Roles of the Nurse

 Roles of the Nurse

1. Coordinator

Coordinates and Plans Care
Piece together fragmented care
Prepares pt. for discharge
Liaison in health care team

2. Communicator

Establish rapport
Establish therapeutic (helping)  relationship
Be aware of verbal & nonverbal communication
Assertive communicator

3. Teacher

Educate pt. to develop self-care abilities
Provide Knowledge to allow pt. to make  informed decisions
Demonstrate needed  skills
Promote health, prevent illness, restore health & facilitate coping

Teaching-Learner Process

Teaching-planned  method to help  someone learn
Learning – process by which an individual increases their knowledge or changes their behavior as a result of an experience

Learning Domains

Cognitive learning- acquiring new knowledge
Psychomotor learning- acquiring a new physical skill
Affective learning- acquiring /changing values, feelings or attitudes

Developmental Considerations

Children learn through play & experience
Adolescents learn  through their peers
Take into account  their motor  development along  with their intellectual  development
Take into account  their intellectual,  developmental,  maturity and  psychosocial  development

Developmental considerations  (androgogy)

Adults – most must believe they need to  learn before they are willing to learn
Adults – bring life experiences as resources  for learning
Adults – believe learning should be useful  immediately (rather than in the future). They Want relevance!
Adults   – internally motivated and capable  of self-regulation

Developmental Considerations  (older adults)

Assess for perceptual impairments
– Visual
– Auditory
– Memory
– Longer reaction times
– Generational learning differences

Learning Styles

 Visual
 Auditory
 Tactile
 Combination
 Concrete Versus Abstract
 Active Versus Reflective
 Right Versus Left Brain
 Multiple Intelligences – Verbal, Logical, Visual, Body, Musical, Inter or Intrapersonal

Principles of teaching-learning

Communication is important
Thorough  assessment of pt. learning needs  and factors affecting their learning
Include pt. in planning
Use varied teaching strategies
Utilize patient’s previous life experiences
Utilize nursing process

Barriers to Learning 

Language
Cognitive level
Lack of interest
Cultural differences
Literacy
Health
Stress

Utilizing Nursing Process

Assessment:

 Readiness to learn
 Ability to learn
 Learning strengths
 What do they know  already???
 Do they WANT to  LEARN?

Analysis:

 Knowledge deficit

Planning:

 Who, what, when, where & how. Determine whether cognitive,  psychomotor, or affective goal.  Write with an “action verb”
 Get Client Commitment

Implementation:

 Include written, visual and tactile materials 
 Select strategy and methods:  Content – Sequence – Timing  Demonstration?Discussion?Role Play

Evaluation:

 Has pt. Learned/goal met? Return Demo

4. Counselor

Assist and guide  pt. in solving problems or making decisions 
Utilize the  interpersonal (helping) relationship
Nurse doesn’t tell pt  how to solve the  problem Guides pt to decisions (self-determination)
Utilize the nursing  process
“Could you just listen”

Manager

Plans
Organizes
Directs
Controls
Delegates

Management Process

Planning-Identify needs, dev. goals
Organizing – Identify resources to meet goals
Directing – leading others in reaching goals
Control – monitoring ongoing evaluations
Delegates

5. Delegation

The five rights of delegation –
– Right task
– Right person
– Right circumstances
– Right communication
– Right feedback
Nurse who delegates maintains accountability
Only the task is delegated NOT the accountability
Who can you delegate tasks to?

6. Managers and Leaders

Managers

Administrators 
Relies on control
Short term plans
Eye on bottom line

Leaders

Innovators
Inspires trust
Long term plans
Eye on the horizon
Does the right thing
Have visions to energize others
Motivates others to achieve goals
Encourages others to do their best
Works collaboratively
Have wider variety of roles then  managers

Leadership Skills

 Cognitive Knowledgable
 Interpersonal  Genuine  Inspires trust
 Ethical/legal  Integrity always
 Communication  Open
 Problem solving Critical thinker; Out of the box  Flexible
 Management  eOrganized
 Self-evaluation Reflects, adapts, changs

Characteristics of Great  Leaders

Intelligence-knowledge, judgment & decisiveness
Personality- confidence, creativity,  adaptability, integrity & independent
Abilities – enlist cooperation,  diplomacy, social participation &  interpersonal skills
A great leader cannot be appointed!

Leadership Styles

Autocratic – leader has complete control of group
Democratic – shared leadership between leader and group
Laissez-Faire- leader  gives group control
Transformational – charismatic leader creates change by empowering group
Situational  – leader changes style to fit situation

7. Team Player

Nurses are part of a team
Don’t  work in isolation
Who are the other team members?
What does being a team player  mean?

8. Motivator

Motivation – Internal impulse that  allows one to take action or change  behaviors.
Nurses motivate patients to make  changes by: having a positive attitude,  listening to patient needs, encouraging,  rewarding, and devoting time and  energy to assist with changes.

Critical Thinker

A way of looking at problems other than the obvious
“ Thinking outside the box”
Looking at the big picture
Question why something is being done
Ask, “what if…..”
Open to new ideas

Innovator

Takes action to make things happen
Initiates change
Sees a problem and looks for solutions. Instead of, “Oh well, there’s nothing  that can be done about it” the innovator will be proactive.

9. Researcher

Collect data to improve nursing  practice
Provides  info for evidenced-based  practice
Studies are done on nursing practice, education & administration
Provides  professionalism to nursing

10. Advocate

Protect and support the pt.
Patient representative for ALL pt.
Assertiveness
Promote self determination

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