N108: Transition to the Registered Professional Nurse

N108: Transition to the Registered Professional Nurse Role Study Guide The approach and strategies used to deal with conflict depend on a number of factors including: • Nature of conflict • Individuals who are involved • The ability to influence the outcome • The possibility of retribution and all elements that will affect the situation Approaches used to help resolve and manage conflict: • Withdrawing from or avoiding conflict : The employee chooses not to address the issue at hand. People often deny the existence of conflict. This approach is preferred by those who are uncomfortable with facing conflict and many times when people back away from conflict they are taken advantage of. • Smoothing or accommodating conflict: This involves trying to relieve feelings associated with conflict without solving the underlying problem. Someone apologizes when it is not his or her fault, or agrees with something that one does not truly agree. This approach is used by people with a strong need to be liked or people who are overly concerned with the welfare of others. • Forcing the issue or competing: This means someone is working exclusively for his or her own solution to the problem. These people believe they know more about the issues involved than others, or when have values that will not allow a compromise. Typically, these people are accustomed to being the winner and often fail to consider the needs and opinions of others. • Negotiating or compromising: This involves give and take, where one factor is balanced against another. This approach is seen as collective bargaining where one factor in the situation is balanced against another and serves to minimize the losses for both parties. This approach may be the approach of choice if the opposing goals are so incompatible that no resolution can be reached and discussion has stalled. • Problem solving and collaborating: This is the most difficult to achieve, however many believe this is the best approach to conflict. This approach encourages participants in the conflict to work toward common goals and to work toward consensus. It can be time consuming and requires that all persons involved come to the table willing to examine and discuss issues openly and honestly. 3.13 Patient Centered Care The QSEN competency of patient centered care means that the new RN recognizes the patient is a full partner in providing compassionate and coordinated care based on respect for the patient’s preferences, values, and needs. Respect is evident in the sharing of desired information with the patients and families, the active partnering with them to determine care priorities and a plan, tailoring their level of involvement according to their preferences, and re-formulating the plan as the situation changes. When communicating with patients, it is essential to adjust the message and its delivery according to the individual patient’s communication and learning preferences. Patients want to be able to trust what they are being told, and to receive it in a manner that makes sense to them at a level they can understand. Patient centered care means being attentive to the patient’s physical comfort,

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