...Communication Style Case Study Rosa Olivia Ramos HCS 350 November 12, 2012 Katherine Brewer Communication Style Case Study There are a variety of communication styles and some are better than others. I will analyze three scenarios and explain if a passive, assertive, aggressive, or passive-aggressive communication style was used. I will also discuss a personal experience where a passive communication style was used. I will discuss how I could improve the communication and how communicating effectively is important in the health care profession and to the outcome of this interaction. The first case study was about a nurse, Robin, who used an aggressive communication style toward Rashad, a healthcare assistant. During a team meeting, Robin stated that Rashad was just an aide who was to obey the RN’s and not think for himself. Robin spoke her mind, did not filter her thoughts, and was blunt. Her voice was raised and she embarrassed Rashad and belittled him in front of co-workers. Robin attacked Rashad in a hostile manner which makes her communication style aggressive. “Aggressive behavior is an encroachment or attack upon another and is almost always hostile in intent” (Hansten & Jackson, 2009, p. 281). Robin is being emotionally honest by verbally expressing what she actually feels, even though the unkind words may offend or hurt others. Rashad, in turn, displayed a passive communication style because he didn’t respond to her. He stayed quiet and instead started...
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...These changes have subsequently led to the emergence need of registered nurses having to work with personnel who will assist them in their work. Delegation of tasks is important so that the nurse can have more time to critically reason, plan and coordinate healthcare given to patients. The act of delegating is attributed to the fact that, as a registered nurse, one has greater knowledge and critical reasoning ability than the assistive personnel. As a result, the RN has the responsibility of delegating, assigning and supervising the assistive personnel. According to the NCBSN and the ANA, appropriate delegation of tasks can result in effective and safe nursing care (NCSBN & ANA, 2006). In the case study given, the recently graduated registered nurse (RN) is new in the field, thus does not have enough experience with regard to attending to six patients during the morning shift. Six patients are too many for the new RN thus, need for the UHCW. Delegation of duties as stated earlier on should be done so that the registered nurse gets enough time to complete tasks that require his or her specialized attention and knowledge. The reason why the RN has delegated the UHCW to assess the patients’ vital signs is so that he or she can do the final touches with regard to personal hygiene care. This reason is not professional enough in that the RN can use the help of the UHCW in completing the personal hygiene care process. The UHCW can gather up the dressing the used up dressing materials...
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...Question I Assigning fault in this case is difficult because all the facts are not presented; there are so many details and questions that are left unanswered to make a justified decision as to who really is at fault in this case. That being said I would not place fault to anyone in this case, however everyone involved in this case has some shared responsibility to the patients care. During report Jane is told that the patient fell without injury around lunch time but has had an uneventful evening. At my current place of work VA Hospital there is a Fall Prevention Program with a Post Fall Management Protocol in place, these are measures that are to be implemented after a fall by nursing, and multidisciplinary team members they are; assess for injuries and determine level of injuries, assess vital signs, including sitting/standing blood pressure and pulse, If diabetic, check blood glucose, notify physician/medical provider, The provider of or on-call physician will assess patient within one hour, provide care, order any needed diagnostic tests, medications, etc., complete a Report of Fall Incident Note and document circumstances of fall in medical record, notify all team members of the patient’s fall, complete Fall Risk assessment and implement high risk fall interventions, if indicated. First 24 hours after the fall: obtain vital signs every 8 hours, observe for possible injuries not evident at the time of the fall (assess limb reflex, joint range of motion, weight bearing)...
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...Associate-degree level versus Baccalaureate-degree level nurses Karolyn M. Walker Grand Canyon University: NRS-430V Professional Dynamics June 24th, 2012 Competency Differences: Associate-degree level versus Baccalaureate-degree level nurses The future of nursing education changed forever in the 1950’s when Mildred Montag successfully created the two-year associate degree in nursing. Men and women who were unable to attend nursing school due to families, work situations, or for financial reason were able to attend these programs and aid in reducing the nursing shortage that was rapidly growing in our country. Montag proposed education for a new kind of nurse, a nursing technician (Schank & Stollenwerk 1988). This nurse would function as nursing technicians and be able to: assist in the planning of nursing care for patient, give general nursing care with supervision, and to assist in the evaluation of nursing care given (Schank & Stollenwerk 1988). Since this time, there has been much debate over the competencies of the “technical” nurse educated at the associate degree level and the baccalaureate level educated nurse. Many studies have been conducted to determine if there should be differentiated roles in nurses with different levels of education. According to the American Association of Colleges of Nursing, “the fact that new nurses pass the licensing exam at the same rate does not mean that all entry-level nurses are equally prepared for practice” (2012). Debates...
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...Within the health field it is essential to make sure the patient’s care is priority. One of the important role for a registered nurse is knowing how to delegate. The importance of learning how to delegate, while earning a degree, will prepare student registered nurses in the work field. Incorporating classroom, case study, and clinical actives about the five rights of delegations. Is a great way to understand delegate effectively. Understanding the five right will help to assign the appropriate tasks to a license practical nurse or licensed vocational nurse and Nursing assistant. The five rights are: right task, right circumstance, right direction, right person, and right supervision. It is essential for the RN to know the limitation of the...
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...patients at the hospital suffer from strokes, spinal injuries, brain tumors, dementia/Alzhiemer’s disease, or other devastating illnesses/injuries. Also, large hospitals and hospitals in urban areas tend to have numerous patients at the hospitals at any given time. Every day hospital units are quite busy and nurses are required to turn, feed, constantly observe for patient safety, bathe, and assist with elimination. RNs need to delegate the tasks or responsibilities to unlicensed assistive personnel (UAP) or other healthcare professionals....
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...the stakeholders, resolving conflict, different ways to know when to give feedback, different evaluation methods to problem solve and relevant recommendations. * Know Your World * Know Yourself * Know What Needs To Be Done * Know Your Delegate * Communicate * Resolve Conflict * Feedback/Evaluate First, we will need to know what the definition of delegation is. According to Hansten and Jackson (2009), the National Council of State Boards of Nursing states that delegation is the “transferring to a competent individual the authority to conduct a selected nursing task in a selected situation” (p. 2). As nurses, we realize that in order to manage thirty seven patients that we require more than merely a little bit of help. Delegation is the key to success in this facility. Without the combined efforts from the nurses, nursing aids, the various therapies, and ancillary staff, our facility could not function...
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...Learning Team Communication Style Case Study HCS/350 Learning Team Communication Style Case Study Successful communication skills are essential to achieve a positive work environment. Words should be carefully chosen to communicate a message of trust, respect, and teamwork. Sometimes in the quest to communicate with co-workers, it becomes difficult to use the right words and tone. The words they use and the way in which they are delivered to the delegate make the difference between a successful and a frustrating episode in delegation (Hansten & Jackson, p. 278). In this paper, our team will review three case studies. The case studies show different communication styles. These styles include: aggressive, passive or nonaggressive, and assertive. The team will examine what took place between the delegator and the delegate in each case study, explain the communication style, and discuss the consequences. Case Study One For the first case study, Robin, a psych nurse, is communicating in an aggressive style with the nurse’s aid, Rashad. She is rude and condescending to Rashad’s words. In return, Rashad remains quiet: a passive response. Rashad’s thoughts are passive aggressive and could not be read by others. At first, Rashad was passive by sitting quietly and not speaking, but had thoughts of future passive-aggressive behaviors to retaliate against the nurse. Aggressive and passive-aggressive communication lays the ground work for tension-filled...
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...Communication Style case study patricia Ofoegbu HCS/305 3/3/14 BSN Communication Style case study There are four kinds of communication styles; assertive, passive, aggressive and passive-aggressive. In assertive communication, the communicators are confident and positive and lay claim to their own right to speak up for themselves. A personal experience from my working place in a mental health facility, where I had a case when a mental ill patient was placed on four – point restraints for trying to strangle a room mate. The charge nurse called Dr cassette, that is a code for emergency rescue or for aggressive behavior response when any patient is acting up. When all the staff gathered together, she assigned each person to specific task to do. Asmat can you please close the unit, tell the patients to remain in their room for 10 minutes, don’t let anybody to block the hallway. Patricia get the doctor’s order, give the shot as ordered by doctor and make sure the patient did not eat anything for about 30 minutes to prevent choking. Ursula make sure that you make rounds every 15 minutes, check the rise and fall of patient’s chest, check the vital signs every two hours, document whatever result you get. Please alert me immediately if there is any deviation from normal range. Passive communication; here the problems don’t get solved and the delegator is avoided and ends up doing more work him or herself. Example of this communication style I have experienced in my work...
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...Communication Style Case Study First Scenario The first scenario is describing an aggressive behavior from a staff RN (Robin) towards an assistive personal (Rashad) who was just expressing his opinion during a team meeting. Robin intimidated Rashad with her aggressive comment to the point that made Rashad feel frustration, but Rashad did not respond her back; he stayed quietly. Instead, his response was passive-aggressive when he began to plan how to take revenge in future working situations. If I could improve this communication, I would do the following changes: Perhaps, she had a bad day that she explodes against Rashad, but she should not let her personal feelings to interfere with her interactions with others. Definitely, she needs to be more respectful. She needs to learn to calm down and relax before expressing her opinions. She should not raise her voice, neither to interrupt or made offensive comments about others responsibilities; she should not sub-estimate the role of others. In sum, she needs to understand the concept of effective communication within teamwork. In the other hand, Rashad was apparently passive, but very frustrated because he was afraid to respond to that comment. He should understand that he is an important part of the team, and his role is equally important than hers. He should tell her with normal tone of voice that this is not the appropriate way to talk to him; we all deserve respect, and state the purpose for being together in the meeting...
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...Introduction The aim of this piece of work will be to describe, analyse and evaluate what role the staff nurse holds in the effective management of the care of the bereaved person. Throughout the author will relate this to the bereavement of a family following the death of a loved one in a care of the elderly setting. In relation to this assignment and because the focus of this assignment is on the staff nurse effectively managing the care of the bereaved person the author will focus on the issue of the importance of good leadership in supporting staff in what could be an emotionally challenging environment. In relation to supporting the staff nurse being able to provide effective care for the patient the author will also be considering the areas of teambuilding and staff development, training and support. It should be remembered that bereavement may occur not just after a death but after any form of loss. Loss is a normal part of everyday life, life involves change and changes often involve an element of loss, (Read, 2002). What is bereavement? Shakespeare once wrote “all that lives must die, passing through nature to eternity”. Death is one of the largest causes of bereavement, although not exclusively. Bereavement is the term used for the emotions and behaviours felt and displayed by a person who has suffered some form of loss, particularly the death of a person close to them or known to them, (Egan, 2003). Coping with bereavement Coping with the emotions...
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...medicine” has come out with a report and study on the nursing profession. This report states that the nursing profession needs to take a leadership boost in healthcare. This paper will discuss how the IOM impacts the future nursing education, nursing practice, and the nurse’s role as a leader. It also speaks of what the healthcare organization needs to do to implement these changes. The IOM‘s impact on education clearly states nurses need to make education a life long journey. This needs to be maintained even after nurses have obtained their licensure. Throughout this journey nurses and doctors need to be educated together accepting the role of students conjointly. Yes, it is costly on those pursing a nursing education. Costly in money, time and family. Thus making it difficult for most. However, the health care system is in dire need of higher level educated nurses. With a great demand in nurse researchers and faculty positions. It posses an obstacle to patient care. The IOM wants double the number of nurses with a doctorate degree by 2020. The education regimen also needs to be changed. According to the study, education needs to be on the cutting edge, one that will prepare nurses for caring for today’s distinct population. Classes on leadership, diversity, advocacy and evidence based practice need to be implemented. There is a big change in the health care that is needed from education to direct patient care. And because nurses are the heart of healthcare they need...
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...Case Study Andre J. Hopp HCS/335 September 24, 2013 Frieda Taylor Case Study Today’s health care system is larger and busier than ever. Increased demand for services coupled with a limited number of providers, creates unique demands on an already strained system. Medical practices rely heavily on staff members to perform a myriad of function, both clinical and administrative. Occasionally, staff members may be asked by either physician or patients to perform duties that fall outside their scope of practice. Should an unqualified employee choose to operate outside his or her scope of practice, they run the risk of committing both negligent and criminal acts. In the case study of Jerry McCall, an office assistant with limited medical training, one sees a clear case of negligent and criminal conduct. The case study presents a scenario where an office assistant in a private physician’s office is asked by a patient to authorize a prescription for a Schedule III controlled medication. Additional information reveals that he is currently the only person in the office. Although Jerry is a Licensed Practical Nurse and medical assistant, his training does not permit him to prescribe medications of any type. Medications may only by prescribed by licensed providers who hold a valid registration with the Drug Enforcement Administration. This is typically limited to physicians, physician assistants, and nurse practitioners. There does however, exist a situation win which it...
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...Style Case Study Daria Aradio Monday, October 1, 12 University Of Phoenix Communication Style Case Study This is a case study about styles of communication. Presentation four scenarios identifying: passive communication, assertive communication, aggressive communication, and passive aggressive communication. The scenarios present how improvement with use of appropriate communication to promote effectively a professional outcome. My first scenario will demonstrate passive communication that leads to a passive aggressive outcome. The charge nurse in intensive care unit delegates out assignments to the other nurses, and at times the intensive care unit nurses refused to take more than two patients. Instead of the intensive care unit charge nurse delegating assertively the assignments she chooses to take the third patient. This causes her to become greatly behind in her own care, in turn providing a lower level of care to her patients. In a code or emergency situations because the charge nurse becomes burdened down with three patients, she cannot assist in these emergency situations and poorly manages direction and flow of the unit. This has led to the charge nurse holding resentment to some of the other nurses because they refuse an extra workload. When it came time for the other nurses to take vacation the charge nurse who does the scheduling tried to be fair and took three days less of her own vacation days to facilitate the fellow nurses vacation...
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...December/02/2012 DIFFERENCIES IN COMPETENCIES BETWEEN ADN AND BSN Nursing professions is undergoing rapid changes and are inevitable. Nurses should be able to adapt and practice these changes in order to provide quality health care to the society. Nurses are the vital part of the evolving health care arena, since our profession is getting more complex and demanding it is our responsibly to be competent in the profession for the better outcome. As there are differences in curriculum, there are visible differences in competencies. Both programs provide essential education for the students in order to practice whereas baccalaureate program is broad base which also includes teaching in critical thinking, leadership and management (Differentiated Essential Competencies ,2010). Nurses who possess baccalaureate degree have the capability to meet the complex and unpredictable needs of the divers population even in an unstructured environment. Studies show that there are decreased rate in medication errors, death rates when patients are cared by baccalaureate degree nurses (AACN, 2011). Majority of the task and responsibilities remains same for both the associate degree nurses and baccalaureate nurses. The associate degree nurses are very proficient in bedside nursing as they acquire knowledge through hands-on practice, whereas the baccalaureate nurses are able to provide evidence based care. Also by utilizing their in depth knowledge in the areas of practice, a BSN addresses the...
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