Tuesday, May 21, 2019

Communication Style Case Study

Aggressive/ Passive AggressiveIn scenario number one two styles of communication was used. The RN at the psychiatric care group home was very aggressive when she told the aide that his role is to just do what he is told to do and non to think. She used a firm raised voice probably making the aide feel unimportant. Her aggressiveness made him believe that save the RN role is important non his. While this was a team meeting, his part of the team was minimal. He responded to her aggressiveness by being passive by sitting quietly and not responding. He needs his job so he does not want to cause any trouble at defecate. His position at work was just as important as hers still he kept quiet.He plotted to get revenge which now made his communication style change to passive aggressive, but the idea of not doing anything without being told is not a positive outcome to this situation. There maybe an destiny where a patient might fall or become aggressive with staff and swear out is nee ded and if there is no one around to tell him what to do he might not garter out. Gabbey (2013), Aggressive deportment is intentional, meaning its done on purpose, violates social norms, and causes a breakdown in a relationship (What is Aggressive Behavior?).Passive/ NonassertiveAccording to The College of bare-assed Jersey Anti-Violence Initiatives (n.d.), people often chose nonassertive behavior to avoid unpleasant situations, tension, conflict, and confrontation (Assertive, Nonassertive, and Aggressive Behaviors). Pamela the school nurses acted passive/nonassertive when she decided to do the work herself instead of confronting the volunteer. She could crap saved time and money by placing her trust in the volunteers work and the accuracy of it. With this type of communication more problems arise. Her concerns and actions not only inconvenienced the students, it showed the volunteer that she did not trust her work.Itcaused the school nurse to do more work which caused the scho ol to spend more money. Speaking to the volunteer could get hold of help avoid the discomfort of this situation. To see if the results the volunteer got were accurate she could fetch set in on one of the test. If the volunteer performed the job inaccurately, thus(prenominal) she should have re-tested the students. If the volunteers performance of the test were accurate, the results could have been used faster and the students who needed glasses or hearing aids could have received them quicker. Her choice may have seemed right at the time she made the decision, but the outcome of it made her decision wrong.Assertive/ AggressiveIn this scenario both assertive and aggressive communication was used. Working in an ambulatory care surgical unit can be a controlled environment and at times an extremely busy one. Team work is necessary to good patient outcome. Since Mabel was the granddaughter of the chairman of the board she felt entitled to do what she wanted to do. She used her aggr essive behavior to boss her boss around. She felt that she could select and choose the cases she scrubbed in on and she wasnt going to work on the cases that required extra work.Her boss Rosa used her assertive behavior to explain that everybody worked as a team in the unit and everyone would use their strengths to make the work environment enjoyable and bring the best outcome for the patient. organism assertive is the best communication there is. You can effectively get your point across without hurting anyones feelings. Because this style of communication addresses the problem in the situation, real problems get solved and stay solved.(Hansten & Jackson, 2009, p. 282). Rosas assertiveness was a good way to let Mabel know that she was not intimated by her or her threats of serving her head on a platter.Aggressive/ AssertiveWorking in a busy Trauma/Surgical ICU emergencies happen frequently. Patients are very sick and with the emergency mode really busy a lot of patients come to t he ICU for resuscitation. I was receiving one of those patients and the emergency room nurse called to give constitution. In the report she said that the patient was receiving a blood transfusion and had two more units that needed to be given. I asked where the units of blood were, and she said she would bring them with the patient. I then informed her per policy the blood can come with the patient as long as they have been primed and are hanging. She said they didnt have time for that because the doctor really wanted to bring the patient now.She told the resident who got on the phone and told me that he was bringing the patient now and that I would have to hang the blood when the patient arrived. I told him about the policy and he said he didnt care. The patient arrived with the two units of blood lying on the bed. The attending arrived with the patient and told me to hang the blood. I then informed him about the policy and since I wasnt the nurse to verify the blood I could not h ang it. He screamed at me that I had to hang it or go get my change nurse. One of my co-workers went to get my charge nurse who he then told that I refused to hang the blood. I told her that we had just had our yearly clinical competencies and that per policy the blood should have been hung before the patient was transferred.I was not refusing but I was defend my license. The resident was capable of hanging the blood himself. She then hung the blood for the patient. After the patient was stabilized, my charge nurse went to retrieve the policy. After reading the policy she shared the information with the attending and she apologized to me for the miscommunication. Monegain (2010), An estimated 80 percent of serious medical errors involve miscommunication between caregivers when responsibility for patients is transferred or handed-off, according to the Joint Commission.If the doctors would not have been so aggressive and communicated better the situation could have been avoided. We could have worked together to hang the blood. I could have shown them how to prime the line or the emergency room nurse could have accompanied the patient to the unit to hang the blood. The patient outcome was good and he eventually was discharged from the hospital.

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