Nursing leadership and management dq # 5 student reply martha gomez

 This is another student reply to wish i have to react. please add some extra information related to the post and be careful with the similarity. 

Question 1

In personal relationships, effective communication helps an individual to advocate oneself, get better understood by others and also express his/her feelings in a positive and safe manner. In therapeutic relationships, effective communication help build confidence in healthcare professionals, transmit information to patients and address issues that may arise for individualized care (Tappen et al., 2004). In an inter-professional healthcare team, effective communication increases communication, reduces the chances of error and improve patient care outcomes.

Question 2

The most important similarity between effective communications in the three interaction is the benefit of improvement of patient care outcomes. In all these communication, the final goal is to ensure the safety and quality of care. On the other hand, the main difference is involves the main persons affected (Tappen et al., 2004). In personal communication, the relationship is between two people; in therapeutic, it involves a healthcare professional and a patient; while two or more healthcare personnel are involved in the last type.

Question 3

Congruence between verbal and non-verbal communication refers to a situation where there is a coherent message passed through the two methods and the verbal and non-verbal messages are mutually enhancing (Eisenhauer, 2018).

Question 4

In communicating emotional messages, electronic communication such as email may lead to miscommunication as it does not allow for expression of emotions (Kumari, 2018). A face to face communication is appropriate emotions can be passed and read.

Question 5

In my clinical experience, I have seen ISBAR used in a variety of areas. Most importantly, the ISBAR framework is used by nurses when developing care plans for patients.

Question 6


The current state of patient

  • Name of the nurse/ unit
  • Patient name and location
  • Current situation


Patient history, clinical background and other additional information

  • Reason for admission
  • Summary of treatment
  • Physician assessment
  • Pertinent changes
  • H & P


What the nurse thinks is going on with the patient

  • The nurse concludes present situation


What the nurse thinks should be done

  • What the patient needs and when he/she should get it

Question 7

Dr. Roberts’ situation requires calmness and patient from the nursing department in responding. As a nurse, I would be slow to give an answer to the query. First, the approach involve asking for calmness in the doctor then explain the situation with the lab results.

Question 8

Accountability in delegation means that registered nurses retain the accountability of the patient care outcomes associated with delegation as long as the person who did the task dis it as instructed (Tappen et al., 2004). Legally, delegation is considered accountable if the right task, right person and direction of communication is present.

Question 9

The role of the two RNs in this unit will be to monitor the health of patients and administer the treatments and medications required. They will also be responsible for delegating roles in regard to the care of the patients to the UAPs. The LPNs will also be involved patient care record keeping and monitoring nursing staff and the UAPs. The UAPs will assist the RNs and LPNs in taking care of the patients in the unit after delegation.

Question 10

While in direct delegation involves a direct verbal directive about a task, indirect delegation involves the provision of approved list of activities already included in procedures and policies (Tappen et al., 2004)..

Question 10.1

When delegating patient care, one should consider whether the task is within the scope of practice of for the RN or LPN. Also, consider whether the assessment of client needs is complete. The task must be within the rules of delegation for UAPs. The UAP must also be trained for the task and their capabilities meet the client’s needs.

Question 10.2

In prioritizing care, the severity of illness should be the major factor. Patients who have severe illness are delicate and in urgent need of care.

Question 10.3

  1. Among some of the tasks that I could delegate in my experience include feeding patients, record keeping and cleaning patient’s wounds.
  2. My nurse preceptor was highly effective in delegating tasks to others. She considered the capabilities, skills and talents of nurses and other staff before delegating tasks.
  3. The nurse preceptor was keen on conducting assessments to ensure that tasks were done as she wanted.


Eisenhauer, E. (2018). Informed Choices in Biobanking: An Examination of Participants’ Understanding and Congruence between Knowledge, Values, and Decisions (Doctoral dissertation).

Kumari, A., Tanwar, S., Tyagi, S., & Kumar, N. (2018). Fog computing for Healthcare 4.0 environment: Opportunities and challenges. Computers & Electrical Engineering72, 1-13.

Tappen, R. M., Weiss, S. A., Whitehead, D. K., & Fletcher, M. (2004). Essentials of nursing leadership and management. The Canadian Nurse100(1), 14.

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