Interprofessional Communication and Leadersip in Healthcare Performance Assessment
docx
keyboard_arrow_up
School
Western Kentucky University *
*We aren’t endorsed by this school
Course
D221
Subject
Health Science
Date
Apr 3, 2024
Type
docx
Pages
8
Uploaded by bdeleon1229
1
Brittany de Leon
Interprofessional Communication and Leadership in Healthcare
Elizabeth Bockheim
Interprofessional Communication and Leadership in Healthcare Reflection
May 10, 2023
2
Part One: Working Style Upon completion of the 5 Dynamics Assessment, I was categorized as deliberate in all four energies evenly (Explore, Excite, Examine, and Execute). I was surprised to learn that this was rare when I was reading my learning report. When comparing the Working Style Self-
Assessment with the 5 Dynamics Assessment, I noticed that I was stronger in the Execute energy
on the Working Style Self-Assessment instead of being consistent throughout all energies. I would consider my strengths to be organization and my persistence to complete a task correctly. I
have learned that my vocabulary is more simplified which tends to be helpful when I am providing education to my patients each day at work. When I was reviewing each energy section and trying to relate myself to each phrase, I was still overthinking my answers. I tend to be very indecisive on answers and often find myself questioning my answers. I recognize that my challenges are the following: overthinking the task and the length of time I spend on the task. I tend to be the person who will overthink a task or assignment which will often slow me down when completing the task. I am often striving for perfection which often causes me to edit my work more than most. I learn best in a traditional learning environment. I notice that I learn best listening to a lecture while highlighting the key points mentioned during the lecture in the provided PowerPoints. When studying independently, I seem to struggle with focusing on factual
data rather than narrowing down to key points of the whole picture. I feel that this has been a struggle for me since the beginning of my nursing school. As an outpatient clinical nurse, I am often assessing the needs of my patients. When completing an assessment, I must focus on all the fine details of their complaints or concerns. Assessing a patient’s need could easily be compared to developing ideas to complete a task. As a nurse, you will listen to their complaint, assess the symptoms, collaborate with the provider to
3
develop a potential diagnosis, and then develop a treatment plan. I am knowledgeable about my policies at work which helps me build a thorough assessment prior to giving report to my providers. I am familiar with our facility policies and service agreements. I use these policies as guides when collaborating with the provider to develop a plan for further evaluation such as orders for imaging or physical therapy. The policies are in place to ensure that the standard of care is followed. Following the policies and standard of care helps ensure that the consultations are not discontinued for lack of a complete work up. Organization and collaboration are essential elements to ensure the clinic is efficient while also providing quality care to our patients. Having team members that carry strength in each of the energies would be beneficial in having an effective team. Since I am stronger in the execute energy, I am typically the person who will format the structure of the meeting and will rely on my team members to help with building the content of the meeting. For example, I am a chair of my unit-based council at work. I will often survey the staff on ideas for improvement within our area. I will use the results of the survey to delegate the tasks to the appropriate subcommittee to work on the project.
Part Two: Communication
As an RN Care Manager, I am constantly having conversations throughout the day. When
dealing with multiple personalities that vary from patient to patient, I often adjust my communication styles or approach to meet the needs of my patient. There are times where I have recognized myself in the pretense phase of the conversation meter. I am often having to contact patients for a follow up on a treatment plan. There are times that the patient is not in agreement
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
4
with the provider’s treatment plan which can cause turmoil for the nurse who is providing the education. An example of pretense on the conversation meter could be when nurses ask only closed ended questions to rush through the conversation to avoid conflict during the interaction. An example of sincerity on the conversation meter would be when a nurse may present education
on a treatment plan in a matter-of-fact manner which often limits the conversation to allow the patient to voice their opinions. I have had many conversations with patients who the provider is stopping a pain medication due to a positive drug screen or discrepancies in a controlled medication report. These conversations tend to fall under the pretense and sincerity category on the conversation meter as the conversation will include reinforcement of the policy and the signed agreement between the patient and the medical provider. These conversations are never easy for any healthcare professional. I find that I will present the facts and the plan while also trying to limit the conversation to avoid any additional conflict. There are times where I have struggled with remaining maintaining a positive conversation with a patient who challenges all aspects of the provider’s treatment plan. For example, I have a patient who has a tendency of noncompliance with his medications, or he is self-adjusting his medications without consulting with his medical provider. I often call him for follow up on his blood pressure. I have found myself using a limit setting technique with the conversation to state the facts of the treatment plan without fully listening to his concerns or challenges. Most recently, I have learned to start the conversation by informing him for the reason of my call, initially reviewing the plan with him, and then allowing him to voice his challenges fully prior to interjecting recommendations (accuracy). I find that if I allow him to complete his full track of thoughts, then he is more open to the suggestions or recommendations (authenticity). I have learned that this allows him to participate in his healthcare decisions, but
5
also allows him to feel as if he is collaborating as a team member in managing his healthcare. This has not been a timely trial and error learning process with working with this patient. However, this method has improved the quality of the conversation and decreased the time spent on the conversation. This has improved our mutual respect and improved his willingness to actively participate in his treatment plan. Our facility offers annual training to improve communication between the patient and the healthcare staff. Overtime of using the communication tools to engage the patient in the conversation has improved the quality of the conversations. Communication tools provided by the facility are remarkably like the cycle of value. I have found that remaining consistent with this style of conversation has improved the quality of the conversation but has also improved the rapport built with the patient. Part 3: Reflection/Hero’s Journey
Over this course, I have learned that mindfulness is a wonderful tool to focus on your innermost emotions and reset your thoughts. This has been a tool that I have used when I am having a stressful day at work, and I just need to regroup my emotions and start fresh for the second part of my day. I find that sometimes it is hard to decompress after a busy of stressful day
at work. Practicing mindfulness has been helpful with decompressing from the day and switching
my focus to learning before starting to study course material. I find that this has helped me with focus and thought processes when working through the course materials. I believe my biggest challenge with this course has been setting my routine to be consistent with my study times throughout the week. Another challenge for me is to separate my training at work from the verbiage used in this course, especially with the conversation meter. I am so familiar with the
6
terminology that is used for our facility training for mindful listening during conversations. The root of the material is essentially the same, but the verbiage is different. Overall, mindfulness exercises have been the most valuable tool I have gained from this course. It is often talked about at work, and we often coach our patients on the benefits of it. It is sometimes easier to help my patients learn about it and help them recognize the benefits of it. I often have a tough time with self-care. I just do not do it often enough. This tool has not only allowed me to give myself a little bit of self-care, but it has improved my mental state and focus overall. This has been a tool that I have shared with my co-worker when I notice that she is also struggling from a stressful day. It has been our lunch routine to help us slow down and refocus for the remainder of the day. I have caught myself talking to my coworker often about mindful and intentional listening during a conversation. When I notice if she is getting overwhelmed, I remind her to slow down and to remember to listen fully before reacting. I have caught myself educating my coworker about bioreactions as she has been easily stressed or overwhelmed due to
the multiple changes with our current clinic. I shared some of the stress videos in the course material with my coworker to remind her that we control our stress levels rather than allowing the stress to control us. I believe the two things I could do to help my coworker is the following: participating in daily mindfulness exercises at lunch break to help us reset and to reinforce the conversation meter to recognize whether we are applying mindful listening when conversing with our patients. I plan to integrate the conversation meter with my mindfulness listening training to ensure that my patients feel that we are listening and feel valued. I also plan to integrate mindfulness exercises in my daily lunch breaks to ensure that I am resetting my emotions and
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
7
thoughts for the rest of the day. I feel that this will not only improve my mental health but also improve the quality of care I am providing to my patients. I believe that growth in communication skills is something that will always be needed. As
a leader, we must recognize that there is always something new to learn to help us master our communication skills. I also recognize that consistently practicing mindful listening will improve
my overall conversations with my patients and coworkers. This will lead to building trust and a better rapport with my coworkers and patients. I plan to also request routine meetings with my leadership team to discuss things that I am doing well and discuss areas where I can improve. I plan to use the communication skills taught in this course when I am leading my unit-based council meetings. I believe that having a reserved time during each meeting to allow coworkers to speak freely about concerns or suggestions on areas of improvement will encourage more of the staff to actively participate more in the meetings. The more involvement we have in these meetings in developing ideas for improving our processes allows our staff to participate in the changes they wish to see, and it will result in creating a better environment for our staff. Attachments:
8