior and social practices.
 Examples:
 How the group dresses, food, art, buildings, initiation
rites such as Bar Mitzvah.
 Healthcare has its own culture and nursing is a
subgroup of that culture.
 Culture provides care and cure to others.
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Culture in Nursing
 Trends of cultural diversity in the people you will be
caring for. You need to be aware of these trends in
order to give excellent patient care.
 1. Population is growing. Increase in census 1970 to
2000 of 22,167,670. Thus more people need
healthcare. Busy units, clinics etc.. Heavy assignments.
 2. The population of the US is becoming more diverse.
This adds to the richness of the mosaic of people you
will encounter as a nurse. You need to have more
awareness of the cultural habits of all people.
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Culture in Nursing
 3. The population is aging- 12% of Americans are 65
years or older. Living with chronic disease from
advancements in medications, nutrition, immunizations.
 4. The culture of poverty has a direct impact on the
health of people before they present to you for nursing
care. Income is related directly to health. This is due to
the fact that it increases access to health insurance, it
allows people to live in safe neighborhoods, it makes
better housing possible, people can live in places
without industrial pollution, more people can engage in
health promotion, work bases health insurance.
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Cultural competence
 As a nurse you should have knowledge of cultural
competence- awareness and acceptance of cultural
differences.
 You cannot understand and respect cultural differences
of others until you have developed your own cultural
awareness. Understand yourself first then you can
understand others.
 Culture is the accumulation of one’s life and makes
people who they are.
 Realize that one member of an ethnic group is not
always the same as the next. Subjective.
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Culturally Competent Care
 Care given that meets the cultural beliefs of an
individual.
 1. Integrate your nursing care with cultural needs of the
patient.
 2. Understand that meeting cultural needs assists in
improving health.
 3. Appreciation of another person’s cultural needs
fosters cooperation and respect.
 4. Communication based on cultural understanding
provides a strong bridge to identifying the needs of a
patient.
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Culture
 Sensitivity to another’s cultural needs provides a
mechanism for health related needs to be met more
successfully.
 Dignity is a crucial aspect of holistic care and does not
exist without an understanding of culture.
 Knowledge about culture comes only with effort. The
benefits to having that knowledge are the opportunity to
meet the overall needs of the patient.
 Acceptance of the beliefs and characteristics of another
person is essential for culturally competent care to be
given.
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Barriers to Cultural
Competency
 As a professional person it is your responsibility to
recognize any personal barriers you may have to cultural
competency and address them.
 The greatest barrier to cultural competency is
ethnocentrism. Concept that indicates one person’s
culture is the best and others need to adapt and accept
it. Example: The Holocaust and Bosnia/Yugoslavia,
large numbers of people killed because of their race.
 Another barrier is cultural imposition- one person
imposes the rules of their culture on another person.
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Barriers to cultural
competency
 Cultural blindness- refusal to recognize the cultural
needs of another person.
 Stereotyping- assuming that all people of one culture or
race have the same personal characteristics.
 Prejudice- strong negative feelings for persons of a
specific culture.
 Racism- racial prejudice.
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NCLEX
 You are providing care for a 24 year old female patient
admitted to the unit with a diagnosis of cystitis. Which
intervention should you delegate to the nursing
assistant?
 A. show the patient how to secure a clean catch urine
sample.
 B. check the patient’s urine for color, odor and
sediment.
 C. Review the nursing care plan, and add interventions.
 D. Provide the patient with a clean catch urine sample
container.
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NCLEX
 In caring for a client with viral hepatitis, which task
should be delegated to the nursing assistant?
 A. Empty the bedpan while wearing gloves
 B. Suggest diversional activities
 C. Monitor dietary preferences
 D. Report signs and symptoms of jaundice
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NCLEX
 A client with cirrhosis is at risk for developing
complications. Which condition is the most serious and
potentially life threatening?
 A. Esophageal varices
 B. Ascites
 C. Peripheral edema
 D. Liver flap
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NCLEX
 You are preparing a 24 year old patient with diabetes
insipidus for discharge from the hospital. Which
statement indicates the patient needs additional
teaching?
 A. I will drink fluids equal to the amount of my urine
output.
 B. I will weigh myself every day using the same scale.
 C. I will wear my medical alert bracelet al all times.
 D. I will gradually wean myself off the vasopressin.
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NCLEX
 Which patient is at greatest risk for respiratory
depression while receiving opioids for analgesia?
 A. An elderly chronic pain client with a hip fracture
 B. A client with a heroin addiction and back pain
 C. A young female client with advanced multiple
myeloma
 D. A child with an arm fracture and cystic fibrosis
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