Ch 1 Flashcards
Science of nursing
Finding the evidence for the practice
Art of nursing
Developing the skills for the practice
- Caring
- Attending
- Patient advocacy
Clinical decision making
Best available research evidence
Clinical expertise
Patient preferences
The research-practice gap
Best evidence treatments and their effective translation into practice
How to apply findings that are clinically relevant
EBP
Best available research evidence
Clinical expertise
Patient preferences
Recovery model
Consumers as partners
MH care: consumer and family driven
Increase consumers ability to cope, facilitate recovery and build resilience
Consumer centered
Recovery oriented
EBP Model
1990s “decade of the brain”
Psychological and sociological treatments
Psychopharmacology
Increase gap between research and practice
Medical model
Trauma-informed care
Universal
Clinical programming
- “what has happened to you?” Vs “what is wrong with you?”
Avoidance of new trauma in treatment ex. Restraints
Collaborative therapeutic relationship
Collaborative therapeutic relationship
Empowerment
Cultural respect
Patient centered care
QSEN
IOM
ANA
QSEN goal
Equip nurses with knowledge, skills, attitudes (KSAs) to improve quality and safety in health care systems.
QSEN standards
Patient centered care Teamwork and collaboration EBP Quality improvement Safety Informatics
5 A’s
Ask a question
Acquire the literature
Appraise the literature
Apply the evidence
Assess the performance
Nursing scientific base
Intuition
Interpersonal skills
Therapeutic use of self
Algorithm
Step-by-step guidelines in a flowchart
Algorithm use
Deciding on medications
Considering patients personal situation (age,sex,allergies,etc)
Problems with attributes of nursing
Marginalized
Undervalued
Demeaned
Caring nurse must be
Competent
Base of knowledge and skills
Patient advocate
Speaks up for another’s cause
Helps another by defending and comforting
Can be a lawyer
Advocacy in nursing
Committing to patients health
Alleviating suffering
Promoting peaceful, comfortable, dignified death
Ex. The nurse respects the patients decision to refuse treatment
Informed consent/ refusal of treatment
Being informed about best practices
Nurses advocate for patients when they
Advise patient ma of their rights
Provide accurate and current info
