Shaping Hthcare Exam 1

Front 1

complex process involving senses as well as active listening, multidimensional, nonverbal, dynamic process of passing info.

Back 1

Communication

Front 2

*sender-transmits the message to receiver.
*message-thought or idea to be communicated by sender.
*channel-method used to transmit the message; they are the senses.
*receiver- receives the message
*feedback-is that which the receiver provides to the sender to confirm what the interpretation of message.

Back 2

communication process

Front 3

key to effective communication; demonstrated by eye contact, posture, and communicating with appropriate body gestures and verbal messages and language that reflect understanding, empathy, acknowledgement of concern and appropriate reassurance.

Back 3

active listening

Front 4

being aware or insightful so as to understand another person's feelings, thoughts, and behaviors; putting oneself in another persons place.

Back 4

empathy

Front 5

*it is not sympathy
*it is not pity
To gain empathy:
-identify with the person and focus on giving the person attention.
-incorporate the persons experience
-reverberate
-detach

Back 5

empathy

Front 6

communication that provides information, feedback, a sense of hope and support to the receiver.

Back 6

therapeutic communication

Front 7

components:
-empathy and caring
-active listening
-skillful questioning
-reflecting, pauses and silence, focusing and clarifying with techniques that get to the heart of the matter.
-professional behavior that builds trust

Back 7

therapeutic communication

Front 8

includes recognizing, understanding and valuing differences, and adapting care to reflect the context of the patients culture.

Back 8

cultural competance

Front 9

small number of consistent people committed to a relevant shared purpose with common performance goals, complementary and overlapping skills, and a common approach to their work. members hold themselves mutually accountable.

Back 9

team

Front 10

members have a unified commitment to a common purpose, competent and have complementary skills, share a common approach to the work, and are mutually accountable.

Back 10

effective team

Front 11

have a joint purpose--the final outcome is a result of the individual efforts or actions of each member. Each member is accountable for his/her own effort.

Back 11

working group

Front 12

work together in a way that increases the group's effect or impact. combined efforts is greater than the sum of the individual efforts. established goals are measured and evaluated. accountable for their individual contributions.

Back 12

real team

Front 13

comprised of individuals who think they are a team but really aren't. lack a common purpose, unable to focus on a goal and are more concerned about themselves, poor interpersonal relationships.

Back 13

pseudo-team

Front 14

various patient care teams (nursing, surgery, trauma, rehab). They have a common purpose and share a core set of skills.

Back 14

primary work team

Front 15

determined by the organizational chart of the company. members designated department heads. share a common purpose.

Back 15

leadership teams

Front 16

established to address specific issue or mission. examples: quality assurance team or special project team. Function for a short time and are disbanded once the project is completed.

Back 16

ad hoc teams

Front 17

-Forming or orientation
-Storming or conflict
-norming or teamwork
-performing or working
-transforming

Back 17

Phases of team development

Front 18

members experience a variety of feelings which are directly related to the outcome of the resolution process.

Back 18

resolution aftermath

Front 19

-Active listening
-Self-awareness
-Use of I statements
-Rephrasing
-Summarizing

Back 19

Successful teaming

Front 20

refers to focusing on the content of the message and attending to the intent and feelings of the speaker. Refrains from evaluating the speaker during the presentation.

Back 20

active listening

Front 21

skilled listener is aware of his/her own prejudices and avoids reacting to emotionally charged statements. enables the individual to control what and how he/she communicates.

Back 21

self-awareness

Front 22

allows the speaker to clearly state how an issue makes him/her feel. rational and do not place blame on the listener.

Back 22

I statements

Front 23

technique used to check for accuracy or understanding

Back 23

rephrasing

Front 24

allows the listener to focus the communicationa or pull the salient points together.

Back 24

summarizing

Front 25

-provider: enables people to meet their needs by sharing, respecting the other parties.
-teacher: gives the people skills to handle conflict.
-bridge builder:reduces potential for conflict excalation by forging relationships.
-mediator:reconciles conflicting interests by facilitation communication.
-arbiter:acts as judge, can determine right or wrong.
-equalizer:promotes the fair sharing of power
-healer:listens completely
-witness:watches for early warning signs of conflict.
-referee:establishes rules and limits for fair fight.
-peacemaker:provides both parties protection by interposing self between them.

Back 25

3rd siders

Front 26

Federal Healthcare systems:
-Veterans Administration (VA)
-Military Medical Care System
-Indian Health Services

Back 26

Federal Healthcare systems

Front 27

Federal Agencies:
-Health Resources & Services Admin. (HRSA)
-Bureau of Health Professions
-Public Health Service

Back 27

Federal Agencies

Front 28

Health Promotion:
-discovery that human behavior plays an important role in illness and health
-awareness of the limitations of the biomedical model
-empowerment of individuals and communities to be responsible for their own health
-realization of the limits of technology

Back 28

Health Promotion

Front 29

most traditional approach to defining and measuring health. health is defined as the absence of disease or physiological malfunction. healthy is "lack of being in a negative state"

Back 29

Biomedical Model

Front 30

assumptions: -health is an objective phenomenon
-only medical professions can define health and illness
-health and illness can be defined in terms of physiological malfunction

Back 30

Biomedical Model

Front 31

health is the ability to comply with social norms
-if you can perform your role, you are healthy
-there is no assumption that health can be objective, each person has their own defintion
-one's culture and position in the social culture influence these def.
-age,gender and other factors influence their perception as well.

Back 31

sociological model

Front 32

defined as activities that increase the levels of health and well being of individuals, families, groups and communities. 4techniques:
-education
-skills training
-motivation
-marketing

Back 32

health promotion

Front 33

primary technique for improving health. goal is to challenge knowledge and attitudes in hopes that these changes lead to behavior changes.

Back 33

education

Front 34

showing individuals what to do with the knowledge they have acquired from education.

Back 34

skills training

Front 35

technique is based on the fact that after performing any given behavior, you are likely to repeat that behavior if you are given some sort of reward.

Back 35

motivation

Front 36

goal is to increase the acceptability of a social idea or practice. The use of mass media increases the public health impact

Back 36

marketing

Front 37

basic levels of health promotion:
-Individual
-group
-organizational
-community (most potential)

Back 37

basic levels of health promotion

Front 38

-primary:trying to keep people healthy;activities decrease the probability;exercise
-secondary:screening to detect disease
-tertiary:rehab

Back 38

levels of disease prevention

Front 39

-meeting the needs of the HC comsumer
-focus on client/patient centered care and access to quality care at moderate cost
-competition among providers for patients/clients b/c of changes in payment mechanisms
-shift from multiple small provider systems and independent institutions to large integrated systems
-shift from hospitals being the major HC providers
-fragmented care to managed care
-shift from illness and "sick care" to health promotion and wellness
-HC workforce shortages

Back 39

Challenges Facing HC Systems

Front 40

-identify/state the problem
-create a hypothesis and generate a schedule
-identify solutions
-design a plan of action/treatment goal
-implement:modify/regenerate outcomes based on assessment & progress

Back 40

Decision Making