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Nursing Roles and Other Healthcare Team Roles

Healer

  • Associated with holistic nursing
  • Main focus is to treat the PATIENT rather than just their SYMPTOMS
  • AHNA: The American Holistic Nurses Association
  • Holistic nursing is an attitude and a way of being.

Anna Barnhart

Beata Jagusztyn

Matthew Mysliwiec

Natalie Parks

Roles and Backgrounds of the Healthcare Team Members

  • Health care is an increasingly diverse field where many specialties interact to provide patient care.
  • 5 main roles
  • Shared Goals
  • Clear Roles
  • Mutual Trust
  • Effective Communication
  • Measurable Processes and Outcomes

Comforter

Nursing Roles

DOCTORS

Other Members of the Healthcare Team

ECG

62

Empathy

bpm

  • Social workers
  • Clergy
  • Administrative Staff
  • Volunteers
  • Community Health workers
  • Patient
  • Primary Care Physician
  • Specialists
  • Geriatrics
  • Pediatrics
  • Psychiatry
  • Psychology
  • Surgeon
  • Pharmacists
  • Technologists
  • Therapists
  • Oncology, Othropedics, Hematology, Neurology, Rehabilitation, Anesthesiology, Critical Care, etc.
  • Physician Assistants
  • "To show that you understand - to the point of feeling - how another person feels" (McCorry).
  • Comforting patients involves the communication of feelings
  • As healthcare providers, we must remain empathetic toward the patients feelings and emotions.
  • Empathy builds a strong relationship and shows that the nurse actually cares for the patient, providing comfort to the patient.

Interdisciplinary Communication

  • Responsible for helping the patient promote, restore, and maintain health
  • Through physiologic, spiritual, emotional, and social care, nurses comfort the patient and provide the best care as possible
  • Advocate
  • Comforter
  • Educator
  • Mentor
  • Leader
  • Researcher
  • Healer
  • Guide
  • Sentry

Physicians

Healthcare professionals coming together, communicating, and adding input to properly develop a treatment plan that will best suit each patient.

Advance Practice Registered Nurses

Mentor

Leader

Hand-offs

  • Certified Nurse Practitioner
  • Clinical Nurse Specialist
  • Certified Registered Nurse Anesthetist
  • Certified Nurse-Midwife
  • Nurses are advocates for patients
  • Nurses inform the Physician about the patient's current health status
  • "Communicationn between nurses and physicians is the one factor that is most associated with excess hospital mortality" - UM
  • Miscommunication can occur
  • Physicians may also be a part of the Care Plan Conferences
  • collaboration of healthcare members
  • Nurses lead patients to be their mentor to aid in decision making and managing their care
  • Nurses help patients make safe and effective decisions and judgment in their care

Occur any time one provider transfers the responsibility and accountability for the care of a patient to another

Self-disclosure

  • Be able to offer leadership to others
  • Utilize personal influence
  • Commit to excellence
  • Reevaluate any personal doubts
  • Primary focus should always be on the patient
  • Revealing something about yourself
  • Useful in sharing similar personal experiences to comfort the patient
  • Show empathy, but don't try to one-up the patient

When do hand-offs occur?

  • What's a situation in which mentoring would be helpful to a patient?
  • What kind of characteristics does a strong mentor have?
  • shift change
  • breaks
  • transfer of a patient

Strategies for Effective Hand-off Communication

ECG

71

bpm

  • Read the report back to ensure both parties understand
  • Communicate face to face verbally
  • Limit distractions and interruptions
  • Use written documentation to supplement
  • Use standardized format such as, SBAR, so it is presented in a predictable, clear manner

Reporting

Advocate

  • Verbal communication and non- verbal cues
  • Maintain eye contact
  • Keep it short and to the point with correct details
  • Avoid disrespect or looking uninterested

SBAR

  • Situation: What is happening at the present time?
  • Background: What are the circumstances leading up to this situation?
  • Assessment: What do I think the problem is?
  • Recommendations: What should we do to correct the problem?
  • A major role is to advocate for our patients.
  • Ensure that the patient is in a safe environment for healing.
  • Must have a complete understanding of the patient's health condition, previous health problems, and current potential problems.
  • Advocating includes taking responsibility for protecting the patient and their legal rights.

How do we advocate for patients?

It is important to remain tactful and diplomatic when communicating with other health care professionals and the patient themselves.

Thank You!

Sentry

Nurse to Nurse Communication

  • Acts as a guard for the patient
  • Watches over, protects, assesses and intervenes when necessary
  • Very similar role as an advocate
  • They both involve speaking on behalf of the patient and defending them and their rights.

JEOPARDY

  • Nurses communicate verbally as well as electronically
  • They communicate through charts and progress notes
  • Examples:
  • Narrative Notes
  • SOAP- Subjective, Objective, Assessment, Plan
  • PIE- Problem, Intervention, Evaluation
  • FOCUS (DAR) - Data, Action, Response
  • Charting by exception (CBE)

Healer

Nursing Roles and Responsibilities

Educator

Researcher

  • Registered nurses (RN)
  • Making sure that the patient is educated about diseases, prevention, nutrition, healthy behavior, and any kind of treatment they receive is critical in nursing
  • Nurses must:
  • Explain treatments and procedures
  • Answer any questions
  • Evaluate the progress of the patient
  • They continue development of nursing knowledge and practice.
  • Identify research questions, design, and conduct scientific studies.
  • Partner with other scientists.
  • Helps address complex questions
  • Typically work at larger teaching hospitals and research centers

Genuineness

Nurse Specialists

  • Critical Care Nurse
  • Hospice/Palliative
  • Neonatal
  • Holistic Care
  • Informatics
  • Case manager
  • Research
  • Trauma
  • Rehabilitation
  • Public Health
  • To be completely yourself when dealing with others
  • To be completely open and honest
  • Fully engaged, courteous, and respectful

Evidence Based Practice

  • Evidence Based Practice is clinical practice based on CURRENT research findings.
  • There are many benefits to EBP:
  • Better patient outcomes
  • Promotes care practice based on research and not on tradition
  • Increases quality of care while decreasing healthcare costs
  • Contributes to the evolution of nursing practice

EBP

Guide

  • Similar job to that of an educator.
  • Help patient understand anything they are unsure of
  • Interpret and translate medical jargon
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