Exam 1 Flashcards
WHO
World health organization
“Health is a state of complete physical, mental, social well-being, not merely the absence of a disease.”
Practice alerts
Directives from AACN supported by authoritative evidence
AACN PEARL
Practice
Evidence
Application
Resources
Leadership
Online base tools
Clinical focus
Knowledgeable portal for clinical topics of interest to acute care and critical care nurses
Thunder studies
Research protocol for institution review and implementation
Procedure manual
Comprehensive coverage of procedures unique to critical care
NLN trends
- Changing demographics and increasing diversity
- Technological explosion
- Globalization of the worlds economy and society
- Alternative therapies and Genomics, Palliative care
- Shift of population based care and increasing complexity of care
- Cost
- Health policy and regulation
- Growing need for interdisciplinary education for collaborative practice
- Current nursing shortage/opportunities for lifelong learning and workforce development
- Advances in nursing science and research
Nurse role in continuity of care
Caregiver
Communicator
Teacher/educator
Counselor
Leader
Researcher
Advocate
Collaborator
Cognitive competency
Thinking
4 competencies
Cognitive
Technical- equipment
Interpersonal
Ethical/Legal -moral and professional
CTILE “style”
SOAP
Subjective
Objective
Assessment
Plan
SOAPIE
Subjective
Objective
Assessment
Plan
Intervention
Evaluation
DAR
Data
Action
Response
PIE
Problem
Intervention
Evaluation
CBE
Chatting by exception
Shorthand documentation
Only significant finding or exceptions of standards are doc in narrative notes
ISBARR
Identify
Situation
Background
Assessment
Recommendation
SBAR
Situation
Background
Assessment
Recommendation
Cultural shock
Feelings a person may experience when placed in a different culture
Culture assimilation
Minority group lives within dominant group
Members lose cultural characteristics
Take on values of dominant culture
Cultural blindness
One ignores differences and proceeds as though they do not exist
African American
Family: close and supportive, important, matriarchal
Health care: spiritual, herb doctors, root doctors, skilled family
Values: high religious
Considerations: special care for hair and skin, fold healing
Asian
Family: welfare of family is valued above the person, extended family is common, sharing is expected
Health care: Taoism (seeks balance), Yin and Yang, imbalance caused from improper diet, use of herbs
Values: self-respect and control, age is respected, hard work, PRAISE self or others is poor manners
Considerations: upset with blood draw, die with body intact, dietary counseling
Hispanic
Family: role important, Compradrazgo: special bond between child’s parents and grandparents
Heal: Curanderas, balance hot and cold in body
Belief: Roman Catholic, God gives health and allows illness for a reason
Considerations: special diet (hot/cold), diet counseling
Muslim
Family: marriage for sexual relations and parenthood, discourage use of contraceptives, sudden death or illness is punishment from god
Belief: Allah, Muhammad is messenger, god gave bodies as gifts to be cared for through health and diet, Allah determines when you die
Consider: accommodation for prayer, no alcohol or pork, Ramadan: fast from sunrise to sunset
Native American
Family: long and extended, grandparents are leaders and decision makers
Health care: medicine man, herbs
Beliefs: present orientated, high respect for age, high respect for those who care for others
Consider: no eye contact, low tone of voice
Hawaiian
Family: role important, each gender and age has specific roles
Health care: patient illness as whole, emphasis on preventative medicine, 300+ med plants and minerals
Belief: Christian god replaced myriad of Hawaiian gods, death not feared
Consider: extensive family network during hospitalization
Appalachian
Family: intense interpersonal relations, elderly respect, live in rural areas
Health care: granny woman or folk healer, various herbs
Beliefs: isolation is accepted, divine existence rather than attending particular church
Consider: all fam remain with patient
Maslow Hierarchy
Psychological Safety Love/belonging Self-esteem Self-actualization
