ECU N3200 Final Part 2

thoughts, communications, actions, customs, beliefs, values, & institutions of groups (racial, ethnic, religious, or social)

shared identity r/t social & cultural heritage (eg: values, language, geographical space, & racial characteristics)

process of acquiring specific knowledge, skills, & attitudes to ensure delivery of culturally congruent care

-awareness (in-depth self-examination)-knowledge (comparative knowledge of diverse groups)-skills (ability to assess factors influencing care & tx)-encounters (engagement in cross-cultural interactions)-desire (motivation & commitment to caring)

lifelong learning practice & essential attribute of RN. Builds relationship to share information

communication within an individual. Self-talk or inner thought

one-on-one interaction. Heart of nursing practice - means to establishment of help-trust relationship

communication within spiritual domain (prayer, meditation, guided reflection)

interaction with a small number of people

interaction with an audience

motivation for communication

people involved in active process of communication

content of communication (verbal, nonverbal, & symbolic language)

means of conveying & receiving messages - auditory, visual, & tactile channels

message receiver returns to sender. Indicates if receiver understood original message

vocabulary, intonation, denotative & connotative meaning, clarity & brevity, and timing & relevance

denotative - literal (dictionary) meaningconnotative - interpretation of a word influenced by thoughts or feelings people have about the word

personal appearance, posture & gait, facial expression, eye contact, gestures, sounds,and territoriality & personal space

need to gain, maintain, & defend one's right to space.

Provides identity, security, & control

invisible, individual, & travels with person

verbal & nonverbal symbolism to convey meaning. Eg: art, music, & dance

broad term; all factors influencing communication. Sometimes incongruence btw word & body language

1 - preinteraction phase2 - orientation phase3 - working phase4 - termination phase

encourages expression of feelings & ideas; conveys acceptance & respect

SOLER: Sitting forward, Open posture, Leaning in, Eye contact, Relax

personal questions, personal opinions, changing the subject, automatic responses (stereotypes), false reassurance, sympathy, asking for explanations, approval or disapproval, arguing, and defensive, passive, or aggressive responses

-standardizes & organizes essential info-pertinent & focused-common expectations

name, unit, patient, problem

admission date & dx, pertinent medical hx & tx

vital signs, on oxygen, pt complaints, change from prior nursing assessment

testing, medication, notification, when to call again

"I need some clarification...

"

-change in condition-notification of HCP-orders-reassessment

-recording & reporting nursing assessment-recording & reporting the plan for care, care provided, & pt response

client-focused, relevant, comprehensive & concise, accurate, timely, confidential, permanent record of care

-maintenance of health and illness prevention-restoration of health-coping with impaired functioning

interactive process that rpomotes learning

purposeful acquisition of new knowledge, attitudes, behaviors, & skills

-motivation to learn-ability to learn-learning evironment

cognitive: intellectual behaviors; requires thinkingaffective: expression and acceptace of feelings, attitudes, opinions, & valuespsychomotor: integration of mental & muscular ability

supplement of verbal instruction with familiar images. Eg: blood through arteries is like water in hose

people are asked to play themselves or someone else

teaches problem-solving, application, & independent thinking

study of conduct & character

helping others

"do no harm"; not using a tx that causes more harm than good

patient

personal belief influencing behavior

-cannot be solved through review of data-difficult to make a decision re problem-answer will have a profound meaning to a human interest

civil wrong made against person/property: assault, battery, false imprisonment, defamation, negligence (falls below standard), malpractice (professional negligence)

person is fearful

intentional touching w/o consent