ANSWER
Discussion Post 1 for Week 6. Three Standards for the Proper Use of Comedy with Patients in Healthcare-Centeredness: The patient’s preferences and emotional condition should be reflected in the humor.
Cultural Sensitivity: In order to prevent offense, humor must respect individual and cultural values.
Therapeutic Intent: Rather than being used to downplay worries, humor should be used to foster rapport or lessen tension.
“It’s amazing what coffee and naps can do for us after surgery—well, the naps at least!” is an example of what a nurse tending to a patient following surgery could say. This lighthearted approach acknowledges the patient’s healing process while fostering a relationship.
The following is cited by scholars: Müller, M., Zill, J. M., Dirmaier, J., & Härter, M.2019. A systematic review of paternalistic, educational, and collaborative decision-making techniques in psychosocial health consultations. Counseling and Patient Education, 102(3), 454-467. 10.1016/j.pec.2018.12.027 at https://doi.org
2. Nursing Handoff Tools and Documentation Specificity
In order to guarantee clear and succinct communication on patient state and care requirements, my organization uses the SBAR (Situation, Background, Assessment, Recommendation) tool during nurse handoff.
Important Details to Share During Handoff:
Situation: The current state of the patient (for example, “Patient is stable but reports increased nausea.”).
Background: Recent operations, allergies, or pertinent medical history.
Evaluation: Current laboratory findings, patterns in vital signs, and clinical observations.
Steps for continuing treatment, such tracking fluid intake or modifying medication, are advised.
This method guarantees that all pertinent information is conveyed in a methodical manner, which lowers communication errors and enhances patient safety.
Scholarly Citation: Thomas, S., & Shahid, S. (2018). A narrative review of the Situation, Background, Assessment, Recommendation (SBAR) communication tool for healthcare handoff. Health Safety, 4(1), 1–9. 10.1186/s40886-018-0073-1 https://doi.org
3. De-escalation Questioning Techniques
Using questioning strategies to properly manage challenging patients shows professionalism, sensitivity, and sympathy.
Empathy: “You seem to be somewhat irritated. Could you tell me what’s causing you the greatest distress at the moment?
Empathy: “It seems like you’ve had a difficult time. Let’s discuss how we can improve things for you.
Professionalism: “I recognize your worries. Allow me to outline the actions we can take to resolve this matter.
These methods assist identify underlying issues, validate patient sentiments, and foster trust—all of which are essential for de-escalation.
Academic Citation: Rosenfeld, A. H. (2019). Techniques to enhance cooperation and communication while dealing with disruptive behaviors in the healthcare industry. Journal of Quality and Patient Safety, The Joint Commission, 45(5), 344-351. 10.1016/j.jcjq.2019.02.002 at https://doi.org
4. The Causes of Structural Racism and Its Impact on Healthcare Inequalities
Historical injustices including segregation, discriminatory laws, and unfair resource distribution are the root causes of structural racism. Disparities in treatment quality, access to care, and health outcomes are caused by these factors.
How Structural Racism Is Drawn to Light by the COVID-19 Pandemic:
Systemic hurdles such as overcrowding, lack of insurance, and job exposure as key workers led to greater infection and mortality rates in marginalized areas, especially Black and Hispanic people.
Vaccine uptake among these communities was further hampered by misinformation and mistrust stemming from past abuses.
b. Strategies to Stop Systemic Racism and Bias:
Reflective techniques and training on unconscious bias are examples of intraprofessional communication in nursing teams.
Interprofessional Collaboration: Collaborating with neighborhood organizations to remove structural obstacles and guarantee care that is sensitive to cultural differences.
Advocacy: Encouraging legislative changes to improve healthcare equity and accessibility.
Academic Citation: Bailey, Z. D., Bassett, M. T., & Feldman, J. M. (2021). The mechanisms of systemic racism—One of the main causes of racial health disparities in the US is racist policy. 384(8), 768-773, New England Journal of Medicine. NEJMms2025396 https://doi.org/10.1056
5. Startling Data Regarding Systemic Racism
The degree to which patient outcomes are impacted by implicit bias among healthcare personnel shocked me. For instance, compared to white patients, minority patients are less likely to obtain proper pain management.
Impact on Future Practice: This data highlights the importance of advocacy and communication that is culturally sensitive. As a FNP, it will be essential for me to incorporate training on implicit bias and tackling systemic disparities into my practice.
Reference: Hardeman, R. R., Boyd, R. W., & Medina, E. M. (2020). Breaths stolen. 197–199 in The New England Journal of Medicine, 383(3). NEJMp2021072 https://doi.org/10.1056
Citations
Feldman, J. M., Bailey, Z. D., and Bassett, M. T. (2021). How structural racism operates: Racial health disparities in the United States are mostly caused by racist policies. 384(8), 768-773, New England Journal of Medicine. NEJMms2025396 https://doi.org/10.1056
Medina, E. M., Boyd, R. W., & Hardeman, R. R. (2020). Breaths stolen. 197–199 in The New England Journal of Medicine, 383(3). NEJMp2021072 https://doi.org/10.1056
Dirmaier, J., Müller, M., Zill, J. M., & Härter, M. (2019). A systematic review of paternalistic, educational, and collaborative decision-making techniques in psychosocial health consultations. 102(3), 454-467, Patient Education and Counseling. https://doi.org/10.1016/j.pec.2018.12.027
A. H. Rosenstein (2019). Techniques to enhance cooperation and communication while dealing with disruptive behaviors in the healthcare industry. Journal of Quality and Patient Safety, The Joint Commission, 45(5), 344-351. 10.1016/j.jcjq.2019.02.002 at https://doi.org
Thomas, S., and Shahid, S. (2018). A narrative review of the Situation, Background, Assessment, Recommendation (SBAR) communication tool for healthcare handoff. Health Safety, 4(1), 1–9. 10.1186/s40886-018-0073-1 https://doi.org
QUESTION
please use scholarly references within 5 years. please do not copy student work and other universities.
Attached are the assignments and the rubrics for each
Thank you!
Background ICU Nurse working towards nurse practitioner DNP to FNP (Family Nurse Practitioner)