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© 2008 www.AlfaroTeachSmart.com 1 Giving & Taking Constructive Criticism: You Cant Get the Gold Without It Missouri League for Nursing April 10, 2008 Rosalinda Alfaro-LeFevre, RN, MSN www.AlfaroTeachSmart.com
© 2008 www.AlfaroTeachSmart.com 2 Thanks!
© 2008 www.AlfaroTeachSmart.com 3 GROUND RULES Feel free Tell us about problems. OK to Parallel Process Have fun! (Keep it down.) Were all experts / Were both responsible Check your egos and cell phones at the door.
© 2008 www.AlfaroTeachSmart.com 4 Download Strategies, Tools, & This PowerPoint Presentation (for the next two weeks) from www.AlfaroTeachSmart.com (Click on publications) www.AlfaroTeachSmart.com
© 2008 www.AlfaroTeachSmart.com 5 BRAIN-BASED LEARNING Your brain can think faster than I can talk You can read faster than I can talk Looking at the same thing from various perspectives = increased learning & insight Active participation = retention Humor reduces stress and helps us learn
© 2008 www.AlfaroTeachSmart.com 6 Think, Pair, Share* * Developed by Professor Frank Lyman at the University of Maryland in 1981. Read more at: http://www.eazhull.org.uk/nlc/think,_pair,_share.htm
© 2008 www.AlfaroTeachSmart.com 7 EXPECTED OUTCOMES 1.Discuss factors influencing how criticism is received. 2.Use strategies designed to help you use criticism as means to personal growth. 3.Improve your ability to give and take constructive criticism.
© 2008 www.AlfaroTeachSmart.com 8 GET FOCUSED Whats In Your Handouts
© 2008 www.AlfaroTeachSmart.com 9 GIVING & TAKING CRITICISM Central to peer review, clinical evaluation, performance improvement, and Magnet Status Essential for success today A basic skill that must be learned early Section in Alfaro-LeFevre (2008)
© 2008 www.AlfaroTeachSmart.com 10 KEY POINTS How we think and behave is a complex issue thats closely linked to self- esteem. Being told we could be better thinkers, improve in some way, or approach things differently often brings up intensely uncomfortable feelings of being wrong or not good enough.
© 2008 www.AlfaroTeachSmart.com 11 Key Points Gut reactions cloud key issues and paralyze our ability to be objective. Knowing how to provide constructive criticism in a supportive way can make the difference between alienating others and motivating them to improve.
© 2008 www.AlfaroTeachSmart.com 12 KEY POINTS Knowing how to respond to criticismto be objective and work through the negative aspects of criticismreduces stress and helps us grow.
© 2008 www.AlfaroTeachSmart.com 13 Think, Pair, Share* * Developed by Professor Frank Lyman at the University of Maryland in 1981. Read more at: http://www.eazhull.org.uk/nlc/think,_pair,_share.htm
© 2008 www.AlfaroTeachSmart.com 14 QUOTES FROM THE TRENCHES Lets face it. Compliments feel good, but theyre often fleeting and may be about as sincere as Love your dress. Criticism has the potential to make you grow. I doubt that any of the worlds great ideas came as a result of the statements, Youre doing a great job or I wouldnt change a thing. Class, P (2006) The Walking Wounded. Nursing Spectrum, 9(21), p. 3
© 2008 www.AlfaroTeachSmart.com 15 We discovered that as nurses begin to ask for the feedback on their communication skills, theres a process in which both parties discuss their communication real-time, so theres on- going physician-nurse feedback. Nurses practice the reciprocal feedback process first. Then, they apply it to their colleagues, care team members at the bedside (NAs, etc) and also the interdisciplinary team, using worksheets for MDs. This has been very effective in improving MD-RN relationships. ….Ruth Hansten, Relationship & Results Oriented Healthcare
© 2008 www.AlfaroTeachSmart.com 16 Poor speaker… Too nervous… Your writing is too vague…. There was a time when barbs like these went straight to my heart, piercing it through, and through. For days and sometimes weeks, I walked around mortally wounded, sure I would never dare to write or speak in public again. It was only after the sting subsided that I began to think about the criticism. Once I did, if I thought it hit the mark, I acted on it, and as a result often ended up a better editor or writer. (When you get criticism) distance yourself and give yourself time. Thank the person if its valid….some one cared enough to take time. (Class, 2004)
© 2008 www.AlfaroTeachSmart.com 17 Not What You Know, What You Share…… You Have Great Power in Your Hands What matters most to students isnt how much you know, but how much you share. Your simplest actions and smallest words have the potential to influence their world forever. …with very little effort, you can be viewed as a superstar to students. They admire someone who loves being a nurse, cares about their patients, and is willing to share their experiences. We work every day with wonderful nurses who want to dispel the myth that nurses eat their young. Elizabeth Henneman, RN, PhD, & Joan Roche, APRN,
© 2008 www.AlfaroTeachSmart.com 18 HUMAN NATURE Personality greatly impacts how you give and take criticism. Emotions during criticism cloud ability to be objective and learn Stress and fatigue also cloud objectivity
© 2008 www.AlfaroTeachSmart.com 19 HUMAN NATURE No one likes to be wrong Criticism = gut defensive reaction We want/need that positive feedback
© 2008 www.AlfaroTeachSmart.com 20 Accepting Criticism For us, usually means student or participant evaluation of our performance Many of us try to please everyone We often get criticized when weve taken risks or for the very thing we are doing for well thought-out reasons.
© 2008 www.AlfaroTeachSmart.com 21 Strategies for Evaluation Forms Design them carefully to get feedback on various aspects of the course/program (see example after PowerPoint slides here) Should encourage people to write positive, as well as negative comments Look at them statistically Dont look at them when youre tired
© 2008 www.AlfaroTeachSmart.com 22 EMAIL FROM A NOVICE SPEAKER I got the evaluations from the program and am feeling all emotional. I got 75% excellent, 20% good and the rest poor. The 5% poor hurt my feelings. Their comments were things like "You shouldn't start program by focusing on negative" I started with the statistics about nursing burn-out and shortages. Why I can't glory in the positives probably deserves some therapy on my part. Overall, the Education Coordinator was very positive. She hoped I would consider returning in the future, so it will be ok. Just wanted to share with someone who understands....
© 2008 www.AlfaroTeachSmart.com 23STATISTICS 95 % of the participants thought the speaker in the previous slide was good or better! (Yet she felt bad). The 5% who thought she was poor probably didnt want to come, are disgruntled workers or sat together influencing each others attitude.
© 2008 www.AlfaroTeachSmart.com 24 GIVING FEEDBACK Relationships matter: Without mutual trust, feedback is unlikely to be viewed constructively. Get most trusted person to give negative feedback Positive feedback from supervisors and role models make significant impact
© 2008 www.AlfaroTeachSmart.com 25 GIVING FEEDBACK Stress that youre here to help them succeed, not to look for problems. Ask them what they think first Get them involved in letting you know what you can do to help them succeed You do get a second chance
© 2008 www.AlfaroTeachSmart.com 26 WORDS MATTER May I give you some practical advice? versus I want to give you constructive criticism.
© 2008 www.AlfaroTeachSmart.com 27 WORDS MATTER Replace constructive with practical, helpful, or useful. Replace criticism with advice, feedback recommendation, suggestion, observation, or opinion. Use the above in informal situations, especially when offering unsolicited advice.
© 2008 www.AlfaroTeachSmart.com 28 FOCUS ON BEHAVIOR 1.Use I statements and tell them what you (and others) observe. 2.Find out reasons behind behavior--- Help me understand what youre trying to accomplish 3.Address patterns, not single incidences
© 2008 www.AlfaroTeachSmart.com 29 Have Them Watch TV 1.American Idol 2.The Apprentice 3.You Think You Can Dance? 4.A myriad of others
© 2008 www.AlfaroTeachSmart.com 30REMEMBER Theres usually a bit of truth to every criticism. You cant please everyone Confidence, objectivity and willingness to focus on what can be learned is key
© 2008 www.AlfaroTeachSmart.com 31 Good Resource Two worksheets designed for nurses to get feedback from physicians are available free from Ruth Hansten, PhD RN FACHE, principal of Relationship & Results Oriented Healthcare (a company with a significant track record in improving outcomes and clinical performance). Contact her at www.hansten.com. (Mention this program). www.hansten.com
© 2008 www.AlfaroTeachSmart.com 32 EXPECTED OUTCOMES 1.Discuss factors influencing how criticism is received. 2.Use strategies designed to help you use criticism as means to personal growth. 3.Improve your ability to give and take constructive criticism.
© 2008 www.AlfaroTeachSmart.com 33 CT Book (2008) Saunders/Elsevier USA: 800-325-4177 USA: 800-325-4177 www.us.elsevierhealth.com www.us.elsevierhealth.comwww.us.elsevierhealth.com CANADA: 866-896-3331 CANADA: 866-896-3331 www.elsevier.ca www.elsevier.cawww.elsevier.ca
© 2008 www.AlfaroTeachSmart.com 34 NP Book(2006) NP Book (2006)Lippincott www.lww.com USA: 800-638-3030 CANADA: 800-223-2300
© 2008 www.AlfaroTeachSmart.com 35 Bibliography Alfaro-LeFevre, R. (2006). Applying nursing process: A tool for critical thinking (6th ed.). Philadelphia: Lippincott- Williams & Wilkins Alfaro-LeFevre, R. (2008). Giving and Taking Constructive Criticism in: Critical Thinking and Clinical Judgment: A practical approach to Outcome-focused thinking, 4thed.). Philadelphia: Elsevier-Saunders Alfaro-LeFevre, R. (2008). Evidence-based Critical Thinking Indicators. Available at http://www.alfaroteachsmart.com/cti.htm http://www.alfaroteachsmart.com/cti.htm
© 2008 www.AlfaroTeachSmart.com 36 Class, P (2006) The Walking Wounded. Nursing Spectrum (FL ED), 9(21), p. 3 Henneman, E., & Roche, J. Eight ways to nurture a new student. Retrieved June 2, 2002 from http://community.nursingspectrum.com/MagazineArticles/article.cfm ?AID=5948 http://community.nursingspectrum.com/MagazineArticles/article.cfm ?AID=5948 Rich, P. Giving and receiving feedback. Retrieved 2/20/2008 from http://www.selfhelpmagazine.com/articles/growth/feedback.html http://www.selfhelpmagazine.com/articles/growth/feedback.html Walters, J. The 4-1-1 On Constructive Criticism. Retrieved 2/20/2008 from: http://www.inc.com/articles/2001/08/23257.html http://www.inc.com/articles/2001/08/23257.html
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