Communication For Nursing & Midwifery INTERNAL STUDENTS HS1111 WEEK 1 Study Guide JCU | Course Coordinator | Julie Shepherd | 2017 JCU | Course Co-coordinator | Susan Edwards | 2017 Page | 1 Week One Internal Students HS1111 INTRODUCTION Hello and Welcome to HS1111– Communication for Nursing and Midwifery. My name is Julie Shepherd and I am the subject coordinator for this course. In commencing this subject it is important that you pay close attention to the subject outline. The subject outline will provide you with the information you require to successfully complete this subject. This subject, ‘Communication for Nursing and Midwifery’ will introduce you to the process of effective interpersonal communication and aims to help you to develop your skills in building professional helping relationships with the people you care for and work with. The focus of the subject is on the development of professional helping relationships. Being able to understand a client's experience of health and illness is central to the helping process. Through the process of learning effective communication skills you will also learn about yourself and the way in which you communicate with others. You may find that you will gain a new perspective regarding communication and adopt new methods and skills to enhance your interpersonal behaviour. You will find that healthcare is a rewarding profession although at times you may find it challenging. Having the ability to effectively communicate is vital in the nursing profession. The teaching of this section of the course is designed to give you experiences in practising communication skills before you begin to work with clients. SUBJECT LEARNING OUTCOMES Outline the key components of the communication process Identify the goals of effective communication for health professionals Discuss barriers to and facilitators of effective therapeutic and professional communication Reflect on elements of effective written, verbal and non-verbal communication in therapeutic and professional interactions Demonstrate effective interpersonal communication with individuals and groups. The weekly activities set out for you will assist you with your learning and help you to build your knowledge and understanding of the critical skill of communication in Nursing and Midwifery. It is in your best interest to complete the content weekly. “Effective communication is central to safe person centred care and effective therapeutic relationships”. (Kozier and Erb, 2015, p.510) Page | 2 Week One Internal Students HS1111 Throughout this subject you will be required to access resources or undertake activities in order to develop your skills and growth in this area. Some resources will be readings from your assigned textbooks, websites, and journal articles (which you may need to seek out—but are available by accessing the JCU library). It is highly recommended for this subject that you familiarise yourself with PebblePad and commence your practice of reflective writing form your very first week. Please do not hesitate to contact me for any questions or clarification on issues. My contact number is (07) 47 816 513 and my e-mail is julie.shepherd@jcu.edu.au. I would suggest that if you cannot contact me via phone (I am out teaching most of the time), please forward an email with your questions or to make an appointment. I will be available each Wednesday at 1300-1500 or Thursdays at 1100-1300 to answer questions and discuss the lecture &/or activities. It is preferable if you make an appointment prior. Before you begin your weekly activities please take the time to consider how you will manage your study time for this and any other subject you are enrolled in this semester. It is advisable that you write a study planner to keep you on track and alert to any important dates or activities required. Video Clip For a bit of fun, please click on the following link: Substitute teacher Mr Garvy https://www.youtube.com/watch?v=zRpsRKuyi3Y Week 1 - Overview This week we explored: Communication fundamentals Person/woman Centred Care ‘Person centred care has a long association with nursing, and at a level of principle is well understood as that which is concerned with: treating people as individuals; respecting their rights as a person; building mutual trust and understanding, and developing therapeutic relationships’. MCormack & McCance (2010, p. 1) Page | 3 Week One Internal Students HS1111 ACTION PAGE (Please bring the following work completed, in preparation for week 2.) DO Week 1 online quiz - opens Friday 24th Feb 6am-midnight Activity 1 Ask a friend or family member the following question and write down their answers: “If you were a patient in hospital, how would you want to feel?” _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Now list what you would want to feel, if you were a patient in hospital. _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ ‘The manner in which we engage patients’ needs to be deliberate, with proper, intentional adjustments made to the ways in which we use ourselves as therapeutic tools’. (Raphael-Grimm, 2015, p. 13). Page | 4 Week One Internal Students HS1111 Activity 2 Do the following activity and bring to class next week: 1. Read the list of values on the following page. Don’t think too much about it, just circle any word or phrase that feels important to you. Pay special attention to those words that jump out at you. Simply chose words that feel right to you. Be alert to the tendency to select words that you think you should choose! 2. Circle or highlight only words that speak to you of the essence of who you are. Common personal values Accountability Accuracy Achievement Adventurousness Altruism Ambition Assertiveness Balance Being the best Belonging Boldness Calmness Carefulness Challenge Cheerfulness Clear-mindedness Commitment Community Compassion Competitiveness Consistency Contentment Continuous Improvement Contribution Control Cooperation Correctness Courtesy Creativity Curiosity Decisiveness Democraticness Dependability Determination Page | 5 Diligence Discipline Discretion Diversity Dynamism Economy Effectiveness Efficiency Elegance Empathy Enjoyment Enthusiasm Equality Excellence Excitement Expertise Exploration Expressiveness Fairness Faith Family-orientedness Fidelity Fitness Fluency Focus Freedom Fun Generosity Goodness Grace Growth Happiness Hard Work Health Helping Society Holiness Week One Honesty Honour Humility Independence Ingenuity Inner Harmony Inquisitiveness Insightfulness Intelligence Intellectual Status Intuition Joy Justice Leadership Legacy Love Loyalty Making a difference Mastery Merit Obedience Openness Order Originality Patriotism Perfection Piety Positivity Practicality Preparedness Professionalism Prudence Quality-orientation Reliability Resourcefulness Restraint Internal Students Results-oriented Rigor Security Self-actualization Self-control Selflessness Self-reliance Sensitivity Serenity Service Shrewdness Simplicity Soundness Speed Spontaneity Stability Strategic Strength Structure Success Support Teamwork Temperance Thankfulness Thoroughness Thoughtfulness Timeliness Tolerance Traditionalism Trustworthiness Truth-seeking Understanding Uniqueness Unity Usefulness Vision Vitality HS1111 3: Prioritize your top values This step is probably the most difficult, because you'll have to look deep inside yourself. It's also the most important step, because, when making a decision, you'll have to choose between solutions that may satisfy different values. This is when you must know which value is more important to you. Write down your top 9 values, not in any particular order. ___________________________________________________________________________ ___________________________________________________________________________ From this list of 9, choose 4 that are the most important to you. This can be very difficult for some and easy for others. Take your time, narrow your list down to select those words that best represent you. These are your top priority values. ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 4. Reaffirm your values Check your top-priority values, and make sure they fit with your life and your vision for yourself. Do these values make you feel good about yourself? Are you proud of your top four values? Would you be comfortable and proud to tell your values to people you respect and admire? Do these values represent things you would support, even if your choice isn't popular, and it puts you in the minority? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________ ______ Remember to bring to class next week Page | 6 Week One Internal Students HS1111 VIEW Video Clip This story portrays Vanessa’s story and is based upon the findings from the Coroner’s report into her death in 2005. Although Vanessa’s death resulted from a combination of human and systems errors, pay particular attention on the communication and medication safety issues that occurred during Vanessa’s hospitalisation. Carefully consider how the poor communication between the health professionals involved, impacted upon medication safety and how this could have been prevented. At the same time reflect on how your learning will impact your future practice. Vanessa’s story http://www.ipeforqum.com.au/modules/vanessa-anderson/ 15.35 minutes Reflective Thinking After viewing this video, discuss your feelings about this story. What have you learnt from Vanessa’s story and how will you apply your communication skills in practice to prevent these type of errors? Describe what a vital role effective communication is in healthcare. Bring your responses to your next tutorial. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Page | 7 Week One Internal Students HS1111 Video Clip The Value of Self-Reflection https://www.youtube.com/watch?v=G1bgdwC_m-Y Watch and Listen to this short TED talk as a young man explains his experience of reflection. James Schmidt | TEDx University of Glasgow 11.13 minutes A Patients Story http://www.theberylinstitute.org/default.asp?page=LearningBiteStory Marcus Engel, Founder and Speaker, I'm Here Movement, shares his personal patient experience story and discusses how to actively listen to patients in order to empathize with their situations. 2.11 minutes Rapport & shared care planning http://www.theberylinstitute.org/default.asp?page=LearningBiteAgenda Sumita Khatri, Physician/Co-Director Asthma Center/Facilitator, Center for Excellence in Healthcare Communication, Cleveland Clinic, discusses tools for intentional verbal communication of empathy with patients. By engaging in reflective listening enhancement, healthcare providers can aid one’s ability to hone in on the patient’s problems and have a unifying and personalized plan.The Beryl Institute 2.57 minutes Great Communication/ Great care http://www.theberylinstitute.org/default.asp?page=LearningBitePartners Kristin Baird, President/CEO of Baird Group, discusses the daily impact of nurses on the patient experience. By focusing on great communication and great care, nurses can impact consistent positive patient experience and clinical outcomes.The Beryl Institute 3.11 minutes Reflective Writing Familiarise yourself with PebblePad and commence your practice of reflective writing form your very first week. This week: Create a personal page in Pebble Pad and commence writing a reflection on your thoughts and feelings about communication Page | 8 Week One Internal Students HS1111 READ Textbook Please read: Chapter 2 of your prescribed text (Birks, M., Chapman, Y., Davis, J. (Eds.). (2015). Professional and therapeutic communication (1st ed.) Melbourne, Australia: Oxford University Press). Chapter 27 of your recommended text (Kozier, B., Erb, GL. (2015). Fundamentals of Nursing (Australian 3rd ed.) Melbourne, Australia: Pearson). And Reserve Online Chapter 6, pp. 64-79 - O’Toole, G. (2012). Communication: Core interpersonal skills for health professionals. (2nd Ed.). Chatswood, Australia: Churchill Livingstone. Answer questions 1-4 on p.70 and questions on p. 74 Bring to class next week Chapter 10, pp.102-112 - Levett-Jones, T. (Ed.). (2014). Critical conversations for patient safety: An essential guide for health professionals. Frenchs Forest, Australia: Pearson Australia PRACTICE YOUR REFERENCE SKILLS Define of the following terms and use the reference guide below to help you to practice your referencing skills. Bring to your next class. • Mutual Understanding • Self Determination Use - Referencing Guide: http://libguides.jcu.edu.au/apa OPTIONAL Interpersonal Communication Skills Test http://psychologytoday.tests.psychtests.com/take_test.php?idRegTest=3199 25 questions in 10 min (When it comes to communication, what you say and what you don't say are equally important. Being a good listener is quite crucial. Find out how your interpersonal skills rate by taking this Communication Skills Test). Page | 9 Week One Internal Students HS1111 SOME WISE WORDS: During your life, you have acquired the ability to communicate with other people for different reasons and across a variety of settings. The development of interpersonal skills is part of a socialisation process which makes it possible to form relationships and interact appropriately in diverse situations. “During your journey on earth you will encounter many people and you will impact on each individual you met along the way...even your most fleeting exchange can have appositive or negative impact on another person. And over the span of your life, the accumulation of all your interactions with others will determine, to a great extent, the quality of your life”. Fujishin (2012, p.1) ‘Establishing effective relationships is about transcending our own judgements or knee jerk reactions and operating from a place of intentional focus where understanding the patients thoughts, feelings and needs are at the centre of our efforts’. (Raphael-Grimm, T., 2015, p.4). ‘Every encounter provides an opportunity for the patient (woman) to experience the healing power of our full attention, to feel valued, cared for, respected and understood’. (Ferrucci, 2006) ‘Without sincerity, distrust finds a foothold’. Raphael-Grimm (2016) “As a nurse, we have the opportunity to heal the heart, mind, soul and body of our patients, their families and ourselves. They may not remember your name but they will never forget the way you made them feel”. Maya Angelou Page | 10 Week One Internal Students HS1111 INSPIRATION PAGE Have a great week! Page | 11 Week One Internal Students HS1111