Nursing 108

N108: Transition to the Registered Professional Nurse Role Study Guide Emotional Intelligence The theory of emotional intelligence provides a framework to think about all of the non-technical skills needed to be a good nurse. It’s often described as the potential to feel, use, communicate, recognize, remember, describe, identify, learn from, manage, understand, and explain emotions. Emotional intelligence is made up of four basic abilities: • Self-awareness: The ability to read our own emotions and recognize their impact while using gut feelings to guide decisions. • Self-management: The ability to control our own emotions and impulses and adapt to changing circumstances. • Social awareness: The ability to sense, understand, and react to others’ emotions while comprehending social awareness as a nurse. • Relationship management: The ability to inspire, influence, and develop others while managing conflict. 3.9 Organizational Patterns for the Delivery of Nursing Care • Primary nursing: Each client has a primary nurse who plans and coordinates all care for the client during his/her stay. This method requires more professionals and can be very expensive. One RN is responsible for all the care for a group of patients 24/7 and directs care coordination by other healthcare providers. o Advantages: High job satisfaction, lower complication rates, and better patient outcomes o Disadvantages: Costly and was very popular in the 1980s • Team nursing: A team of workers is assigned to a group of patients. A team leader assigns work according to the skill of the worker and the needs of the client. This system can be less fragmented than functional nursing. If done correctly, team nursing can be very efficient but often leaders simply divide the number of patients by the number of workers, which is ineffective. The RN heads the team of licensed and unlicensed personnel in which each person uses his or her skills and license to give care as coordinated by the team leader. This method of nursing was introduced in the 1950s after World War II. o Disadvantages: Team leader must have good leadership skills, communication, delegation, and conflict resolution • Functional nursing: Individual workers are assigned specific tasks rather than specific clients. This system is easy to organize, efficient, and accountability for tasks is obvious. Functional nursing requires fewer nurses; however, this system requires supervision as workers may be under-challenged, which can lead to fragmented care. The head RN assigns a different task of care to different staff members for all the patients on the unit. This type of nursing was introduced in the 1930s during The Great Depression and allowed for care of a greater number of patients.

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