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Ambulatory Preceptor: Communication and Teamwork
No matter how much we know, there is always something more to learn about communication, teamwork, and interprofessional/interpersonal work relationships. Healthcare is a continuously evolving, fast-paced, multigenerational, and multicultural work environment. Communication and teamwork are vital components of safe and effective healthcare. Preceptors must incorporate these elements into preceptorships to successfully transition new staff into ambulatory care and clinical patient care arenas. This becomes particularly important when transitioning preceptees into specialty practice that requires them to work interdependently, such as in ambulatory care. The goal of this course is to provide nurses and nurse preceptors in ambulatory care settings with information about communication and teamwork in preceptorships.
Identify professional attributes of a preceptor, various communication styles, and effective communication techniques in ambulatory settings.
Recognize important elements of teamwork and the role of the preceptor in team building.
Boundaries in the Treatment Relationship
This course explains the concept of a professional therapeutic boundary and how it differs from a personal relationship. You will learn about the ethical role of the clinical practitioner in establishing appropriate roles and boundaries, the difference between boundary crossings and boundary violations, how to appropriately use social media and other technology, and how to recognize situations with high potential for harmful boundary violations. As you master these skills, you will become more effective in maintaining an appropriate relationship between you and your clients.
Recall the meaning of a therapeutic boundary and the difference between boundary crossings and boundary violations.
Indicate how to avoid the red flags of boundary violations.
Discuss current standards for use of social media and other technology pertaining to maintaining therapeutic boundaries.
Boundary Risks for Behavioral Health Paraprofessionals
Boundaries are important in guiding acceptable and unacceptable interactions. People working in service or care professions are often in situations where the lines between a professional and social relationship become blurred. Setting and keeping professional boundaries are key to protecting your clients, yourself, and the service or care process. The goal of this course is to provide paraprofessionals in health and human services settings with information about professional boundaries, boundary crossings and violations, and situations when crossing a boundary may be acceptable.
Define professional boundaries.
Differentiate between a social relationship and professional relationship.
Explain three differences between a boundary crossing and a boundary violation.
Identify three considerations when deciding whether it is appropriate to intentionally cross a professional boundary.
Communicating with Patients
Effective communication with patients and families is the foundation for a therapeutic, safe, and positive patient experience. The patient‘s experience of care is greatly influenced by what is communicated and observed. It is also a vital component of obtaining an accurate history and physical assessment, providing informed, comprehensive care, and educating patients and families to achieve optimal outcomes. The goal of this course is to provide information about how to effectively communicate with patients in healthcare settings.
Identify at least three specific elements of effective communication and how communication affects the patient and family experience.
Recall important components of cultural competence and inclusivity when communicating with patients and families.
Communicating with Patients with Limited English Proficiency
Within healthcare, a patient with limited English proficiency (LEP) is an individual whose primary means of communication is not English and who has a limited command of the language in reading, writing, speaking, or understanding (Office for Civil Rights, 2016). These patients need the careful attention of healthcare personnel to ensure the safety and quality of care. Healthcare professionals should understand regulations and standards related to patients with LEP, such as the use of an interpreter for communication.
The goal of this educational program is to improve the ability of the healthcare team to provide quality care and better outcomes for patients with limited English proficiency (LEP).
Recall the importance of medical interpretation services for patients with LEP.
Identify regulatory, accreditation, and evidence-based standards related to patients with LEP and linguistic services.
Choose strategies for effectively communicating with patients with LEP, including best practices when using an interpreter.
HCAHPS: Transitions of Care and Discharge
Improving hospital processes surrounding discharge and transitions of care can reduce adverse events and readmissions. Process improvements may also lead to better patient adherence to the treatment plan and their overall experience with care. Healthcare professionals must understand care coordination and transitions of care and how they impact HCAHPS survey results.
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is a national standardized survey required for hospitals participating in Centers for Medicare & Medicaid Services (CMS) programs. Survey results are linked to hospital reimbursement from CMS.
Identify the impacts of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and Hospital Value-Based Purchasing (HVBP) programs on healthcare organizations.
Categorize transitions of care, care coordination, and discharge planning.
Select strategies to improve interprofessional teamwork.
Maintaining Professional Boundaries
As a healthcare professional, you may find yourself in situations where issues with professional boundaries develop. Some boundary violations can be quite serious for you, your team members, your organization, and the people you provide care for. For this reason, it is important for you to be aware of these risks.
You should understand the difference between a boundary crossing and a boundary violation. You must also be able to recognize situations that may lead to a boundary crossing or violation and know how to prevent problems.
The goal of this course is to share with general staff in any setting the basics of how to maintain professional boundaries.
Describe the difference between a boundary crossing and a boundary violation.
Recognize common situations that may lead to a boundary crossing or violation.
Identify ways to prevent boundary crossings and violations.
Minimizing Trips, Slips, and Falls
This course is about workplace slip, trip, and fall hazards. It alerts you to the serious consequences that can result even from a simple fall or a near fall and provides information about measures that can help you prevent these incidents and reduce potential injuries.
Identify common hazards that might lead to trips, slips, and falls.
Explain how to prevent injuries from trips, slips, and falls.
Motivational Interviewing and Lifestyle Changes
Healthcare professionals witness the impact on patients’ quality of life and also see how hard it is for people to make changes in their health. Motivational interviewing is a patient-centered way to have a conversation that supports those struggling to make behavioral changes. The provider helps the patient explore personal motivators and identify their own goals. The approach is based on what matters to the patient. When each member of an interprofessional team practices from this point of view, the results can be positive for the patient and for the practitioners.
Identify how the spirit and the four processes of Motivational Interviewing help patients consider their own reasons for change. Recall at least three specific Motivational Interviewing skills you can use to help patients resolve ambivalence in favor of making change.
Motivational Interviewing: An Introduction
In this course, you will learn about Motivational Interviewing, an intervention to help people discover their own desire and ability to make difficult changes. Motivational Interviewing (MI) is a way of communicating that draws out people’s own thoughts and beliefs in order to help them address their ambivalence about making a change.
The course uses a blend of instructive information and interactive exercises to help you understand and apply its core concepts. The goal of this course is to provide addictions, behavioral health counseling, marriage and family therapy, nursing, psychology, and social work professionals in health and human service settings with the skills to define and demonstrate the core concepts of Motivational Interviewing.
Describe the overall purpose of Motivational Interviewing and how it impacts the change process.
Recall the key elements of the MI spirit and how these can support clients in the change process.
Define ambivalence, change talk, and sustain talk, and how these concepts relate to MI.
Preventing and Handling Crisis Situations
Healthcare professionals often encounter patients experiencing agitation or displaying hostile behavior during their careers. De-escalation is a set of approaches and techniques used to assist patients in self-calming to avoid incidents of harm to self, others, or property. Professionals should understand escalation and physiological responses to threats. After determining the risk of escalation, healthcare professionals can use various aspects of verbal communication, such as tone and pitch, and nonverbal communication skills to defuse potentially hostile situations and apply the least restrictive interventions.
Describe what de-escalation is and why it is important.
Recall how to use de-escalation to prevent a crisis from developing.
Indicate specific approaches you can use during a crisis to help individuals return to pre-crisis levels of functioning and prevent harm.
The Use of Root Cause Analysis
Within any healthcare organization, there are systems, policies, and procedures that can be improved or events that could have been prevented. A root cause analysis is a tool that helps healthcare organizations improve their systems by using a team process of discovery. When you understand how to use a root cause analysis, you can apply it to create better solutions, prevent adverse events, and create more effective and efficient systems. This course discusses what a root cause analysis is and how to use it.
Describe how a root cause analysis can be used proactively and reactively.
Working with Difficult Individuals
There are many reasons that it can be difficult working with certain people. There may be communication breakdowns, personality clashes, or conflicting work habits. You may not like everyone you work with, but you do have to respect everyone. By learning ways to reduce conflicts, you’ll likely become more respected, too. In this course, you’ll learn strategies to calmly address misunderstandings before they become actual conflicts. Professional relationships can improve when you know how to deal with differences, communicate clearly, and listen respectfully.
Apply appropriate interventions to help manage high-risk or crucial situations that can lead to difficulties in communication and workflow with coworkers.