Term
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Definition
1973 developed
is the protection, promotion & optimization of health abilities, prevention of illness & injury, alleviation of suffering through the diagnosis, treatment of human response & advocacy in the care of individuals, families, communities & population |
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Term
| Definition of nursing process |
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Definition
1. A systematic method of planning & providing care for individual, families, groups, communities
2. requires critical thinking
3. Enables the nurse to identify actual & potential H/C needs, define goals(outcomes)Plan of care to meet goals, evaluate effectiveness for improving pt health.
4. Nurse's responsibilities & accountability.
5. ADPIE |
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Term
| ADPIE what are the 5 steps |
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Definition
1. Assess
2. Diagnose
3. Plan of Care
4. Implement
5. Evaluation
4. Implementation
5 |
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Term
Steps in Nursing process
Assess |
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Definition
collect, organize, validate, document data.
about health status of ind, family, group, community
-Reply on accurate & complete data
-Assessment is an ongoing process thru out nurse/patient relationship |
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Term
Steps in Nursing process
Diagnose |
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Definition
analyze data
identify health problems, risk, strengths(formulating a nursing diagnosis=NANDA).
Formulate diagnostic statement.(A clinical judgment of actual or potential risks of health problems or state of wellness). |
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Term
Steps in Nursing process
Plan of care |
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Definition
1. prioritize problems/diagnoses.
2. set outcome goals/desired outcomes w/ patient(pt agrees to and can do with timeframe)
3. Select nursing interventions(that will address client's health problem & achieve outcome goal(s)).
4. Write Nursing orders.
Document POC Set goals & interventions(prevent, reduce or eliminate problems)
5. Plan for discharge begins at time of admission
6. Written Care plan to use in pt. care
7. Planning is an ongoing process |
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Term
Steps in Nursing process
Implement |
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Definition
Care plan is put into action(doing).
"Interventions"
Reassess the pt.
Determine nurse's need for assistance.
Implement the nursing orders (strategies, interventions)
-Delegating & supervise while retaining accountability for that care.
-Documenting nursing actions/activites & pt. response. |
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Term
Steps in Nursing process
Evaluation |
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Definition
Jugde what we did worked.
-Collect data related to outcome.
-Compare data with outcome
-Related nursing actions to pt. goals/outcomes.
-Draw conclusions about problem status.
-Continue(ongoing), modify(intermittent 2x week), or terminate the pt. care. plan.
Determine pt. progress toward achieved goals and to what degree did they work.
Based on evaluation POC is continued, modified, or terminated.
Evaluation may be,
Ongoing-done while or immediately after carrying out intervention.
Intermittent-at specific intervals(once a week)
Terminal-pt. condition at discharge. |
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Term
In ADPIE, out of the 5 steps what two steps are related?
Is there a relationship between them all? |
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Definition
Plan of care and evaluation are related because evaluation goals and interventions.
Yes |
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Term
Intellectual Standards
Critical thinking indicators (CTI's) |
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Definition
evidence based description of behaviors that demonstrate the knowledge characteristics & skills that promote critical thinking in clinical practice.
clear, precise, specific, accurate, logical, significant, relevant, consistent, deep, complete, plausible, broad, fair, adequate (for purpose) |
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Term
Intellectual Standards
Critical thinking indicators (CTI's)
Alert to context |
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Definition
| look for changes in circumstances that warrant a need to modify thinking or approaches |
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Term
Intellectual Standards
Critical thinking indicators (CTI's)
Honest and upright |
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Definition
| looks for the truth, even if it sheds unwanted light, demonstrates integrity, adheres to moral and ethical standards, admits flaws in thinking. |
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Term
Intellectual Standards
Critical thinking indicators (CTI's)
Careful & prudent |
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Definition
seeks help as needed, suspends or revises judgment as indicated by new or incomplete data.
Ask for help when you need it. Getting into to deep. Not enough knowledge or skill. |
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Term
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Definition
| purposeful goal directed effort applied in a systematic way to make a choice among alternatives |
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Term
Key terms
expected outcome |
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Definition
| specific, measurable criteria used to evaluate weather the pt. goal has been met. |
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Term
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Definition
| reassess the pt. for effectiveness of care. |
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Term
Key terms
concept maps/mind maps |
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Definition
identify, display, link key concepts, not structured.
colors, pictures, lines, dotted lines, driven by me all different.
Can be used to;
-develop diagram
-analyze category data
-analyze nursing diagnoses relationship
-identify goals, outcomes, interventions
-evaluate responses |
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Term
Key terms
Scientific problem solving |
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Definition
Used in a controlled setting
Logical, organized, systematic approached to discover relationships between what is observed and its explanation.
Follow the steps.
1. identify the problem
2. Data collection
3. hypothesonis formulation
4. Plan of action
5. hypothesis testing
6. interpretation of results
7. evaluate, conclusion, revision of study.
In nursing it involves the pt & nurse as they work together. Identify actual & potential H/C needs, set goals, devise a plan and meet the pt. needs, and evaluate its effectiveness.
Process is not always linear and sequential and may overlap.
Nurses applies knowledge & resolve pt. problems in a stressful environment. Resolves dilemmas with a course of action. Evaluate & feedback are essential steps. The nurse who used the nursing process must be proficient and comfortable with all the steps |
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Term
Key terms
Trail & Error problem solving
Why don't we do it in nursing? |
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Definition
-costly
-unsafe
-dangerous, safety risk, pt. suffers harm.
-time consuming if failure occurs
Test multiple number of solutions until one is found that works for the problem. This method is not effective in nursing can be dangerous for patients.
Does not evaluate situation, options available, or consequences |
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Term
Key terms
Intuitive problem solving |
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Definition
understanding of situation based on background, experience, knowledge & skills that make expert decisions making possible.
Often moves problem solving forward quickly, based on gut feeling, no evidence but results in trial & error.
EX: seasoned nurses highly fined tuned assessment skills. Feeling about loved one or twin. |
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Term
| ANA definition of Nursing Process or basis for nursing diagnoses? |
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Definition
NANDA
processed used to identify, diagnose & treat human responses to health & illness. (ANA 2003)
-enables organization of care
-integrated critical thinking
-protecting, promoting health, prevent injury, alleviate suffering. |
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Term
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Definition
Quality & Safety Education for Nurses competences.
-pt. centered care
-teamwork collaboration
-evidence-based practice
-quality improvement-always seeking to get better & better
-safety BIG ONE min. risk of harm to pt.
-informatics is the information we use, is it up to date, accurate, secure. Creating the documentation & keeping it secure. |
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Term
Key terms
Critical thinking |
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Definition
Intuitive, logical or both.
Very systematic way to form & shape one's thinking, look at all angles, objective all points of view, purposeful, based on research. Includes; system, logic, background, science, circumstances.
-Doesn't allow for out of the box ideas. Inhibit Right brain thinkers from getting started. |
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