Student name:

This is an individual activity; it is not group work. Students are expected to complete their own work.

Emotional Intelligence: Review the resources in this week’s Brightspace module on EI (two videos, two articles). Answer the following questions. Be sure your answers demonstrate synthesis of the posted resources.

1. In your own words, how would you explain Emotional Intelligence (Emotional Quotient) to others? (add your answer next to bullet point)

·

Why is it important to grow in EQ, especially as a professional nurse? (add your answer next to bullet point)

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2. What is the difference between the two types of Empathy? Next to your description, provide an example of when you showed each type of empathy.

· Affective Empathy:

· Cognitive Empathy:

3. What is Self-Awareness? Add the three components of self-awareness to the bullet points:

·

·

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4. What are you Passionate about? How is passion related to your drives to become a nurse? What role does passion play in keeping us sustained in our career?

·

·

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Enneagram: Take the 5-minute Enneagram test at https://enneagramtest.net/ You will receive your personal results upon submission. Submit your results report from the Enneagram test, along with this worksheet, to the Brightspace submission folder.

1. What were your top three types? (list the number and title):

a.

b.

c.

2. Decide on the one type that is most “you”. Based on the descriptors listed on that report, share your favorite thing from the list – something that you can especially relate to regarding:

a. “How to get along with me”:

b. “What I like about being a… <your number>”:

c. “What is hard about being…<your number>”:

3. In a few sentences, share your reaction to your Enneagram test results.

4. How can information like this assist you in developing Emotional Intelligence?

5. In what ways can you integrate your personality strengths into your work as a professional RN and leader?

https://www.youtube.com/watch?v=cDDWvj_q-o8

https://www.youtube.com/watch?v=-Gpn_06NT9w

ARTICLE 1

http://mkt.medline.com/advancing-blog/emotional-intelligence-interpersonal-skills-are-underlying-causes-of-key-issues/

Healthcare is rich with human interactions and relationships. Whether inter-professional or therapeutic in nature, our relationships influence our communication, teamwork, cultures and systems. When this ‘soft’ skill set is healthy, the influence is more likely to be positive. When it is limited or dysfunctional, the outcomes can be catastrophic.

There are links between such ‘soft’ skills and serious, persistent, and pervasive issues in healthcare such as patient safety, patient experience, and workforce health. The recalcitrant nature of these problems is a compelling reason to look for possible common causes. Understanding these common roots will help explain why our solutions to date are not effective enough and why organizations should consider experiential teaching methods that focus on behavioral rather than more typical intellectual learning.

Common Causes

We can seek common causes of key issues in two ways. First by viewing healthcare as a complex adaptive system (CAS), one that is rich with human interactions. From this vantage point, such problems can be seen as outcomes or emergent properties that are arising from a common foundation, the quality (or dysfunction) of our relationships! Relationships which rely on communication and behavior and are subject to a multitude of individual and organizational variables. The health of the relationships, whether positive or negative, will have a relative effect on teamwork, organizational culture, and the care we provide.

The high incidence of bullying and/or disruptive behavior among healthcare professionals provides a perfect example of troubled relationships with nonlinear or butterfly effects on patient safety, patient experience, and workforce health as shown in the following examples.

· A doctor yells at a nurse on Tuesday. Saturday she hesitates to call him to report a subtle change in a patient’s condition and since it is close to the end of the shift, reports her concern to the oncoming nurse. The oncoming nurse, makes it a priority to check this patient, but the telemetry alarm beats him to it. The patient does not survive.

· A nurse overhears a colleague talking about her in a negative way and interrupts the conversation. “I’d appreciate it if you have concerns about my work that you discuss them with me directly and professionally.” The gossiping nurse apologizes and later offers to help the nurse find an IV pump available for use. This enables the nurse to get her pain medication to her post-op patient quickly and the patient is comfortable. Both he and his wife feel cared for. The patient experience scores increase.

· A nursing assistant is reluctant to ask the other nursing assistant for help because the last time they worked together she teased him about needing too much help. The patient is begging to be repositioned and no other staff is available. He boosts the patient in bed and has acute pain in his low back. The course of his workers’ compensation claim includes evaluation and treatment by emergency and company physicians, medications, physical therapy, case management by the insurance nurse, oversight by the employee health nurse, several days out of work, several weeks of light duty, and a review of ergonomic training. The employee is teased by the same nurses’ assistant during his alternative duty and leaves the organization. Employer turnover problems persist and a new nurses’ assistant is hired.

Notice how the positive or negative ramifications for all of these significant outcomes are linked to invisible and tough-to-measure effects involving human interactions.

Another way to look for commonalities is by examining each of these issues separately to see where communication and behavior are implicated.

A. Patient Safety and the Human Interface

The Joint Commission’s tracking of sentinel events since 2004 reveals much more consistency in the root causes of all events than a particular trend in any type(s) of events. The tracking data shows that human factors and communication are the top two root causes of sentinel events from 2004 through to the most recent summations in 2015[1].

Meanwhile statistics for types of events bounce around such as the number of wrong-site, wrong-patient, wrong-procedure events reviewed which was 109 in 2013, decreased to 67 in 2014, and increased to 92 by the end of the third quarter of 2015.[2] Although not intended to be an exhaustive analysis of this data, the point can be made that there is a persistent and elusive problem with patient safety! Even fifteen years after the release of the Institute of Medicine’s (IOM) To Err is Human! This same point is fortified by comments regarding medical error reduction and quality improvement by Dr. Ashish Jha, professor of health policy and management at the Harvard School of Public Health. In his testimony before a Senate Subcommittee on Primary Health and Aging in July of 2014, Jha states that, “[w]e have not moved the needle in any meaningful, demonstrable way over all. In certain areas, things are better; in certain areas, things are probably worse, but we are not substantially better off compared to where we were [15 years ago] (More than 1,000 preventable deaths a day, 2014, 33:35)[1].

B. Patient Experience and the Human Interface

The Hospital Consumer Assessment of Healthcare Providers and Systems’ (HCAHPS) surveys that measure patient experience are rich with feedback about interactive behaviors of staff. Of the 32 items surveyed, 18 encompass critical aspects of the hospital experience, including communication with doctors and nurses, the cleanliness of the hospital environment, quietness of the hospital environment, pain management, communication about medicines, discharge information, and overall rating and recommendation of the hospital. Of these 18 items, 14 are directly related to communication and emotional intelligence such as, “During this hospital stay:

· …did nurses treat you with courtesy and respect?

· …did doctors listen carefully to you? · …did nurses explain things in a way you could understand?”[4]

The feedback from these surveys sheds light on the interactive skills of staff and directly or indirectly reflects the quality of collaboration and culture within the organization.

C. Workforce Health and the Human Interface

In 2013, the Lucien Leape Institute-National Patient Safety Foundation (NPSF) released a roundtable report that focused on the harm experienced by the healthcare workforce. [5] The report focused on physical and psychological harm and included these statistics:

Physical Harm

· Health care workforce injuries 30 times higher than other industries

· More FTE days are lost due to occupational illness and injury in health care each year than in industries such as mining, machinery manufacturing and construction

· 76% of nurses in national survey indicated that unsafe working conditions interfere with the delivery of quality care

· An RN or MD has a 5-6 times higher chance of being assaulted than a cab driver in an urban area

Psychological Harm

· Lack of respect

· A root cause, if not THE root cause, of dysfunctional cultures

· 95% of nurses report it; 100% of medical students; huge issue for patients

· Lack of support

· Lack of appreciation

· Non-value add work

· Production pressures

The emotional intelligence and interpersonal skills that influence both kinds of harm include the awareness of one’s own and others’ limitations, the ability to ask for, offer, and refuse help, and a dynamic culture where giving and receiving constructive feedback is ongoing, trusting, and respectful. So how do you find a unique and engaging way to combine skills and culture to optimize outcomes? Medical improv could be the path to get you there.

Conclusion

“Soft” skills that inform our behavior are fundamental to quality of care and developing them should be a priority. As with all change, raising awareness is a vital step forward.

Where do you see links between emotional intelligence and interpersonal skills in the work you do?

Beth Boynton, RN, MS, author of Successful Nurse Communication: Safe Care, Healthy Workplaces, & Rewarding Careers, is a speaker and medical improv trainer. More information about her work can be found on her website and she can be contacted at beth@bethboynton.com.

ARTICLE 2

What Is Emotional Intelligence?

Emotional intelligence refers to the ability to identify and manage one’s own emotions, as well as the emotions of others. Though there is some disagreement among psychologists as to what constitutes true emotional intelligence, it is generally said to include at least three skills: emotional awareness, or the ability to identify and name one’s own emotions; the ability to harness those emotions and apply them to tasks like thinking and problem solving; and the ability to manage emotions, which includes both regulating one’s own emotions when necessary and cheering up or calming down other people.

Week 6: Capstone Research

Facilitating Professional Development Through the Practicum

Now that you have submitted your Practicum Project Plan, it is time to pause and think about your professional growth during the practicum experience.

At the beginning of this course, you established professional development objectives to guide your activities in the practicum. How do the objectives you identified relate to your vision for yourself as a nurse executive? As you navigate toward achievement of these objectives, what are you learning about yourself personally and professionally?

1. This week, you evaluate your progress toward meeting your practicum professional development objectives and consider how you may need to adjust your activities to achieve those objectives.

In addition, once you have received approval of your Practicum Project Plan (submitted in Week 5), you may begin implementation of your project.

Learning Objectives

Students will:

· Evaluate achievement of practicum professional development objectives

· Develop solutions to address challenges during the practicum

· Describe the role and functions of a nurse executive

Learning Resources

Ahn, Y. -H., & Choi, J. (2019, February). Incivility experiences in clinical practicum education among nursing students. Nursing Education today, 73, 48-53. http://doi.org/10.1016/j.nedt.2018.11015.

Dolan, D. M., & Wilson: P. (2019, August). Triad mentoring model: Framing an academic-clinical partnership program. Journal of Nursing Education, 58(8), 463-467. https://doi.org/10.3928/10484834-2019-719-05.

Discussion Part(3 Pages)

Practicum professional Development Objectives: Progress Appraisal

The practicum provides the opportunity not only to design a project but to develop your own skills, competencies, and practical understanding of the nurse executive role. How have your experiences thus far contributed to your growth? What difficulties, if any, have you experienced, and how might they affect the achievement of your practicum professional development objectives? In what ways has your Preceptor mentored you and illuminated what it means to be a nurse executive?

Photo Credit: Getty Images

1. In this Discussion, you check in with yourself and with colleagues to determine how you are advancing toward your practicum professional development objectives.

To prepare:

· Reflect on the practicum professional development objectives you developed and outlined in your Professional Experience Plan in Week 2.

· Keeping in mind the practicum activities you have engaged in thus far, consider the following questions:

· How have these activities helped to promote your professional development?

· How were potential barriers/challenges in the practice setting managed?

· Are you satisfied with your progress toward meeting your objectives? If not, what will you do to ensure you achieve them before the end of your practicum experience? As a reminder, you must complete all of your practicum hours on or before Day 5 of Week 10.

· What challenges or unexpected opportunities have arisen at your practicum site? How has this affected your professional development?

· Think about the experiences you may have in the forthcoming weeks. Do you foresee any particular challenges on the horizon? If so, what is your plan for addressing those challenges?

· Think about the time you have spent with your Preceptor. How has this time enhanced or changed your understanding of the role and functions of a nurse executive?

By Day 3

2. Post an assessment of your progress toward achieving your practicum professional development objectives, including how your involvement in specific practicum activities has contributed to your development. Explain what you will do to ensure you achieve your objectives by the end of your practicum. Summarize obstacles or unexpected opportunities that have arisen, as well as any challenges that you anticipate may arise. Explain how you will address those challenges. Finally, summarize what you have learned about the role and functions of a nurse executive through time spent with your Preceptor.

Read a selection of your colleagues’ responses. By Day 6

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

· Ask a probing question, substantiated with additional background information, evidence, or research.

· Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

· Validate an idea with your own experience and additional research.

3. Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 6 Discussion Rubric

Post by Day 3 and Respond by Day 6

To Participate in this Discussion: Week 6 Discussion

Week 3 Practicum Time Log

Remember to consistently document your practicum hours in Meditrek using the following website:

HSoft Corporation. (n.d.). Meditrek. https://edu.meditrek.com/Default.html.

What can we do with this week 3 we missed? She is waiting to credit week 3. I looked at it , it was confusing and challenging.