(Week 1- Chp:1, 2 ,3, 20) (Week 2- Chp:4, 5, 6, 19)
● Communication: (chp.19)
○ Angry Staff:
○ Complaining Staff:
○ Nonverbal: Nonverbal communication includes facial expression, body
movements, and gestures and is commonly referred to as body language.
Nonverbal communication is considered more reliable than verbal communication
because it conveys the emotional part of the message.
○ Assertive: Assertive communication is a way of communicating that allows
people to express themselves in direct, honest, and appropriate ways that do not
infringe on another person's rights.
○ Stressed Staff: Listen to them. They don’t want you to respond and they don’t
want an answer, they just want to be heard.
● Management:
○ Moral Distress: When the individual knows the right thing to do but
organizational constraints make it difficult to take the right course of action. Thus
morally distressed nurses often demonstrate biological, emotional, and moral
stress as a result of this intrapersonal conflict.
○ Ethical Dilemma: Ethical dilemmas are problems that involve more than one
choice and stem from differences in the values and beliefs of the decision makers.
These are common in health care, and nurses must apply ethical theory and
decision making to ethical promises.
● Leadership characteristics
○ Types of Leadership Styles
i. Authoritarian/Autocratic: Makes decisions for the group, motivates by
coercion, communication occurs down the chain of command, work
output by staff is usually high- good for crisis situations and bureaucratic
settings, effective for employees with little or no formal education
ii. Demonractic: Includes the groups when decisions are made, Motivates by
supporting the staff achievements, communication occurs up and down the
chain of command, work output by staff is usually of good quality- good
when cooperation and collaboration are necessary.
iii. Laissez-faire: Makes very few decisions, and does little planning,
Motivation is largely the responsibility of individual staff members,
communication occurs up and down the chain of command and between
group members, work output is low unless an informal leader evolves
from the group, effective with professional employees.
iv. Transformational
, ●
v. Transactional?
● Legal Process and terms:
○ Good Samaritan Law: Health-care providers are typically protected from
potential liability if they volunteer their nursing skills away from the workplace
(generally limited to emergencies), provided that actions taken are not grossly
negligent and if the health-care worker does not exceed his or her training or
scope of practice in performing the emergency services.
○ Malpractice: A nurse administers a large dose of medication due to a calculation
error. The client has a cardiac arrest and dies.
i. 5 rights of medication?
○ Assault: The conduct of one person makes another person fearful and
apprehensive.(A threat with just words)
○ Battery: Intentional and wrongful physical contact with a person that involves an
injury or offensive contact. (Actually hitting a person)
○ Tort: Legal wrongs committed against a person or property, independent of a
contract, that render the person who commits them liable for damages in a civil
action.
i. Unintentional tort: Professional negligence
ii. Intentional tort: A direct invasion of someone’s legal rights. Assault,
Battery, False imprisonment, invasion of privacy, defamation, and slander
are examples of intentional torts.
○ Abuse:
○ Negligence: A nurse fails to implement safety measures for a client at risk for
falls.
○ False Imprisonment: A person is confined or restrained against their will. (using
restraints without an order because a client is being ‘difficult’)
○ Libel: When defamation is written, printed, or broadcasted then it is called libel.
○ Slander: When defamation is spoken, then it is called slander.
● Ethical Principles
○ Beneficence: Action that promotes good for others, without any self interest./To
do good.
○ Non-Maleficence: A commitment to do not harm.
○ Veracity: A commitment to tell the truth
○ Fidelity: Fulfillment of promises./To keep your promise.
○ Justice: Fairness in care delivery and use of resources./To be fair with each
patient and make sure they receive the same quality of care.
○ Informed Consent: Informed consent is a legal process by which a client or the
client’s legally appointed designee has given written permission for a procedure
or treatment.
● Prioritization