Chapter 10 Flashcards
Nurses Personal Attributes
- Openmindedness/ humility
- Profound sense of the value of the person
- Self-awareness and knowledge of own beliefs and values
- Sense of personal responsibility for actions
- Motivation
- Leadership skills
- Bravery to question the “system”
Cognitive skills
- critical thinking
- skills involve thinking through a situation to achieve outcomes
ethical/legal skills
involves following a moral code and acting professionally.
Technical skills
relate to the proper use of equipment
Interpersonal skills
are used to develop caring relationships
QSEN Competencies
- Person-centered care
- Teamwork and collaboration
- Evidence-based practice
- Quality improvement
- Safety
- Informatics
Trial-and-error problem solving
- involves testing any number of solutions until one is found that works for that particular problem
- not efficient method for nursing and can be dangerous
Scientific problem solving
Involves:
1) problem identification
2) data collection
3) hypothesis formulation
4) plan of action
5) hypothesis testing
6) interpretation of results
7) evaluation
Intuitive problem solving
a direct understanding of a situation based on background of experience, knowledge, and skill that makes expert decision making possible
Critical thinking
-contextual and changes depending on circumstances
Potential Errors in Decision Making
- Bias
- Failure to consider the total situation
- impatience
1955
Nursing process term used by Hall
1960s
Specific steps delineated
1967
Yura and Walsh published first comprehensive book on nursing process
1973
ANA Congress for Nursing Practice developed Standard of Practice
1982
State board examinations for professional nursing uses nursing process as organizing concept
Five Steps of the Nursing Process
1) Assessing
2) Diagnosing
3) Planning
4) Implementing
5) Evaluating
Assessing
collecting, validating, and communicating patient data
Diagnosing
analyzing patient data to identify patient strengths and problems
Planning
specifying patient outcomes and related nursing interventions
Implementing
carrying out the plan of care
Evaluating
measuring extent to which patient achieved outcomes
Dynamic
great interaction and overlapping among the five steps
Systematic
part of an ordered sequence of activities
Interpersonal
human being is always at the heart of nursing
Outcome oriented
nurses and patients work together to identify outcomes
Universally applicable
a framework for all nursing activities
Reflection in action
Happens in the here and now of the activity and is also known as “thinking on your feet.
Reflection on action
Occurs after the fact and involves thinking through a situation that has occurred in the past
Reflection for action
Helps the person to think about how future actions might change as a result of the reflection
