The Impact of Nurse to Nurse Mentoring In Leadership Essay

The Impact of Nurse to Nurse Mentoring In Leadership Essay

Crucial Conversations

Healthcare professionals should work comfortably and in safe settings, free from disruptions. However, disruptive behaviors are widespread in clinical settings and typify workplace incivility, characterized by discourteous and rude behaviors toward colleagues (Atashzadeh Shoorideh et al., 2021). Disruptive behaviors significantly affect patient safety and should be addressed via honest conversations and sustainable approaches. Crucial conversations denote the determination to openly break the silence and address disruptive behaviors.

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Among the crucial conversations, the administration’s failure to go public about the pervasiveness of concerns is typical in healthcare settings. Here, organizational leaders overlook the severity of disruptive behaviors and overlook their impacts. As Layne et al. (2019) noted, leaders’ failure to address disruptive behaviors influences negative behaviors among nurses, leading to negative clinical outcomes. The other crucial conversation I have seen healthcare practitioners and leaders struggling with is leaders not empowering caregivers adequately to confront disruptive behaviors. In clinical practice, disruptive behaviors are diverse and frequently occur. The lack of policies and practices to encourage nurses to speak up when they encounter problems is a significant barrier to patient safety and care quality.

Interventions to encourage crucial conversations imply a determination to prevent patient harm and unacceptable error rates associated with disruptive behaviors. An effective intervention to stop/deter disruption is adopting a zero-tolerance policy, which healthcare organizations use to prevent workplace violence (Murray, 2021). A culture change is crucial in healthcare settings to encourage reporting. Similarly, healthcare organizations should adopt a reporting culture that helps nurses to report disruptive behaviors instantly and anonymously. Leaders should also be committed to addressing disruptions immediately after they are reported and satisfactorily. Above all, nurses should be helped to identify disruptive behaviors through awareness training (Hicks & Stavropoulou, 2022). Their ability to identify disruptive behaviors, report them, and openly encounter them would be a significant step toward high patient safety and care quality.

References

Atashzadeh Shoorideh, F., Moosavi, S., & Balouchi, A. (2021). Incivility toward nurses: a systematic review and meta-analysis. Journal of Medical Ethics and History of Medicine, 14, 15. https://doi.org/10.18502/jmehm.v14i15.7670

Hicks, S., & Stavropoulou, C. (2022). The effect of health care professional disruptive behavior on patient care: a systematic review. Journal of Patient Safety, 18(2), 138–143. https://doi.org/10.1097/PTS.0000000000000805

Layne, D. M., Nemeth, L. S., Mueller, M., & Martin, M. (2019). Negative behaviors among healthcare professionals: Relationship with patient safety culture. Healthcare (Basel, Switzerland), 7(1), 23. https://doi.org/10.3390/healthcare7010023

Murray, E. (2021). Nursing leadership and management: for patient safety and quality care. FA Davis.

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Discussion Guidelines

Initial Post

Utilizing the Greeny article (in the Learning Materials for this module), select two of the four given “crucial conversations” healthcare professionals struggle with that contribute to patient harm and unacceptable error rates. Describe how you have witnessed/observed these in practice and what you can do to stop/deter them.

Response Post

Reply to the initial posts of at least two classmates.

Submission

Post your initial and follow up responses and review full grading criteria on the Discussion 11.1: Crucial Conversations page.

Week 11: The Comprehensive Physical Exam (cont.)—Behavior and Mental Health

Welcome to the eleventh week of Advanced Physical Assessment. During this lesson, you will continue to coordinate the comprehensive physical exam. The focus of this week is the behavior and mental status assessment. Please keep in mind that because there is a psychiatric nurse practitioner specialty degree, this unit will provide only a brief overview of the psychiatric assessment, as family nurse practitioners do not typically perform this focused exam in detail. You will look different exam techniques and then practice your exam assessment. You will review proper terminology for identifying and then appropriately documenting those subjective and objective findings. You will also focus on the seven crucial conversations that healthcare providers struggle with.

Review a list of all items due this week in your course syllabus.

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Lesson 1: Behavior and Mental Health Status

During this lesson, you will continue to coordinate the comprehensive exam, focus on the behavior and mental status, look at different exam techniques, and review proper terminology for objective findings. Please note that this is just a brief summary of mental and behavioral health. These topics require far more attention from specialists and will only be covered in a general sense in this course.

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Learning Outcomes

At the end of this lesson, you will be able to:

• Begin the practice of sequencing and coordinating the comprehensive physical exam of the adult patient regarding mental and behavioral health status.
• Identify the anatomical landmarks of the human body of mental and behavioral health.
• Correlate examination techniques of the patient’s mental and behavioral status using the correct sequence and anatomical landmarks in an adult patient.
• Use correct terminology to record objective components of the physical examination findings.

Before attempting to complete your learning activities for this week, review the following learning materials:

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Learning Materials

Read the following in your Bates’ Guide to Physical Examination and History Taking textbook:

Chapter 9, “Cognition, Behavior, and Mental Status”

Additional Required Resources:

Also read the following article:

Grenny, J. (2009). Crucial conversations: The most potent force for eliminating disruptive behavior. Critical Care Nursing Quarterly, 32(1), 58–67.

This reading will help you perform a mental status assessment, recognize pertinent positives and negatives related to that system, and also document appropriately.