Module 8 - Think like a Nurse: Caputi Method Steps 4 & 5

What is Step 4 of the Caputi Method?

Taking Action (Implementing).

What are the 4 sub-competencies of Step 4 Taking Action?

A) Determining how to implement planned interventions

B) Delegating

C) Communicating

D) Teaching others.

What is the definition of determining how to implement planned interventions?

The nurse must decide exactly how each action will be implemented within the individualized patient situation.

What 3 factors should be considered when deciding how to implement interventions?

Situation, Context, and Resources.

What two questions must a nurse ask when adapting/changing skill steps in a patient care setting?

Will the change be a threat to patient safety?

Is the change needed to accommodate the patient?

What is the definition of delegating?

Transferring the task/responsibility for the care to another member of the healthcare team (e.g., another nurse, LPN, or HCA).

What 3 general factors must be considered when delegating?

1) Knowledge, skill & experience

2) Complexity, challenges &/or related risks

3) Environment: stability, safety, resources.

What nurse-specific factors are evaluated during delegation?

Scope of practice, knowledge, skill, judgment, and experience.

What patient-specific factors are evaluated during delegation?

Complexity, predictability, and risks.

What delegate (HCA) factors are evaluated during delegation?

Role, education, competence, and understanding.

What environmental factors are evaluated during delegation?

Clear procedures, policies, protocols, care plans, pathways, resources, and stability.

Can medication administration be delegated to an HCA?

No.

Can assisting a patient to the bathroom be delegated to an HCA?

Yes.

What is the definition of communicating in nursing?

Sharing thoughts, feelings, or information with others in forms of speaking, writing, facial expression, and/or body movements.

What is therapeutic communication?

Skills that help to determine the patient's needs, concerns, and feelings to better understand, ensure clarification, and improve patient outcomes.

What are examples of verbal communication techniques?

Asking questions, open-ended questions, restating/paraphrasing, clarification, reflection, summarizing, providing information, and giving broad openings.

What are examples of non-verbal communication techniques?

Eye contact, open body language, facial expression, silence, touch (where appropriate), and posture.

What does SBAR stand for?

Situation, Background, Assessment, Recommendation.

What is the purpose of SBAR?

To provide focused and clear inter- and intra-professional communication.

Whats in the 'S' (Situation) of SBAR?

Introduce yourself, state the patient name/age, and state the reason for the call or report.

Whats in the 'B' (Background) of SBAR?

Recent events, medical history, current medications, and vital signs.

Whats in the 'A' (Assessment) of SBAR?

Current assessment findings such as pain levels, shortness of breath, or other symptoms.

Whats in the 'R' (Recommendation) of SBAR?

Suggestions for immediate tests/treatments or requests for review by a specialist/physician.

What is the definition of teaching others?

Empowering others with knowledge through formal ways, informal ways, or group settings.

What is an example of formal teaching in nursing?

Classroom teaching.

What is an example of informal teaching in nursing?

Patient education provided during care provision.

What is an example of group setting teaching in nursing?

An in-service presentation about new supplies given to staff on shift.

What is Step 5 of the Caputi Method?

Evaluating Outcomes & Your Thinking (Evaluating).

What are the two main parts of Step 5?

1. Evaluating data

2. Evaluating and correcting thinking.

What is the definition of evaluating data?

Determining the meaning of follow-up information (reassessment) related to the interventions that were implemented.

What steps must a nurse take to reassess a patient situation?

1) Know previous info indicating a problem

2) Know what data needs to be collected

3) Compare new data with original data to make meaning.

What is the definition of evaluating and correcting thinking?

Determining the quality of clinical judgment used and reflecting on one's own thinking process.

Why is reflecting on thinking important in nursing?

"Same Thinking = Same Results" - correcting thinking leads to improved future clinical decisions and patient outcomes.