Question

A charge nurse on a busy 40-bed medical/surgical unit is approached by a family member who begins to complain loudly about the quality of care his mother is receiving. His behavior is so disruptive that it is overheard by staff, physicians, and other visitors. The family member rejects any attempt to intervene therapeutically to resolve the issue. He leaves the unit abruptly, and the nurse is left feeling frustrated. Which behavior by the charge nurse best illustrates refined leadership skills in an emotionally intelligent practitioner?

1) Reflect to gain insight into how the situation could be handled differently in the future.
2) Try to catch up with the angry family member to resolve the concern.
3) Discuss the concern with the patient after the family member has left.
4) Notify nursing administration of the situation.

Answer 1

The three components of knowledge from which the nurse's 'noticing' of the clinical situation is derived are _experiential knowledge_, _theoretical knowledge_, and _embodied knowledge_.

Step-by-step explanation:

The first component, _experiential knowledge_, is acquired through the nurse's practical experiences and interactions in various clinical situations. This knowledge is grounded in the nurse's past encounters with patients, treatments, and outcomes. It involves the ability to recognize patterns, anticipate potential issues, and draw on lessons learned from hands-on involvement in patient care.

The second component, _theoretical knowledge_, is derived from formal education, evidence-based practice, and a theoretical understanding of medical concepts. This knowledge provides nurses with a foundation of clinical principles, guidelines, and research findings. It enables them to apply theoretical frameworks to assess and comprehend the complexities of patient situations, enhancing their ability to make informed decisions and judgments.

The third component, _embodied knowledge_, involves the integration of the nurse's own bodily sensations, emotions, and personal insights into the clinical context. This type of knowledge is deeply subjective and arises from the nurse's physical and emotional engagement with patients. It encompasses intuitive responses, empathy, and a holistic understanding of the patient beyond purely cognitive considerations. The combination of these three knowledge components contributes to the nurse's 'noticing,' a crucial aspect of clinical judgment and decision-making in healthcare settings.