Graded assertiveness: PACE.

Graded assertiveness is a learned skill. It is a process of communicating, advocating and directing with hardcore clarity that is useful in stressful or crisis scenarios. There are many factors that can block good communication during critical events including differences in seniority or experience, job position, personal power, personal agendas, fear of ‘loss of face’ and plain old pig-stubbornness. One form of graded assertiveness that has been developed, can be remembered with the word PACE. PACE consists of 4 stages or tiers of communication. Each one is a measured escalation that systematically (if the problem is not resolved) transfers power from other, to shared, and finally to self. Here is one (not particularly brilliant) example to give you some idea of PACE in action. Probe: “did you know that this patient has a serious allergy to Latex?” Alert: “I think there might be Latex in the gloves you are using. Lets just check on the box”. Challenge: “It is against our policy for you to do this procedure wearing Latex gloves if the patient has an allergy. You should not continue”. Emergency: “Step away from the patient. You will not continue with this. I am contacting the consultant immediately”. By using the 4 stages as a guideline you have a structured momentum that empowers you to move forward despite perhaps feeling uncomfortable doing so. In such ‘moments of crisis’ you become an advocate for your patient, your...
Source: impactEDnurse - Category: Nurses Authors: Tags: clinical skills Source Type: blogs