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Class 1
NURS 1161: •Intro to 1161
Intro to Collaboration •Intro to Relational Inquiry
Agenda
1) Intro to Collaboration:
Weekly topics
Assignments
Structure of classes: asynchronous (PPT Podcast) & synchronous/Zoom
2) Intro to Relational Inquiry
3 Levels of Relation Inquiry
5 Contextual factors
3) Active Listening Skills: Non-Verbal behaviours
SOLER
What does Collaboration mean to
you?
Ponder
points:
Write down How is ‘Collaboration’ defined in
the Glossary of Terms in the
your course pack?
responses
to these 3
questions What’s the difference between
your understanding of
Collaboration and the definition?
Joint communication and decision-making with
Collaborat the expressed goal of working together toward
identified health outcomes while respecting the
ion unique qualities and abilities of each member of
the group or team (BCCNM, 2020).
Weekly topics:
Week 1: Intro to Relational Inquiry
-Skill: Restating & Paraphrasing & Non-verbal behaviours
Week 2: The Communication Processs & The 5 Cs
-Skill: Clarifying Questions & Summarizing
Week 3: Therapeutic Relationships
-Skill: Expressing Empathy
Week 4: Assertive Communication – Part 1
-Skill: Receiving Feedback Assertively, Expressing Disagreement &
Making a Request
Week 5: Assertive Communication Part 2
-Skill: Giving Feedback, Requesting Feedback, Saying NO
Weekly topics:
Week 6: Group Dynamics & Collaborative Practice
-Class Discussion & Group Activities
Week 7: Introduction to Relational Leadership
-Class Discussion & Group Activities
Week 8: Nursing Theory & Research
-Class Discussion & Group Activities
Week 9: Professional Organizations
-Class Discussion & Group Activities (+Review)
Week 10: Final Exam
Assignments:
4 Skill Reflection Assignments (60%)
Paraphrasing & Analysis of Non-verbal behaviours (due: Sept. 23) - 20%
Clarifying questions & Summarizing (due: Oct. 7) – 20%
Expressing Empathy (due: Oct. 12) – 10%
Receiving feedback assertively (due: Oct. 28) – 10%
Class Participation (10%) – Self-Reflection (due: Nov. 25)
Final Exam (30%) – multiple choice (Dec. 2)
Structure of Classes
• Before class: Please review the Weekly PPT Slides posted on Moodle
and complete Learning Activities embedded in it
• During class:
• Discuss/take-up responses to learning activities
• Review communication skills (i.e. Restating & Paraphrasing)
• After class: I’ll have virtual office hours
• Or Email me to set up time for a Zoom meeting:
[email protected] Relational Inquiry
(Hartrick Doane & Varcoe, 2021)
Purposefully paying attention to the
interplay between and among people and
their environments.
It includes having sociocultural
competence or taking social and
contextual factors into consideration and
paying attention to how these shape the
way people relate to one another.
Relational
Inquiry
Relational inquiry has 2
components:
1. Relational
Orientation
2. Inquiring Action
Utilizing Active
Listening Skills
from a relational
orientation helps
to deepen this
understanding.
Levels of Analysis supporting
Relational Inquiry
Attending to 3 factors:
1. Intrapersonal – what’s going on within the person/nurse
2. Interpersonal – what’s going on between/amongst person-nurse
3. Contextual – what’s going on around the person and nurse
Contextual factors
Historical
Socio-political
Paying
attention to
how a person Economics
is ‘situated’
Physical
within
multiple
Linguistic/
interrelated Discursive
contexts
Person
Historical
• How might the person’s
past/history influence their life
circumstance and health?
(i.e., family, education, employment,
childhood, intergenerational trauma,
colonialism, war, migration, ecological
disaster, pandemic)
• Is there anything from the past
that I need to know?
Socio-
political
How might social and political factors shape the health and
well-being of people/families, communities, populations?
political climate
systemic oppression at the intersection of
gender/race/class/ ability/sexuality
institutional policies
infrastructure, barriers/access to health care
funding/ resources and services
How might power be playing out in this situation (between
individuals, groups, organizations) to open up or close down
communication, collaboration, access to resources?
Economics
• How does the person’s current
economic situation impact their
health and well-being?
• How does economics influence their
access to funding, resources, or
services?
• How has historical/political events
(at the global, national, and local
level) shaped economic realities of
this person/family/community?
Physical
• How might the physical environment
affect health?
• Think about housing, neighborhood,
pollution, radiation, occupational
hazards/stressors, recreation, acute
care (ICU, ED, OR) or community
setting (LTC, hospice), levels of
noise/light.
Linguistics/
Discursive
• How might language or dominant discourses
(ideologies/labels) shape how people talk about
themselves/their situation?
• It is not just about ‘language barriers’ but includes the
language people use to describe others
(i.e., lazy, alcoholic, dysfunctional, noncompliant,
“difficult”, victim, abused, obese/fat).
• Some are stereotypes that are potentially harmful and
further perpetuate stigma and result in shame/blame,
interpersonally and intrapersonally (internalized
beliefs).
Power dynamics
Power operates in every context and social process.
Power influences what is experienced by
and among people within a given context.
Attending to power dynamics means:
Recognizing how your positionality & privilege shape the
interaction.
Realizing how you behave differently in different contexts
(i.e., family, employer, teacher)
Understanding how you exert influence in every moment of
practice.
Observing hierarchical relations in health care culture
Recognize how you are assigning value-driven
labels/stereotypes to situations or persons based on their
gender, race, class, sexuality, ability, age, size,
When we use labels or
stereotypes, we attach a value on
Value- it
driven
labels & Making assumptions may hinder
effective communication and
Stereotyp betray our ethical obligations
es
Check your assumptions and
blind spots
Why is
Relational
Inquiry
Important?
All nursing is Relational: Our actions always
impact the outcome (how we relate to
clients/families/communities inform
everything we do as nurses).
Yields knowledge about persons we care
for, sensitizing us to the relational
complexities and transactions at the point-
of-care.
Enables us to fulfill our nursing obligations to
provide safe and ethical nursing care and to
promote health and healing.
Nursing Obligations: The Five Cs
Supporting Relational Inquiry
(Hartrick Doane & Varcoe, 2021)
Being
Compassionate
Being Being
Corresponding Curious
Being Being
Competent Committed
Recap:
Relational Inquiry
• Relational inquiry has 2
components:
1. Relational Orientation
2. Inquiring Action
• Utilizing Active Listening
Skills from a relational
orientation helps to deepen
this understanding.
Active
Listening Skills
Restating and
paraphrasing
Questioning
Summarizing
Expressing Empathy
Non-Verbal
Behaviours
Non-verbal cues makes up 70% of our
communication
Verbal communication makes up 30%
Personal Appearance – health, physical
characteristics, grooming, dress, adornments
Facial Expressions – emotions, affect, pain
Voice - tone, volume, rate, sounds
Posture, gait & gestures – way people move
their body, stand, walk, expression
Eye Contact – dependent on cultural context
Sounds – sigh, moan, grunt (hmm, ahhh, ohh, ew)
Youtube clip:
Former FBI Agent Explains How to Read Facial Expressions | WIRED
Facial https://www.youtube.com/watch?v=VAB9cUlGrRo
Expressions
SOLER for Nurses
S - Squarely face the client
O - Open posture
L - Lean toward client
E - Eye contact
R – Relaxed
SOLER demonstrates presence: “To be present is a gift to others!”
In his book, The Skilled Helper, Gerard Egan (2018) identifies 'micro-skills’ involved in attending.
He uses the acronym SOLER
Learning Activity:
Think of an example of a non-verbal behaviour that might hinder
communication?
How might this non-verbal behaviour be perceived by others?
What feelings/thoughts underlie this behaviour?
What strategy might be used to manage this behaviour?
Class 1:
Zoom
Agenda:
1. Check-in and Q&A
2. Active Listening Skills:
Restating
Paraphrasing
3. Skills Reflection #1
See you
soon on
Zoom!
