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 - doesnt
  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 others 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 dont 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 persons
  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 ones 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 persons 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 anothers 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
  persons 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 patients 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