0626nursing conferences .ppt

8/22/2019 0626nursing Conferences .Ppt

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Mr.Arun

II year M.Sc nursing

PCON,Bengaluru.

Mail- id :

[email protected]

Mobile: 9886505608


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TERMINOLOGIES

Conference: A conference is the actConference: A conference is the actof consulting together. It is theof consulting together. It is the

nucleus of the in-service nursingnucleus of the in-service nursing

programmes.programmes.Techniques: Is a procedure used toTechniques: Is a procedure used to

accomplish a specific activity or task.accomplish a specific activity or task.

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Consensus: General agreementConsensus: General agreement

among the members of a givenamong the members of a given

group or community, each of whichgroup or community, each of whichexercise some discretion in decisionexercise some discretion in decision

making and follow up action.making and follow up action.

Interdepartmental: Within theInterdepartmental: Within the

department.department.

Interview: A formal conversation withInterview: A formal conversation with

someones design to extractsomeones design to extract

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INTRODUCTIONINTRODUCTION



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NURSING CARE CONFERENCENURSING CARE CONFERENCE

DEFINITION:DEFINITION:

Nursing care conference is a groupNursing care conference is a group

discussion using problem solvingdiscussion using problem solving

techniques to determine the ways oftechniques to determine the ways ofproviding care for the patients toproviding care for the patients to

whom students are assigned as apartwhom students are assigned as apart

of their clinical experience.of their clinical experience.



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SOURCES OF PROBLEM SOLVINGDISCUSSION

Objective of clinical nursing program.Objective of clinical nursing program.

PatientsPatients

StudentsStudents



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NURSING CARE CONFERENCE ASA METHOD OF TEACHING

It is an opportunity for formal discussionIt is an opportunity for formal discussion

by free exchange of knowledge andby free exchange of knowledge and

experience on a common problem.experience on a common problem.

To design a nursing care conferenceTo design a nursing care conferencea) There should be consultation visit froma) There should be consultation visit from

a clinical nurse practitioner.a clinical nurse practitioner.

b) It must be planned around some aspectb) It must be planned around some aspectof nursing care or scientific focus of aof nursing care or scientific focus of a

nursing problem presented by the patient.nursing problem presented by the patient.



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c) It must be based on the course ofc) It must be based on the course of

an action discussion. i.e..,assessingan action discussion. i.e..,assessing

the nursing problem, helping thethe nursing problem, helping thestaff to examine clients problem.staff to examine clients problem.



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PLANNING AND PREPARATIONFOR NURSING CARE

CONFERENCEOrganizers should prepare well inOrganizers should prepare well inadvance.advance.

Before presenting the subject mustBefore presenting the subject must

be planned on objectives.be planned on objectives.The student must be aware of theThe student must be aware of the

data regarding a case.data regarding a case.

Students must be given anStudents must be given anopportunity to work in ward for littleopportunity to work in ward for littletime before presenting thetime before presenting theconference.conference.



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TECHNIQUES USED TOCONDUCT

Should be a consultation toolShould be a consultation tool

FlexibleFlexible

Should involved all studentsShould involved all students

Provide time to thinkProvide time to think



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ADVANTAGES

Helps the students to collectHelps the students to collect

information in a creative way,information in a creative way,

validates the data systematically.validates the data systematically.

Provides a real practical experienceProvides a real practical experience

and environment to the students.and environment to the students.

Fortifies the thinking of students.Fortifies the thinking of students.

Active participation.Active participation.



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DISADVANTAGE

Has little used if the students do notHas little used if the students do not

accustom the situation.accustom the situation.

Conference hour may be used forConference hour may be used for

classroom teaching.classroom teaching.



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PHASE

OPENINGPHASE

WORKINGPHASE

CLOSINGPHASE

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OPENING PHASE

Defined as the first two minutes ofDefined as the first two minutes ofthe conference.the conference.

To make a commitment to work on aTo make a commitment to work on aproblem relating to a particularproblem relating to a particularpatient.patient.

Often set a tone for the entireOften set a tone for the entiresession.session.

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WORKING PHASE

The task is to arrive at a consensusThe task is to arrive at a consensus

on problem identification andon problem identification and

solution.solution.

Helps the group to focus theirHelps the group to focus their

discussion by asking direct question,discussion by asking direct question,

rephrasing the words said by grouprephrasing the words said by group

and summarizing.and summarizing. If the consultant and group view theIf the consultant and group view the

absent data as critical to theabsent data as critical to the

solution, time is better spent to getsolution, time is better spent to get06/21/1306/21/13 15

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contd.

@ problems are identified and the

group can often reach its ownsolution.

@ offering concrete solutions to theproblem

@ consultant should be careful to askon the groups opinion on thevalidity of her suggestion.

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CLOSING PHASECLOSING PHASE

The main task is to delegate theThe main task is to delegate the

responsibility to one or more staff toresponsibility to one or more staff to

act on the problems continuously.act on the problems continuously.

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MAJOR

TYPES

TeamLeaderDirectionConference

Patient caredconference

NursingServiceManagementConference

Inter-shift

AndInterdepen-dentalconference



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NURSING TEAM CONFERENCENURSING TEAM CONFERENCE

DEFINITION:DEFINITION:

The assignment method shoul beThe assignment method shoul be

used which will make possible theused which will make possible thebest nursing care to the patient,best nursing care to the patient,provide the best experience to staffprovide the best experience to staffmembers, giving them interest andmembers, giving them interest and

challenge and that will keep the unitchallenge and that will keep the unitfunctioning smoothly andfunctioning smoothly andeffectively.effectively.



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OBJECTIVESOBJECTIVES

Identify the patient nursing problem.Identify the patient nursing problem.Recognized ability and limitation ofRecognized ability and limitation of

various team members.various team members.Helps to communicate the ideas,Helps to communicate the ideas,

information related nursing care.information related nursing care.Utilized scientific information toUtilized scientific information to

influence the cause of nursing care.influence the cause of nursing care.Make generation from specificMake generation from specific

information that is factual.information that is factual.



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Contd..Contd..

# Helps to report , interest, channelize# Helps to report , interest, channelizeand carryout hospital or health careand carryout hospital or health careproblem.problem.

# Teaches what is required to help# Teaches what is required to help

team members fulfill their roles.team members fulfill their roles.# Helps to plan nursing care co-# Helps to plan nursing care co-operatively with other teamoperatively with other teammembers.members.

# Bring also maximum creative# Bring also maximum creativepotential of the team.potential of the team.



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Conference procedureConference procedure

Planned time each day for thePlanned time each day for themembers of the team nursing teammembers of the team nursing teamto meet as a group.to meet as a group.

During this period, patientsDuring this period, patientsproblems are identified and exploredproblems are identified and exploredand an approach is developed by theand an approach is developed by theteam.team.

The nursing care plan are revised orThe nursing care plan are revised orfurther developed according tofurther developed according tochanging needs of patients.changing needs of patients.



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Each members of the is recordedEach members of the is recorded

during the course of the day and theduring the course of the day and the

response of the patient to her care,response of the patient to her care,question and comments of thequestion and comments of the

patient and individual notes are usedpatient and individual notes are used

as guides in conference.as guides in conference.

The team leader, using kardex as aThe team leader, using kardex as a

guide, reads the patients name andguide, reads the patients name and

objective of nursing care .objective of nursing care .

Problems are identified by the group,Problems are identified by the group,

a plan is project for the solution ofa plan is project for the solution of

the problem .the problem .06/21/1306/21/13 2323ARUN PIRAVOMARUN PIRAVOM


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Demands of the professionalDemands of the professional

nursenurse

Nine demands were identified byNine demands were identified by

Chao and Wilks students of nursingChao and Wilks students of nursing

education of Columbia University.education of Columbia University.

They are:They are:

1)1) To identify the patients nursingTo identify the patients nursing

problem.problem.

2)2) To recognized ability and limitationTo recognized ability and limitation

of various team members.of various team members.



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Cont..Cont..

> To identify the patients> To identify the patients

nursing problem.nursing problem.

> To recognized ability and> To recognized ability and

limitations of various teamlimitations of various team

members.members.> To communicate.> To communicate.


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To use scientific information toTo use scientific information toinfluence the course of nursinginfluence the course of nursing

care.care. to generalized from specific.to generalized from specific.To report, interpret, channel andTo report, interpret, channel and

carryout hospital policies.carryout hospital policies.To bring out maximumTo bring out maximum

creativity.creativity.To teach in conference what isTo teach in conference what is

required to help team membersrequired to help team membersfulfill their roles.fulfill their roles.

To plan nursing care co-To plan nursing care co-

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TYPESTYPES

Team leader directionTeam leader directionconference.conference.

Patient centered conferencePatient centered conference

Nursing service managementNursing service managementconference.conference.

Inter shift and inter departmentalInter shift and inter departmental

conference.conference.



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ADVANTAGESADVANTAGES

Used to plan for the dailyUsed to plan for the dailycontinuity of nursing care thatcontinuity of nursing care thatbased meets the patients needs.based meets the patients needs.

As a teaching tool, nursing teamAs a teaching tool, nursing teamconference offers valuableconference offers valuableopportunities for learning.opportunities for learning.

Gives an ability to observe,Gives an ability to observe,

report and analyses significantreport and analyses significantfinding input to its greatest testfinding input to its greatest testas students are conforted withas students are conforted withtheir daily responsibilities.their daily responsibilities.



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HEALTH TEAM CONFERENCEHEALTH TEAM CONFERENCE

DefinitionDefinition::

Health teamHealth team

conference is group ofconference is group ofprofessional person involved Iprofessional person involved I

n accomplishing commonn accomplishing common

goals for the purpose of intergoals for the purpose of interchange of ideas and solvingchange of ideas and solving

problems which are centeredproblems which are centered

on the client,on the client,06/21/1306/21/13 2929ARUN PIRAVOMARUN PIRAVOM


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provides a useful tool forprovides a useful tool for

building and maintainingbuilding and maintainingmutual understandingmutual understanding

through which it isthrough which it is

possible to attain andpossible to attain andmaintain optimum mental,maintain optimum mental,

physical, social health.physical, social health.



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OBJECTIVESOBJECTIVES

To assess the healthTo assess the healthneeds of the client andneeds of the client and

to solve these needsto solve these needsthrough comprehensivethrough comprehensive

approaches byapproaches by

contributors of all thecontributors of all themembers of the team.members of the team.



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PRINCIPLESPRINCIPLES

There must be and objectiveThere must be and objective

or purpose that use to beor purpose that use to be

accomplished.accomplished.

Adequate preparation by theAdequate preparation by the

leader for all conferenceleader for all conference

expedites fulfillments ofexpedites fulfillments of

expectation for theexpectation for theconference.conference.

Prior announcements of thePrior announcements of the

time, place, purpose andtime, place, purpose and06/21/1306/21/13 3232ARUN PIRAVOMARUN PIRAVOM


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ContCont

Conferences to all concernedConferences to all concerned

promotes assembly of a grouppromotes assembly of a groupwell prepared and ready to focuswell prepared and ready to focus

on the purpose of the conferenceon the purpose of the conference

attention.attention.Obtaining the most recent dataObtaining the most recent data

available prior to conferenceavailable prior to conference

assures the leader that impartedassures the leader that impartedinformation is pertinent andinformation is pertinent and

accurate.accurate.

Information to the otherInformation to the other06/21/1306/21/13 3333ARUN PIRAVOMARUN PIRAVOM


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or client that is paced systematicor client that is paced systematic

and inclusive allows participantsand inclusive allows participants

time to assimilate the contenttime to assimilate the contentand provides them withand provides them with

information necessary function.information necessary function.

Interaction of conferencesInteraction of conferencesmember on equal basismember on equal basis

encourage active participationencourage active participation

and leads to usable solution toand leads to usable solution to

the objective.the objective.



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Sharing the feeling throughSharing the feeling through

conferences unifies andconferences unifies and

integrates the membership andintegrates the membership andallows work to progress.allows work to progress.

Periodic review conferences heldPeriodic review conferences held

with the member of the teamwith the member of the teamand provide a mechanism for theand provide a mechanism for the

physician (leader) to validatephysician (leader) to validate

medical care given and maintainmedical care given and maintainquality control.quality control.



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THE INDIVIDUAL CONFERENCETHE INDIVIDUAL CONFERENCE

Definition:Definition:

Is defined as a conversationIs defined as a conversationwith the purpose or morewith the purpose or more

simply as an interview.simply as an interview.



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PURPOSEPURPOSE

To guide in teaching.To guide in teaching.To acquire more knowledge.To acquire more knowledge.

To discover the interest, needs andTo discover the interest, needs and

the problem of the individual student.the problem of the individual student.To help student herself/ himself.To help student herself/ himself.

To achieve a proper balance amongTo achieve a proper balance among

them.them.

To conceive of any teaching orTo conceive of any teaching or

learning situation where the teacherlearning situation where the teacher

will not use the individual conferencewill not use the individual conference

almost daily.almost daily.06/21/1306/21/13 3737ARUN PIRAVOMARUN PIRAVOM


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TECHNIQUETECHNIQUE

Teacher should:Teacher should:Established good report with theEstablished good report with the

student.student.

Allow the student to talk freely.Allow the student to talk freely.Not show any prejudice,Not show any prejudice,

emotional reaction or bias.emotional reaction or bias.

The teacher may listen quietly toThe teacher may listen quietly tothe student views withoutthe student views without

expressing comments or passingexpressing comments or passing

judgments.judgments.06/21/1306/21/13 3838ARUN PIRAVOMARUN PIRAVOM


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PRINCIPLESPRINCIPLES

The success of the individualThe success of the individual

conference as a method ofconference as a method of

teaching, in the attitude of theteaching, in the attitude of the

teacher towards this student-teacher towards this student-

teacher relationship, herteacher relationship, herconception of its value, herconception of its value, her

discernment of the reasondiscernment of the reason

behind student behaviors andbehind student behaviors andher understanding of theher understanding of the

techniques which she uses totechniques which she uses to

produce the desired result.produce the desired result.06/21/1306/21/13 3939ARUN PIRAVOMARUN PIRAVOM


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PRINCIPLES:PRINCIPLES:

The success of the individual conferenceThe success of the individual conferenceas a method of teaching, in the attitude ofas a method of teaching, in the attitude of

the teacher toward this student teacherthe teacher toward this student teacher

relationship, her conception of its value,relationship, her conception of its value,

her discernment of the reason behindher discernment of the reason behind

student behaviors and her understandingstudent behaviors and her understanding

of the techniques which she uses toof the techniques which she uses to

produce the desired results.produce the desired results. The most important of these is theThe most important of these is the

teachers attitude towards the relationshipteachers attitude towards the relationship

which should exist between her self andwhich should exist between her self and

student.student.


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Establishment of a definite purposeEstablishment of a definite purpose

& specific issues to be covered.& specific issues to be covered. Knowledge of the student.Knowledge of the student.

Provide sufficient time.Provide sufficient time.

Establish good rapport.Establish good rapport.

Good listening.Good listening.

Positive effect.Positive effect.

Recording of data.Recording of data.



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SKILLSSKILLS

Some of the important skills are:Some of the important skills are: Skill in observation.Skill in observation. Skill in the use of setting.Skill in the use of setting. Skill in the establishment of rapport.Skill in the establishment of rapport. Skill in meeting resistance.Skill in meeting resistance. Skill in recognizing ambivalentSkill in recognizing ambivalent

feelings.feelings.

Skill in establishment of authority.Skill in establishment of authority. Skill in the use of questions.Skill in the use of questions. Silence as a skillful procedure.Silence as a skillful procedure.06/21/1306/21/13 4242ARUN PIRAVOMARUN PIRAVOM


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PRACTICAL USESPRACTICAL USES

1.1.Diagnostic and re-medical teaching inDiagnostic and re-medical teaching inindividual conference.individual conference.

2.2. Supplement teaching.Supplement teaching.

3.3.

Discipline.Discipline.

4.4. Clinical teaching.Clinical teaching. a)a) Nursing care study.Nursing care study. b)b) Diagnostic & re-medical purposes.Diagnostic & re-medical purposes. c)c) Nursing care plan.Nursing care plan. d)d) Preparation & orientation to newPreparation & orientation to new

clinical area.clinical area.

e)Evaluation.e)Evaluation.



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USESUSES It can be used to clarify classIt can be used to clarify class

material.material.

It helps in supplementIt helps in supplementinstructions.instructions.

It can also help to explainIt can also help to explainanswers to question ofanswers to question of

individuals.individuals.It can be used as a means ofIt can be used as a means of

assisting the individual who isassisting the individual who is

havin difficulties in kee in uhavin difficulties in kee in u06/21/1306/21/13 4444ARUN PIRAVOMARUN PIRAVOM


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THE SUPERVISORYTHE SUPERVISORY

CONFERENCECONFERENCE

Is an important means ofIs an important means oforienting and preparing theorienting and preparing the

student for her initial clinicalstudent for her initial clinical

experience & for experienceexperience & for experience

in different setting.in different setting.06/21/1306/21/13 4545ARUN PIRAVOMARUN PIRAVOM


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OBSERVATION:OBSERVATION:

Skill of observation is used notSkill of observation is used not

only within the limits of theonly within the limits of theconference period itself, but alsoconference period itself, but also

during the clinical experience induring the clinical experience in

order to guide the learningorder to guide the learningprocessprocess..



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a)a) For the planned conference, theFor the planned conference, the

setting and the time aresetting and the time areimportant. If there is not a placeimportant. If there is not a place

on the ward that provide privacyon the ward that provide privacy

and freedom from interruption, itand freedom from interruption, itmay be necessary to move themay be necessary to move the

setting elsewheresetting elsewhere

THE SETTINGTHE SETTING



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Cont..Cont..

b)b)Taking sufficient time is alsoTaking sufficient time is also

essential. If there would notessential. If there would notbe enough time. It would bebe enough time. It would bebetter to postpone thebetter to postpone the

conference to another time inconference to another time inaddition the setting shouldaddition the setting shouldinclude an atmosphere ofinclude an atmosphere of

friendliness where bothfriendliness where bothparticipators are comfortableparticipators are comfortableand at ease.and at ease.



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GOOD RAPPORTGOOD RAPPORT

should exist between theshould exist between theinstructor and the nursinginstructor and the nursingstudent.student.

Their relation should be friendlyTheir relation should be friendlybut with emphasis on thebut with emphasis on theprofessional tone and purpose.professional tone and purpose.

The personalities, attitudes andThe personalities, attitudes andself knowledge of both affect thisself knowledge of both affect thisrapportrapport



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QUESTIONING:QUESTIONING:

Should be skillful in order toShould be skillful in order to

aid the nursing student inaid the nursing student in

discussion the problem that shediscussion the problem that she

has questions may be formulatedhas questions may be formulated

for the purpose of disclosingfor the purpose of disclosing

errors poor observations orerrors poor observations orincorrect conclusions.incorrect conclusions.



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EVALUATION:EVALUATION:

Evaluation in a supervisoryEvaluation in a supervisoryconference is a process which shouldconference is a process which shouldbe a combined effort between thebe a combined effort between the

nursing instructor & the student.nursing instructor & the student.Constructive criticism and judgmentConstructive criticism and judgment

will contribute this process. Criticismwill contribute this process. Criticismusually is expected to some degreeusually is expected to some degree

by inexperienced nursing studentby inexperienced nursing studentfrom the nursing instructor, who isfrom the nursing instructor, who isexpert in her eyesexpert in her eyes..



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Instead, her function is actually toInstead, her function is actually to

assist the nursing student to analyzeassist the nursing student to analyze

the using situation & her interactionthe using situation & her interactionthan, the student must be helped tothan, the student must be helped to

formulate new plans.formulate new plans.

Mutual forming of a judgment diesMutual forming of a judgment diesnot always mean that they will agreenot always mean that they will agree

completely but each will know thecompletely but each will know the

other & will respect her opinions.other & will respect her opinions.

This type of process will have moreThis type of process will have more

meaning to the student when shemeaning to the student when she

faces the same nursing problemfaces the same nursing problem

a ain.a ain.06/21/1306/21/13 5252ARUN PIRAVOMARUN PIRAVOM


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Cont..Cont..

For evaluation also aids inFor evaluation also aids informing future action.forming future action.

Each conference should end onEach conference should end onsuch a positive note promotingsuch a positive note promoting

improvement.improvement.



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RECORDS:RECORDS:

Records serve as guides inRecords serve as guides in

planning objectives, futuresplanning objectives, futuresconference and actions.conference and actions.Written records help both theWritten records help both the

instrumental & the student toinstrumental & the student toremember or recall accuratelyremember or recall accuratelywhat has takenwhat has taken place.place.



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Cont..Cont..

Attitudes & opinions as well asAttitudes & opinions as well as

knowledge, change in learning process soknowledge, change in learning process sothat it is easy to forget exactly what theythat it is easy to forget exactly what they

were at previous conference.were at previous conference.

The recording of the data of conferencesThe recording of the data of conferences

should not take place during theshould not take place during the

conference of this would place theconference of this would place the

student under increased tension andstudent under increased tension and

stress.stress. However the recording should be done asHowever the recording should be done as

soon as possible following the conferencesoon as possible following the conference

while it is still clear in instructor mind.while it is still clear in instructor mind.



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0626nursing conferences .ppt

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