Feedback

Chapter 19


Feedback






Why feedback is important


Feedback is defined as the “transmission of evaluative or corrective information to an action, event, or process” (Merriam-Webster Online Dictionary, 2010). Discussions about how to give feedback distinguish between positive and negative feedback, and either one can be regarded as a gift. Consider the two parts of the word—“feed” and “back.” In one sense of the word, “feed” implies to nourish, even to comfort, or to meet another’s needs. “Back” in this context is the return of something to another. When these two notions are combined, feedback means the returning of nourishment to another person. In this sense, feedback is something positive—a gift for the other person. The gift that is given is one person’s thoughts and feelings about another person’s behavior. When you take a positive approach to giving or receiving feedback, this creates a comfort zone for others, “turns negative feedback into productive dialogue . . . fosters a learning environment . . . and turns criticism into pure gold” (Gallagher, 2009, p. 152). Cultivate positive people in your life by giving specific praise about colleagues, especially in front of people important to them (Anderson, 2002). This chapter invites you to use the technique of reframing, that is, seeing or describing a situation from a different perspective.


Feedback helps us see our behavior from another’s perspective. This reflection indicates how someone else is reacting to our communication. This picture helps us decide whether to continue acting in the same way or to change. Viewed in this way, feedback is a springboard for self-growth. Feeling happy with ourselves is one of the most joyous experiences in life. This contentment is an acknowledgment of what we like about ourselves, and it solidifies our self-concept. Contemplating a change in our way of behaving is really envisioning a new self-concept. Feedback has the potential for expanding our development as human beings. To be most effective, feedback on our progress toward goals must be frequent and specific (Eisenberg and Goodall, 2001). Consider the nursing process as an example of a feedback mechanism. Assessment, planning, and intervention can change based on feedback from the client in the evaluation phases and on additional information obtained in continuing assessment. Improving care based on feedback has been a part of nursing since the days of Florence Nightingale. Continuous quality improvement, which is really just data-driven problem solving, examines processes in the delivery of care to improve service and depends on regular feedback for excellence. Three hundred and sixty–degree feedback, or multisource performance approval data, is used as a staff development tool because feedback is drawn from peers and subordinates to supplement direct observation by the manager (Watkins and Leigh, 2009).


Giving feedback differs from giving advice. Giving feedback is merely a reflection of how another person’s behavior has affected us, not advice about how a person should change. After receiving our feedback, clients or colleagues may wish to make changes in their behavior. One thing we may be asked is, “What do you think I should do to change?” Often we have advice to give, but a note of caution is in order.


To avoid hurting the feelings of others and to ensure that we are being respectful, options we may offer should be made as suggestions for the other person’s consideration. We can never know what changes will be comfortable or suitable for another person, because each of us must decide what suits our personal style and priorities. Our suggestions will be more readily received if they are offered tentatively, as in the following:






These examples allow the receiver the final option of accepting or rejecting your advice.


For feedback to be integrated, it must be delivered in a way that is receivable, and the receiver must be open to considering the feedback. The following sections discuss some steps you can take to increase the probability that your feedback will be accepted.



How to give feedback


First, check your reason for wanting to give feedback. What is motivating you to give feedback? What do you hope to accomplish by delivering feedback? Any reasons based on the belief that your feedback will benefit the other person by increasing the opportunities for self-growth are in agreement with the intention of feedback. There are many reasons for giving feedback that are unacceptable in a caring, therapeutic relationship. Feeling irritable and wanting to lash out at another as a way of obtaining revenge, wanting to display your superior knowledge to discredit another, or wanting to rigidly control the behavior of clients or colleagues because of intolerance are not good reasons for giving feedback.



Gain permission to give feedback


The next step is to gain permission from your client or colleague to give feedback so the individual will be more open to your input (Ambrose and Moscinski, 2002). Permission may be requested verbally by simply asking if the other person would like the feedback. Or the request can be made through nonverbal checking.


The following example includes verbal and nonverbal ways of obtaining permission to give feedback.


You have been teaching a new father to bathe his newborn, and he has given a return demonstration.




Here you pause and look at the father, who nods his approval for you to continue.



Again, you make eye contact with the father and do not proceed until he conveys his interest in hearing your suggestions.




Be specific


Giving feedback to clients or colleagues is not your chance to bombard them with everything about their behavior that you like or dislike. To give your feedback impact, you must focus on specific, observable behavior. The following situation between two nurses illustrates how to be specific when giving feedback.


You are on the evening shift and are still relatively new to the procedures on the unit. Before the night shift comes on, you always have last-minute charting to do and tying together of loose ends for your report. For the past four nights, one of the night nurses has come on duty 30 minutes early and tried to engage you in a social conversation. Your hints that you don’t have time to talk at that moment have been ignored, and she has persisted in bending your ear about her date or how she slept that day. You approach her with the following:




At this point you wait until she’s agreeable to discuss the issue and proceed as follows:



Here you must pause and give Rhonda a chance to respond. You might proceed as follows:



Restricting your feedback to observable behavior prevents you from blurting out something cruel such as “Can’t you wait till your shift starts to talk my ear off?” or “I can’t stand you bugging me like this!” Being specific helps you keep feedback realistic and acceptable.



Convey your perspective


When you give feedback, you must remind yourself that you are reporting your view of things. Nothing is innately or objectively right or wrong about your perspective; it is simply how you see the world. Because every relationship you have with colleagues and clients has significance and influence for both parties, however, your reactions are important to others.


When looking in the mirror after getting your hair cut in a new style, you might smile with approval, blush with embarrassment, or feel reluctant to pay for such an outrageous coiffure! The hairdresser might glow with pleasure at your sophisticated new image, and your friends may look ambivalent about the new you. Any of these reactions is legitimate, and none is better than the other. Each reaction is feedback based on the viewer’s frame of reference. When you are giving feedback you need to keep in mind that as important as your views are, the receiver may not agree with your perspective.


To ensure that you give feedback respectfully, you can couch your comments with phrases such as these:







Using the first person to convey your thoughts and feelings prevents you from accusing or labeling another person’s behavior.


Because I am responsible for customer service training in a hospital setting, it is my job to give feedback when I observe poor customer service. When I am in the role of client, I am in a good position to assess the quality of service. When I give feedback, I share my perspective of someone who has “been there.” When I went to the laboratory to have my blood drawn, a woman came into the room, did not identify herself, and was wearing no name tag. When I asked her about it, I learned she was a student. A staff member came in to help, and I learned that students were not routinely given name pins. I shared this information with the manager and indicated how uncomfortable it made me as a patient not to know who was working with me. She agreed and arranged to provide the students with name tags. It is not always easy to give feedback if it requires correction, but it may help others. In this case, we were able to upgrade the image of the staff as professionals.

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Oct 26, 2016 | Posted by in NURSING | Comments Off on Feedback

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