Team Work and Team Building

1. Team Work and Team Building B86

2. 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

3. 2. Results driven • environment conducive to goal achievement • team and performance constantly evaluated • a dynamic team that can handle change

4. 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

5. 4. Unified commitment • nothing will happen without commitment • entire group needs to buy in

6. 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

7. 6. Standards of Excellence • is an outcome of all the other characteristics • refers to excellence in goal achievement

8. 7. External Support and Recognition • support from administrative staff • who to call when the team is threatened

9. 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

10. Stages of Team Development • 1. Forming • members get to know one another • recognize and value each other’s expertise • develop trust

11. 2. Storming • stage of conflict • voice opinions, state beliefs • define roles and objectives • needs to happen before the real work can begin

12. 3. Norming • establishing the work schedule and roles • when can we get together • where for how long • how will we progress

13. 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

14. 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

15. 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

16. 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.

17. 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.

18. 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 non-verbal channels.

19. 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

20. 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:

21. 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.

22. 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.

23. 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.

24. 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.

25. 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.

26. 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.

27. 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.

28. 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.

29. 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.

30. 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.

31. 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.

32. 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.

33. 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

34. 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

35. 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.

36. 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