Teambuilding & Continuity of Care Flashcards

Flashcards about Teambuilding, Continuity of Care and TeamSTEPPS - VOCABULARY style

Role

Multidimensional, psychosocial concept; can be ascribed (conferred at birth) or acquired (attained through circumstance). Nursing roles have flexibility.

ANA Standard 10: Communication Competencies

Maintaining communication with interprofessional team members to facilitate safe transitions & continuity of care delivery. Disclosing & reporting concerns related to potential or actual hazards or deviations from the standard of care.

ANA Standard 11: Collaboration Competencies

Treating others with dignity and respect, valuing expertise of other professionals, using abilities of all team members to optimize outcomes, and articulating the nurse’s role within the team.

Role Theory

Socially defined norms, behaviors, expected duties

Professional Nursing Role Competencies

Expanding role focused on advocacy and leadership/coordination (education, research).

Professional Nursing Role Core Competencies

Patient-centered care, communication, system-based practice, professionalism, safety, evidence-based practice, quality improvement, and informatics

Professional Role Clarity

Essential quality for working with health care teams, allows nurses to communicate their value, support patient safety initiatives, and stimulate confidence in others.

Direct Patient Care Nurses

bed side nurse

Exhibit competent care and communication skills, deliver and organize care, address quality control, problem solve, educate patients, and coordinate communication.

Nurse Managers

midlevel administrative position, Provide leadership for staff in hospitals, handle administrative duties, utilize communication skills & transformative leadership styles.

Advanced Practice Nurses

Minimum of master’s degree, expert knowledge, complex decision-making skills. Includes Nurse Practitioners, Clinical Nurse Specialists, Certified Nurse Midwives, and Nurse Anesthetists.

Clinical Nurse Leader (CNL)

Leadership at the bedside, focuses on quality of care & bridging the gap between members of the health team. Core competencies are clinical leadership, environmental management, and clinical outcome management.

no a aprn, master prepared adv generalist role

Doctor of Nursing Practice (DNP)

Terminal practice degree for professional nurses aiming to position nursing professionally on par with other major health professions.

non research clinical doctorate

Nurse Scientist

Often a joint appointment conducting original research as a “knowledge broker .”

Experiential Learning

Active participation in learning scenarios, with self-reflection to analyze learning components. Goals are competency-based (K,S,A).

Interdisciplinary Education

Two or more professions learn from and about each other to improve collaboration and the quality of care.

Collegial Relationships Communication Qualities

Integrity, respect, dependability, good sense of humor, openness to sharing, and positive reinforcement.

Organizational Climate

Includes measures for accountability, negotiation, respect, and trust. Promotes interdisciplinary communication.

Organizational System

Order of authority & power in an organization that is had and passed down from top management to every employee at every level.

promotes opportunities for interdisciplinary communication

TeamSTEPPS

Team training program that emphasizes improving client outcomes by improving communication using evidence-based techniques.

TeamSTEPPS Key Principles

Team Structure, Communication, Leadership, Situation Monitoring, and Mutual Support

Creating a Team Culture

Open communication with frequent, timely feedback; protecting others from work overload; asking for and offering assistance.

Communication Tools

SBAR, Call-Out, Check-Back, Handoff

Leading Teams Strategies

Brief, Huddle, Debrief

Situation Monitoring Strategies

STEP, Cross-Monitoring

Mutual Support Strategies

Advocacy & Assertion, Two-Challenge Rule, CUS, feedback

Effective Team Leaders

Organize the team, identify goals, assign tasks, monitor plan, review performance, manage resources, facilitate information sharing, encourage assistance, facilitate conflict resolution, and model teamwork.

Briefing

Team leader gives a short overview of pending procedure, identifies roles & responsibilities, plans for unexpected, & increases each member’s awareness of the situation.

Huddle

Ad-hoc meeting to re-establish situational awareness, reinforce plans, and assess the need to adjust the plan.

Debriefing

Review after the incident to identify problems, what went well, and suggest changes to improve future performance.

Situation Monitoring

The process of continually scanning & assessing what’s going on around you to maintain situation awareness

Situation Awareness

Knowing what’s going on around you.

Shared Mental Model

Result from each team member maintaining situation awareness & ensures that all members are “on the same page.

STEP Components

Status of the Patient, Team Members, Environment, Progress Toward Goals

Example of Cross-Monitoring

Monitoring actions of others, providing safety net, ensuring mistakes/oversights are caught quickly.

Feedback Essentials of Communication

Clear & Considerate

Brief and Specific

Timely

Complete & directed towards improvement.

CUS

Use of key phrases understood to mean, “Stop. We may have a problem.”

Teamwork and Collaboration (QSEN definition)

Function effectively within nursing & interprofessional teams, fostering open communication, mutual respect, & shared decision making to achieve quality patient care.

Handoff reports (Care Transitions)

The traditional patient report from one nurse handing over care to another nurse (shift changes, patient transfers).

Interdisciplinary Rounds & Team Meetings

Increase communication among the whole team (physicians, pharmacists, therapists, nurses, & dieticians).

what is the goal of rounds and team meetings

decrease length of stay in hospital

what can rounds include

huddles callouts and timeouts

two challege rule

voice concern twice

c

concerned

u

uncomfortable

s

safety issue

cross monitoring

human error reduction strategy

where is handoff reports best made

at bedside ( SBAR)

rules about the chain of command

do not side step the chain

promote clear policies

written codes of behavior

ongoing continuing education; stress awareness ; ex Team steeps

chain of command

order of authority and power in an organization that is had and passed down form top management

instruction flows

down

chain of command and accountability

upward

chain of command

director of nursing

unit manager

charge nurse

staff nurse