Roles

ROLES acronym

Responsibilities

Opportunities

Lines of communication

Expectations

Support

Role

a set of expectations about how a person should behave in a particular position or situation

Roles develop from...

Developmental transitions, situational transitions, and health-illness transitions

Role performance

the execution of the responsibilities and expectations associated with a designated role. Emphasis on competency, consistency, and quality of care

Role performance is influenced by

knowledge, skills, experience, confidence, motivation, available resources, expectations of others

Key role functions of nursing

care, advocacy, coordination

Student nurse role functions

attend clinicals, prepare for patient care, follow policies, demonstrate safe practices

Nurse role functions

assess patients, administer medications safely, communicate with the healthcare team, advocate for patients, provide competent care

Patient care

involves direct interaction assessing patients and developing individualized care plans based on their needs

Educating patients

regularly teaching patients and families about disease processes, treatment options, lifestyle modifications, and adhering to safety protocols

Our role as a student nurse matters. How do we fulfill our role?

know our role, perform our role safely, respect the roles of others, speak up for patient safety, communicate professionally, choose civility

Sick role of a patient

not voluntary, dependent, requires new coping skills, stigma of illness and disability, cultural context, acceptance, expectations

Impact of illness

behavioral and emotional changes, impact on body image, impact on self-concept

Advocacy

Advocate for patients' needs, preferences, and rights, ensuring they receive respectful and equitable care. Communicate patient concerns to the healthcare team, facilitate access to resources, and educate patients about their options

Coordination

Coordinate care activities by collaborating with various healthcare professionals, thus ensuring holistic care. Ex: developing care plans, scheduling interdisciplinary meetings, and sharing necessary information in rounds

Support

provide emotional and psychological support to patients and families to enhance their coping mechanisms during challenging times. Approach with active listening, empathy, and creating a comfortable environment

Trust v mistrust

(0-1 year) infancy; if needs are dependably met, infants develop basic trust

Autonomy v. Shame and Doubt

toddler (1.5-3) after gaining trust infants discover they have a will. They assert their sense of autonomy or independence. If restrained or punished too harshly, they are likely to develop a sense of shame & doubt

Initiative v. Guilt

age 3 to 5, preschooler - learn to initiate tasks and carry out plans, or they feel guilty about efforts to be independent

Industry v. Inferiority

age 6 to puberty, elementary school - learn the pleasures of applying themselves to tasks, or they fell inferior

identity v. role confusion

(12-18 years) adolescents must make the transition to adulthood, establish an identity, develop a sense of self, and consider a future occupational identity; otherwise, role confusion can result

Intimacy v. Isolation

(20-30 years) the task is to develop healthy intimate relationships, but maintain appropriate independence

Generativity v. Stagnation

40s to 60s, middle adulthood - people discover a sense of contributing to the world, usually through family and work, or they feel a lack of purpose for their life

Ego Integrity v. Despair

Late Adulthood....Review their lives and if satisfied feel sense of accomplishment they will experience ego integrity........if not they may sink to despair.

Positive self-concept

builds resilience and encourages proactive behavior in patient interactions, enhancing care effectiveness

Poor self-concept

may result in feelings of inadequacy, hesitance in decision-making, and reluctance to take on responsibilities

Role stressors

challenges or pressures that hinder the fulfillment of responsibilities and may lead to role strain or burnout

Role performance stressors

occur when a person has difficulty meeting role expectations. Examples include: role conflict, role overload, role ambiguity, role strain

Common role stressors

too many responsibilities, conflicting expectations, lack of time, lack of support, unrealistic expectations, major life changes, workplace demands

Impact of role stressors on nurses

job dissatisfaction, high turnover, impacts on personal health

role performance

the way individuals perceive their ability to carry out significant roles. Normal changes associated with maturation results in changes in role performance

Role conflict in nursing

prioritize based on safety, responsibility, and urgency. Make the safest and most responsible decision. Communicate with everyone affected early and ask for help when necessary

Effective groups must do what?

Communicate, respect different perspectives, share responsibility, work toward a common goal, address conflict appropriately

What are nurses expected to do?

provide safe and competent care, advocate for patients, communicate effectively, protect patient privacy, collaborate with the healthcare team, practice ethically and legally, maintain professional boundaries, promote patient safety

Professional nursing is the combination of what

knowledge, skills, judgement, and accountability

Nurses are...

caregivers, communicators, advocates, collaborators, educators, and ethical professionals

How do nurses promote patient safety?

identify patient safety risks, communicate changes in patient condition, follow safety protocols, verify medications and treatments, prevent infections, use appropriate identification, report errors and near misses

National patient safety goals

Helps healthcare organizations focus on important safety practices

Before you act as a nurse... ask

-Is this the right patient

-Is this the right medication

-Is the order correct

-Did I communicate important information

-What could harm the patient?

-What needs to be reassessed

Safety is part of every nursing role, it is not one task

What is civility?

Respectful behavior toward others

Examples of civility

respect, professional communication, listening, inclusion, courtesy, empathy, constructive feedback, appropriate conflict resolution

What is incivility?

rude, disrespectful, or discourteous behavior. Can occur between anyone

Possible effects of incivility

stress, decreased confidence, poor communication, decreased teamwork, increased errors, reduced patient safety, staff turnover, can become a patient safety problem

Professional communication or civility promotes

teamwork, speaking up, collaboration, error prevention, patient safety