chapter 1,2,3,4 Flashcards
critical thinking
the use of cognitive skills or strategies that increase the probability of a desired outcome
WHAT’S UP
W- where is it
H- how does it feel
A- aggravating and alleviating factors
T- timing
S- severity
U- useful other data
P- patients perception of problem
clinical judgement
the outcome of critical thinking
intellectual humility
” Im not sure about that I need more information”
Intellectual autonomy
you will observe and determine what is safe or not
intellectual integrity
values the truth “I am not comfortable speaking about that patient”
CUS
C- I am concerned
U- I am uncomfortable
S- This is a SAfety issue
Vigilance
the act of being attentive, alert and watchful. state of awareness that enables you to anticipate a problem
prioritizing patient problems
- life threatening
- health threatening
- health promoting
steps in clinical judgement process
- identify and analyze cues
- prioritize hypothesis
- generate solutions
- take action
- evaluate outcomes
- repeat
evidence based practice
systemic process that uses current evidence to make decisions about patient care
evidence informed practice
use of evidence in practice
1st level of evidence based practice
systemic reviews: strongest evidence, evidence of randomized controlled trials
level 7 of evidence based practice
expert opinion: opinion from authority; weakest level of evidence
dependent nursing intervention
delegated by health care provider
independent nursing intervention
does not require health care provider order , under supervision of registered nurse
EBP process
ASKME
Ask, Search, thinK, Measure, Make it happen, Evaluate
PICOT
framework that identifies relevant, searchable question keywords on databases
PICOT stands for
P- population, patient problem
I- intervention
C- comparison
O- outcome
T- time frame
health care delivery is influenced by
constant evolution that will impact your career
factors influencing health care change
aging and increasingly cultural diverse population, new viruses, multidrug infectious organisms, human trafficking awareness, technology
Autocratic (Authoritarian) Leadership
high degree of control and gives little to no control to others. leader determines goal
Democratic (participative) leadership
moderate degree of control, others given some control and freedom. participation is encouraged in determining goal
Laissez Faire ( delegative) leadership
exerts no control over the group, no one is responsible for determining goal
ethics
study of traditions, values and beliefs related to people/ relationships
Bioethics
ethical principles and values applied to human life and research
morals
persons values, standards set by ones conscience
values
standards/ concepts giving meaning to individuals life
autonomy
right of self determination, independence and freedom
beneficence
actions and treatments taken will benefit a person and promote welfare
nonmaleficence
obligation to “do no harm”
fidelity
obligation to be faithful to commitments
veracity
virtue of truthfulness
Justice
fairness and equality
torts
lawsuits for personal injury
malpractice
the breach of a professional duty
culture
socially transmitted behavior patterns , beliefs, customs, and other characteristics of peoples world
cultural competence
skills and knowledge required to provide effective nursing care
cultural humility
a lifelong process of thinking about ones own cultural beliefs and identities while learning about others
ethnocentrism
thinking that ones culture ways of thinking, acting and believing are the only right and natural ways
spirituality
essential connections that provide meaning and purpose in life; god or higher power
health disparities
preventable differences in disease burden, injury or opportunities to achieve optimum health
cultural awareness
to have an appreciation for and attention to a cultures celebrations , foods, etc
most prominent value in western medicine
research base
