NURS 4455 Staff Performance Discussion

How could you use the Nursing Process to address a staff member’s performance shortcomings?

A nursing process usually involves assessment of the case, diagnosis, planning how to manage, implementation and evaluation of the outcome. This process can also be used to address staff members’ performance shortcomings. Every manager has a role of coaching and developing their staff. It is therefore important for us to be mindful that every worker has some weakness and strength. It is the manager’s job to identify such weakness and address them. This is where we employ nursing process. First you need to assess the situation to find out the employees’ weaknesses.

In order to evaluate pain thoroughly my nursing skills would include the PQRST method. P (Provocation/Palliation)- What were you doing when the pain started? What caused it? What seems to trigger the pain? What relieves it? Q (Quality)-what does the pain feel like? Is it sharp, dull, tingling? R (Region)-Is the pain felt all over or in one specific area? Does the pain travel around? S (Severe)- on a pain scale from 0-10 with 0 being no pain, where would you rate the pain? How long does the pain last? T (Timing)- How often does it occur? When it does come to you is it sudden or gradual?

Therapeutic : What nontherapeutic communication styles did the nurse use in this scenario? What therapeutic communication styles could the nurse have used instead? In your response, speak directly to the client.
In terms of nontherapeutic communication styles, the nurse gave personal advice and false reassurance, asked why questions, and focused on self, rather than the client. As a result, this lead to the failure to remain client centered. The therapeutic communication styles that the nurse could have used which are active listening, silence, and exploration; providing leads; and asking focused questions. For my response to the client, I would ask the patient to elaborate more about his feeling on his mother’s passing. “Mr. Tolito, tell me more about how you feel.”