NR 103 Week 5 Assignment; Communication and Collaboration Notes

$15.00

Contributor

George Clooney

Category

Nursing

Course

NR 103 Transition to the Nursing Profession

Institute

Chamberlain

Pages

23

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Unit 5: Communication and Collaboration Lesson 1: Written Communication Introduction to Professional Written Communication Successful healthcare practice requires the ability to communicate effectively. Written communication may be exchanged among providers, clients and co-workers through charting, emails, and other documents. In addition, while in school, there may be written assignments that will use the APA format. APA Style supports “concise, powerful, and persuasive scholarly communication” (APA, 2020, p. 1) and the APA Manual (APA, 2020) will be a required resource throughout your nursing education at Chamberlain. This concept will review various forms of written communication for the clinical setting along with student-related written assignments. Written Communication – Do’s and Don’ts Written communication is the most common, and sometimes the only, means of communication between healthcare professionals. Written communication has many advantages beyond verbal communication: Information can be used for future reference purposes and can be easily shared among multiple providers. Information can be used for legal purposes to document care that was provided and to also audit and improve the delivery of care as needed. Using electronic written communication allows for even more immediate access to information and avoids the need for a verbal connection. 1000125239527 The following are basic rules for documenting: Use time and date; be specific, accurate, and complete Follow rules of grammar and punctuation Chart as soon and as often as necessary Chart your own care, observations, and teaching Correct errors promptly Use black ink when using handwritten charts You should not use blue ink, erase, use correction fluid, or scratch out errors. You should not chart only once at the end of the shift. Record Keeping: Forms & Examples There are several different types of forms used for record keeping. The forms can be a paper chart or an electronic version of the chart. Click each tab for a definition and example of each form. Kardex: This form/system is used to condense patient orders and is typically found in long-term care (LTC) facilities. It includes a 24-hour snapshot of the client's care including diet, activity, elimination, supportive devices, wound care, and hygiene. Nursing Care Plan: This is developed to meet the nursing care needs of the client using the nursing process. Each nursing issue is documented with a plan of care to address the client's problem/issue and improve their health outcomes. 24-Hour Client Care Records and Acuity Charting Forms: This form is used to document all of the vital information for a 24-hour period, including vital signs, intake and output, hygiene, and diet. An acuity chart would rate the level of acuity for the client from 1-5, with 1 being a higher acuity (complete care) and 5 a lower acuity (self-care). Dishcharge Summary Form: This form is used to adequately ensure the client is ready for discharge. Ideally, discharge planning begins upon admission. The client must be given the discharge instructions, which will be written concisely and clearly. Becoming a Better Writer: As a student, you will be frequently asked to communicate through the written, or typed, word. Your writing expertise will grow with practice and experience. Consider trying a couple of these tips to start, and later add more to your skill set until you become an expert writer. The following tips (McAfooes, 2015) will help improve your writing skills. Select each tip below to learn more! Creating Talking Points: Develop an outline of your ideas before you begin. Construct a list of points you want to make throughout your paper. Later, when you review your work, check off these points to be sure that you have covered them all. Wait to Review: Once you have finished your writing, it’s tempting to give it a quick check and submit it. Instead, allow time to pass before you re-read it. This lets you critique your writing with a fresh perspective. You may find errors you originally missed, or better ways to express your thoughts. Seek Critique: Chamberlain University offers writing assistance through a tutoring service. Encourage them to provide constructive comments about the style and substance of your writing as well as provide feedback on the mechanics such as typos, grammatical mistakes and punctuation errors. Avoid being defensive—they are there to help! Be open to their suggestions. Chamberlain has an “Essay Review” service where you can submit a rough draft and receive feedback within a few days of your appointment slot. Express Yourself: You may be asked to keep a journal or blog to document your experiences. Unlike a formal paper, this style of writing may call for you to document your thoughts and feelings. Ask to see an example of this type of writing if you are unsure of what is expected. Choose Smart Software: Choose software to write your paper that has built-in features such as spell checking and grammar correction. If you are asked to follow a particular format, check to see if there is a template available for you to use. The template may aid you in formatting such items as footnotes, references, and headers. For example, Chamberlain University encourages you to download and install the “Grammarly” software to your computer. Avoid Plagiarism: It’s tempting to cut and paste text from an online source into your paper when you feel that the author is expressing the same opinions that you hold. Although this is easy to do, copying could be construed as cheating if you do not give proper credit to the source. Follow the guidelines your teacher has recommended to cite and reference resources. Slightly changing the words may also be considered plagiarism. Remember, your teacher needs to assess your understanding of the subject and therefore expects to read your original work. Submit Your Work: Know the teacher’s rules for submitting your writing. Do you need to use a particular software application or form or writing template? Is your paper to be submitted online in a specific way, such as an attachment to a Canvas assignment dropbox? The rules will vary, so be sure that you know what is expected of you. Use Writing Aids: Refer to dictionaries, thesauruses, and style guides such as the APA Manual (APA, 2020) along the way. You may find these online or embedded in your word processing application. These writing aids help you to find just the right words to convey your ideas. An online style guide can assist you when you have questions about sentence structure or how to use citations properly. Surf Online for Advice: Search online for free advice on how to improve your writing. Use a search engine to help you narrow your search. For example, type in “how to write a blog” if this is the information you seek. Avoid .com websites and focus more on using .org and .gov websites. Finally, be sure to find quality resources. The internet is a great place to locate resources and reference materials, but keep in mind that anyone can post anything. Just because it’s online doesn’t mean it is accurate. Research your sources to be sure that they are creditable. Questions include, “Who is the author? What is the site’s purpose? Is the information up-to-date? Can I tell how old the source is?” Your instructor may provide you with more criteria on how to judge a quality resource. Refer to dictionaries, thesauruses, and style guides such as the APA Manual (APA, 2020) along the way. You may find these online or embedded in your word processing application. These aids help you to find just the right words to convey your ideas. An online style guide can assist you when you have questions about sentence structure or how to use citations properly. Chamberlain University encourages the use of “Grammarly” software and the school also offers an essay review service. APA Manual As you learn the language of the healthcare profession, you will find that it becomes natural for you to comprehend what you read and hear, to choose the words you use to communicate, and to document your interactions with others. One new

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