leadership, communication, and collaboration in nursing - lecture 3 pt 1

components of systems

Input - 1st component - information, energy, matter entering a system

Throughput - second component

Output - end result

Evaluation - means measuring the success

Feedback - final component

components of systems - example

components of systems - example

systems

-Open: exchange

-Closed: no exchange/interaction (very few)

SYNERGY

Subsystems working together

1+1>2

subsystems

smaller systems that operate within the context of a larger system

all are related and impact each other

Hospital system

-How can hospital systems impact nursing practice?

-How can hospital systems impact patients?

-How can nursing practice impact hospital systems?

-How can patient impact hospital systems?

what is the main idea from this....

foundation of nursing

foundation of nursing

person

-unique, adaptable

-open system with subsystems

-influenced by genetics and environment

-motivated by needs

-seeks homeostasis

environment

-affects well-being

-physical (air, water, etc.)

-nonphysical (family, culture, social structures)

health

-on a continuum

-dynamic

-holistic

-affected by health beliefs and behaviors

maslows hierarchy of needs

1. physiological needs

2. safety needs

3. social needs

4. esteem needs

5. self-actualization

physiological needs

most basic needs

safety needs

physical and psychological safety and security

social needs

love and belonging

esteem needs

self worth, respect, and reliance

self-actualization

max potential , peak experiences of using talents, skills, and abilities

-HIERARCHY OF NEEDS

-NEEDS VARY

-ADAPTATIONS VARY (Rogers, 1961; Becoming a Person)

-consider nurses and patient examples

-HOMEOSTASIS

-Threatened when needs not met

-HOW DOES THIS TIE TO INDIVIDUALIZED NURSING CARE?

what are some assumptions about needs

family

-most direct influence ona. person

-types, trends

cultural

-increase number of diverse groups

-ethnocentrism: making judgements

social

-increased illness following social change

-support, social networks

community, national, and world

-impact of nurses, hospitals

-national, global

health

"a state of complete physical, mental and social well being and not merely the absence of disease or infirmity" WHO 1947

health care without harm

an organization with the mission to reduce hazardous waste, specifically mercury, produced from healthcare facilities. This organization encourages nurses to become "environmental health activists

health continuum

health continuum

Holistic view of health

focusses on interrelationship of all parts that make up the person

Nursing

embraces a holistic view of health

Jan Christian Smuts (1926)

modern Western model, harmony between people and nature

Healthy People 2030

Healthy People 2030

Health

affected by health beliefs and health behaviors

Rosenstock (1966) Health Beliefs Model

3 components

-Vulnerability to a condition

-How effective health maintenance

-Trigger event

Example, smoking

trigger event

an event that triggers a previously unmotivated individual to change health habits/behaviors. Burdette

Bandura (1977) Self Efficacy

-Cognitive psychologist

-assist in health-related behaviors

-Self efficacy – leads to change

-4 components needed for effective program of lifestyle change:

---Information

---Skill development

---Skill enhancement through practice and feedback

---Social support

self efficacy

the belief in one's ability to perform tasks and meet challenger to achieve goals.

dr google

Not always best source

cyberchondria

Believe they have disease they read about online

-Who sponsors the site

-Be skeptical – evaluate the source to determine whether there is self interest (ex. A drug company promoting a product)

-Check authors name and credentials

-What is the purpose of the site

-Last date of revision

-Editorial review

-Material consistent with science, not testimonials

-Who runs the site

-Unbiased

what are some things to think about when assessing health related sites

changing

Health is constantly ...

entire person

Health impacts the ...

POWERFUL

Individuals health belief are ...

efficacy and support

•Individuals desiring change may lack knowledge, motivation, sense of self ...

help

Knowledge does not always ...

SLOW

Change is often very ...

Burden

________ of action is mutually shared by patient, HCP and population focused entities

Social policy statement (ANA)

-Essence of profession

-Guides our social responsibility

Code of Ethics for Nurses

statements of the professionals' values and beliefs, which are based on ethical principles

Pg 194 box 8-3 personal plan for high level wellness**** do this

Pg 194 box 8-3 personal plan for high level wellness**** do this

cognitive

intellectual, weigh alternatives

prizing

emotional, feeling good about a choice

acting

behavioral, affirm publicly and act on choice - mark of a real value when consistent

CONSIDER THE SOCIAL POLICY STATEMENT (ANA, 2010)

GUIDES PRACTICE, NURSES SOCIAL RESPONSIBILITY, AND INFORMS OTHERS

descriptive beliefs

-shown to be true or false

-"The sun will come up tomorrow morning"

evaluative beliefs

-judgement about good or bad

-"Advanced live support for 90 year old is immoral"

prescriptive beliefs

-actions are judged to be desirable or undesirable

-"Every voting citizen should vote in every election"

philosophy

The study of the principles underlying conduct, thought and nature of the universe. Contemplate or wonder about something

steps in philosophy

1- Aesthetics- differs individual to individual

2- Ethics- Behavior depends one moral principles and values

3- Politics- recommends improvements for conditions in society

4- Metaphysics- believe that through contemplation we can come to a more complete understanding of reality than science alone can provide.

5- Logic- study of proper and improper methods of reasoning

6- Epistemology- theory of knowledge itself