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Mr.Arun II year M.Sc nursing PCON,Bengaluru. Mail- id : arunpiravom1986@yahoo.

in Mobile: 9886505608

TERMINOLOGIES

 Conference:

A conference is the act of consulting together. It is the nucleus of the in-service nursing programmes.  Techniques: Is a procedure used to accomplish a specific activity or task.
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 Consensus:

General agreement among the members of a given group or community, each of which exercise some discretion in decision making and follow up action. Within the

 Interdepartmental:

department.

 Interview:
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A formal conversation with someone’s design to extract information.
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INTRODUCTION

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NURSING CARE CONFERENCE
DEFINITION: “Nursing care conference is a group discussion using problem solving techniques to determine the ways of providing care for the patients to whom students are assigned as apart of their clinical experience”.

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SOURCES OF PROBLEM SOLVING DISCUSSION
 Objective  Patients  Students

of clinical nursing program.

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NURSING CARE CONFERENCE AS A METHOD OF TEACHING
 It

is an opportunity for formal discussion by free exchange of knowledge and experience on a common problem.  To design a nursing care conference a) There should be consultation visit from a clinical nurse practitioner. b) It must be planned around some aspect of nursing care or scientific focus of a nursing problem presented by the patient.
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c) It must be based on the course of an ‘action discussion’. i.e..,assessing the nursing problem, helping the staff to examine client’s problem.

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 Organizers

PLANNING AND PREPARATION FOR NURSING CARE CONFERENCE
should prepare well in

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advance.  Before presenting the subject must be planned on objectives.  The student must be aware of the data regarding a case.  Students must be given an opportunity to work in ward for little time before presenting the conference.
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TECHNIQUES USED TO CONDUCT
 Should

be a consultation tool

 Flexible  Should

involved all students time to think
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 Provide
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ADVANTAGES
 Helps

the students to collect information in a creative way, validates the data systematically.  Provides a real practical experience and environment to the students.  Fortifies the thinking of students.  Active participation.
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DISADVANTAGE
 Has

little used if the students do not accustom the situation. hour may be used for classroom teaching.

 Conference

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PHASE

OPENING PHASE
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WORKING PHASE
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CLOSING PHASE
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OPENING PHASE
 Defined

as the first two minutes of the conference. make a commitment to work on a problem relating to a particular patient. set a tone for the entire session.
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 To

 Often

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WORKING PHASE
 The

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task is to arrive at a consensus on problem identification and solution.  Helps the group to focus their discussion by asking direct question, rephrasing the words said by group and summarizing.  If the consultant and group view the absent data as critical to the solution, time is better spent to get
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contd…. @ problems are identified and the group can often reach its own solution. @ offering concrete solutions to the problem @ consultant should be careful to ask on the group’s opinion on the validity of her suggestion.
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CLOSING PHASE
 The

main task is to delegate the responsibility to one or more staff to act on the problems continuously.

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MAJOR TYPES

Inter-shift Team Nursing And Leader Patient cared Service InterdepenDirection conference Management dental Conference conference Conference
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NURSING TEAM CONFERENCE
DEFINITION: “The assignment method shoul be

used which will make possible the best nursing care to the patient, provide the best experience to staff members, giving them interest and challenge and that will keep the unit functioning smoothly and effectively”.
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OBJECTIVES
 Identify

the patient nursing problem.  Recognized ability and limitation of various team members.  Helps to communicate the ideas, information related nursing care.  Utilized scientific information to influence the cause of nursing care.  Make generation from specific information that is factual.
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Contd..

# Helps to report , interest, channelize and carryout hospital or health care problem. # Teaches what is required to help team members fulfill their roles. # Helps to plan nursing care cooperatively with other team members. # Bring also maximum creative potential of the team.
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Conference procedure
 Planned

time each day for the members of the team nursing team to meet as a group.  During this period, patient’s problems are identified and explored and an approach is developed by the team.  The nursing care plan are revised or further developed according to changing needs of patients.
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 Each

members of the is recorded during the course of the day and the response of the patient to her care, question and comments of the patient and individual notes are used as guides in conference.  The team leader, using kardex as a guide, reads the patient’s name and objective of nursing care .  Problems are identified by the group, a plan is project for the solution of the problem .
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Demands of the professional nurse
Nine demands were identified by Chao and Wilk’s students of nursing education of Columbia University. They are: 1) To identify the patient’s nursing problem. 2) To recognized ability and limitation of various team members.
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Cont..
> To identify the patient’s nursing problem. > To recognized ability and limitations of various team members. > To communicate.

 To

use scientific information to influence the course of nursing care.  to generalized from specific.  To report, interpret, channel and carryout hospital policies.  To bring out “maximum creativity”.  To teach in conference what is required to help team members fulfill their roles.  To plan nursing care cooperative with other team
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TYPES
 Team

leader direction conference.  Patient centered conference  Nursing service management conference.  Inter shift and inter departmental conference.

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ADVANTAGES
 Used

to plan for the daily continuity of nursing care that based meets the patient’s needs.  As a teaching tool, nursing team conference offers valuable opportunities for learning.  Gives an ability to observe, report and analyses significant finding input to its greatest test as students are conforted with their daily responsibilities.
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HEALTH TEAM CONFERENCE
Definition:

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“Health team conference” is group of professional person involved I n accomplishing common goals for the purpose of inter change of ideas and solving problems which are centered on the client,
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provides a useful tool for building and maintaining mutual understanding through which it is possible to attain and maintain optimum mental, physical, social health.

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OBJECTIVES
To

assess the health needs of the client and to solve these needs through comprehensive approaches by contributors of all the members of the team.
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PRINCIPLES
 There

must be and objective or purpose that use to be accomplished.  Adequate preparation by the leader for all conference expedites fulfillments of expectation for the conference.  Prior announcements of the time, place, purpose and
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 Cont…  Conferences

to all concerned promotes assembly of a group well prepared and ready to focus on the purpose of the conference attention.  Obtaining the most recent data available prior to conference assures the leader that imparted information is pertinent and accurate.  Information to the other
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 or

client that is paced systematic and inclusive allows participants time to assimilate the content and provides them with information necessary function.  Interaction of conferences member on equal basis encourage active participation and leads to usable solution to the objective.
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 Sharing

the feeling through conferences unifies and integrates the membership and allows work to progress.  Periodic review conferences held with the member of the team and provide a mechanism for the physician (leader) to validate medical care given and maintain quality control.
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THE INDIVIDUAL CONFERENCE
Definition:

Is defined as a conversation with the purpose or more simply as an interview.

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PURPOSE
 To

guide in teaching.  To acquire more knowledge.  To discover the interest, needs and the problem of the individual student.  To help student herself/ himself.  To achieve a proper balance among them.  To conceive of any teaching or learning situation where the teacher will not use the individual conference almost daily.
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TECHNIQUE
 Teacher

should:  Established good report with the student.  Allow the student to talk freely.  Not show any prejudice, emotional reaction or bias.  The teacher may listen quietly to the student views without expressing comments or passing judgments.
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PRINCIPLES
 The

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success of the individual conference as a method of teaching, in the attitude of the teacher towards this studentteacher relationship, her conception of its value, her discernment of the reason behind student behaviors and her understanding of the techniques which she uses to produce the desired result.
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PRINCIPLES:

The success of the individual conference as a method of teaching, in the attitude of the teacher toward this student – teacher relationship, her conception of its value, her discernment of the reason behind student behaviors and her understanding of the techniques which she uses to produce the desired results.  The most important of these is the teacher’s attitude towards the relationship which should exist between her self and student.

      

Establishment of a definite purpose & specific issues to be covered. Knowledge of the student. Provide sufficient time. Establish good rapport. Good listening. Positive effect. Recording of data.
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SKILLS
Some of the important skills are:       Skill in observation.       Skill in the use of setting.       Skill in the establishment of rapport.       Skill in meeting resistance.       Skill in recognizing ambivalent feelings.       Skill in establishment of authority.       Skill in the use of questions.  Silence as a skillful procedure.
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PRACTICAL USES
 1. Diagnostic

and re-medical teaching in individual conference.  2.  Supplement teaching.  3.  Discipline.  4.  Clinical teaching.  a)      Nursing care study.  b)      Diagnostic & re-medical purposes.  c)      Nursing care plan.  d)      Preparation & orientation to new clinical area. e)Evaluation.
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USES
It can be used to clarify class material.  It helps in supplement instructions.  It can also help to explain answers to question of individuals.  It can be used as a means of assisting the individual who is having difficulties in keeping up
 
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THE SUPERVISORY CONFERENCE
Is

an important means of orienting and preparing the student for her initial clinical experience & for experience in different setting.
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OBSERVATION:
Skill of observation is used not only within the limits of the conference period itself, but also during the clinical experience in order to guide the learning process.
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THE SETTING
a) For the planned conference, the

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setting and the time are important. If there is not a place on the ward that provide privacy and freedom from interruption, it may be necessary to move the setting elsewhere
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Cont.. b) Taking sufficient time is also

essential. If there would not be enough time. It would be better to postpone the conference to another time in addition the setting should include an atmosphere of friendliness where both participators are comfortable and at ease.
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GOOD RAPPORT
should exist between the instructor and the nursing student.  Their relation should be friendly but with emphasis on the professional tone and purpose. The personalities, attitudes and self knowledge of both affect this rapport

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QUESTIONING:
Should be skillful in order to aid the nursing student in discussion the problem that she has questions may be formulated for the purpose of disclosing errors poor observations or incorrect conclusions.
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EVALUATION:
 Evaluation

in a supervisory conference is a process which should be a combined effort between the nursing instructor & the student.  Constructive criticism and judgment will contribute this process. Criticism usually is expected to some degree by inexperienced nursing student from the nursing instructor, who is expert in her eyes.
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 Instead,

her function is actually to assist the nursing student to analyze the using situation & her interaction than, the student must be helped to formulate new plans.  Mutual forming of a judgment dies not always mean that they will agree completely but each will know the other & will respect her opinions.  This type of process will have more meaning to the student when she faces the same nursing problem again.
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Cont..
For

evaluation also aids in forming future action. Each conference should end on such a positive note promoting improvement.

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RECORDS:
Records

serve as guides in planning objectives, futures conference and actions. Written records help both the instrumental & the student to remember or recall accurately what has taken place.
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Cont..  Attitudes & opinions as well as knowledge, change in learning process so that it is easy to forget exactly what they were at previous conference.  The recording of the data of conferences should not take place during the conference of this would place the student under increased tension and stress.  However the recording should be done as soon as possible following the conference while it is still clear in instructor mind.  
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