Module 02 Content

1. Interpersonal Process Recording (IPR)

   Purpose
   This assignment will help prepare you for conversations with clients with mental health conditions.

   Course Competency
   Describe the foundations of mental health nursing.

   Transferable Skill
   Communication: Displaying capability in writing, reading, and oral communication; understanding of non-verbal language.

   Instructions
   It will be carried out with two students working together. This is a “role-play exercise,” One student is the student nurse, and the other will role-play as a client. In this assignment, the nursing student will demonstrate the therapeutic nurse-client relationship and analyze the therapeutic and nontherapeutic techniques used. You will take turns in the roles.

   This is not about always having therapeutic responses. It is about learning from practice and review. It is expected that you will think of other ways to respond or interact with the client that may be more therapeutic after the interaction is terminated. After the conversation is over, you will complete in IPR form.

   The client roles are:

   • Mr. Jones is a 69-year-old retired engineer. He was admitted to the in-patient psychiatric unit the previous day. His daughter had called the police when he locked himself in his bathroom and refused to come out. She thought he was suicidal. He was brought to the hospital by the police and was admitted on involuntary status. Since admission, he has been reticent but told his daughter he had no reason to live since his wife died.
   • Diagnosis: Major Depressive Disorder
   • Nursing Diagnosis: Risk for suicide.
   • Mrs. Alvarez is a 34-year-old female who has lived in this country for the past 10 yrs. She is a stay-at-home mom with three small children. Her husband works two jobs to support the family. Lately, she has been extremely anxious and fears that her children will become ill or injured. This seems to be an unrealistic concern, but she has been unable to sleep well and has lost 15 lbs. in the past month. She is a voluntary admission and states she knows she needs help.
   • Diagnosis: Generalized Anxiety Disorder
   • Nursing Diagnosis: Ineffective coping
   • You will select the role you wish as a client and take turns switching roles. After the conversation, you will document the interactions using the form provided and following the guidelines instructions for each column.

     IPR Form Explanation

     The IPR is completed with the form to guide you and the rubric to explain the grading process for content.

     IPR Form

   • The first column is for you, the nursing students, comments/ questions, and responses. You may want to include the introduction process. It is understandable if the initial conversation is more superficial to establish rapport. You may not want to include all of this but move on to the more focused interaction. Your nonverbal communication is included here.
   • Then, the conversation will focus on the client’s feelings, concerns, issues as they have identified them. After the introduction, it may be beneficial to establish a short-term goal for the interaction with the client.
   • The second column is for the client’s comments, questions, responses. Also, the nonverbal reactions of the client are included in this column.
   • The middle column is for you to write what you are thinking or feeling.
   • The last two columns are for you to document the technique that you used in that portion of the conversation. If it is a non – therapeutic response, you must write the response and think of how to revise it to more therapeutic response. You can change any response if you think of how you could have responded differently but, identify and change all non – therapeutic responses.

Deliverable 2 – Organizational Chart

Assignment Content

1. Competency
   Explain the complexity of organizational systems and their impact on healthcare delivery.

   Student Success Criteria
   View the grading rubric for this deliverable by selecting the “This item is graded with a rubric” link, which is located in the Details & Information pane.

   Scenario
   You have been hired as a consultant for a large healthcare organization. In your role, you have been tasked with examining the current organizational structure at the micro, meso, and macro levels, including the impact on healthcare delivery.

   As you develop your plans, you will reflect how these roles individually and collectively influence the ability of the organization to deliver high quality client services.

   The roles and titles of people working in the three levels of systems may vary. A brief definition of each is offered to clarify the contributions of leaders at each level.

   • Micro system: This is the point of contact with the client or customer. In the health care setting the micro level may be a specific unit. Roles of those in the micro system include all that come in contact with the client and the manager of the unit or department.
   • Meso system: This level reflects a collection of micro systems, such as a Surgical Services Department including multiple units. The meso level aims to group and coordinate similar micro system levels of service.
   • Macro system: This level is a larger scale of groups and departments typically more at the administration level.
   • Nursing Hierarchy
     
   • Macro Level: Vice President of Nursing Services
   • Potential Titles: Chief Nursing Officer, Vice President of Nursing, Director of Nursing Services.
   • Meso Level: Program Manager
   • Potential Titles: Department Head, Service Manager, Director.
   • Micro Level: Unit Manager
   • Potential Titles: Bedside Nurse, Unit Nurse, Unit Manager, Change Nurse.
   • Instructions
   • Research a healthcare organization and include their mission statement, vision, or philosophy in your memo.
   • Describe how the organization’s mission, vision, and philosophy influence the expectations of leaders at the three system levels: micro, meso, and macro.
   • Describe how nursing leaders in each of these levels of the organization’s operations address health care delivery goals.
   • Describe nurse leaders at the micro, meso, and macro level of the organization including a discussion of how these three levels may integrate to improve outcomes.
   • Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.