Exam 3 - Chapter 13: Blended COmpetenceis, Clinical Reasoning, and Processes of Person-Centered Care Flashcards
What is thoughtful practice?
A nursing practice that is considerate and compassionate. Keeps the person at the center of care giving in order to promote the humanity, dignity, and well-being of the patient.
1-3 Guiding Principles of Person-Centered Care
- All team members are considered caregivers
- Care is based on continuous healing relationships
- Care is customized and reflects patient needs, values, and choices
4-6 Guiding Principles of Person-Centered Care
- Knowledge and information are freely shared between and among patients, care partners, physicians, and other caregivers
- Care is provided in a healing environment of comfort, peace, and support
- Families and friends of the patient are considered an essential part of the care team
7-9 Guiding Principles of Person-Centered Care
- Patient safety is a visible priority
- Transparency is the rule in the care of the patient
- All caregivers cooperate with one another through a common focus on the best interests and personal goals of the patient.
10 Guiding Principle of Person-Centered Care
- The patient is the course of control of ones care
Therapeutic Relationship
When the relationship between the carer and the person who is being cared for is focused on promoting or restoring teh health and well-being of the person being cared for in the relationship
Benner: The Helping Role of the Nurse
Wrote that caring is a basic way of being in the world, and that caring is central to human expertise, curing, and healing
Watsons Carative Factors
This theory of transpersonal caring begins with the conviction that humans are to be valued, cared for, respected, nutured, understood, and assisted. Nurses should create environments in which pateitns are accepted as they are, and invited to grow.
Swansons Caring Process
Identified five caring processes and defined caring as “a nuturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility.
What is the overall goal of QSEN?
To meet the challenge of preparing future nurses who will have the knowledge, skills, and attitudes necessary to continuously improve the quality and safety of the health care systems within which they work.
What falls are QSEN?
Person-Centered Care Teamwork and Collaboration Evidence-Based Practice Quality Improvement Safety Informaticsc
What is clinical reasoning?
Refers to ways of thinking about patietn care issues (determining, preventing, and managing patients problems)
What is clinical judgement?
Refers to the result (outcome) of critical thinking or clinical reasoning - the conclusion, decision or opinion you make
What is Intuitive Problem Solving
Direct understanding of a situation based on a background of knowledge, experience, and skill that makes expert decision making possible
Characteristics of the Nursing Process
Systematic Dynamic Interpersonal Outcome Oriented Universally Applicable
Five Steps of the Nursing Process
Assessing Diagnosing Planning Implementing Evaluating
What is the nursing process?
A systematic method that directs the nurse, with the patients participation, to accomplish the five steps
Description of Assessing
Collection, Validation and Communication of Patient Data
Description of Diagnosing
Analysis of patient data to identify patients strengths and health problems that independent nursing intervention can prevent or resolve
Description of Outcome Identification and Planing
Specifications of patient outcomes to prevent, reduce, or resolve the problems
Descripion of Implementing
Carrying out the care plan
Description of Evaluating
Measuring the extent to whicht he patient has achieved the outcomes specified in the care plan
Lower to High Level Needs of Maslows Hierachy?
Physiologic –> Safety and Security –> Love and Belonging –> Self-Esteem –> Self-Actualization
What are Physiologic Needs?
Oxygen Water Food Elimination Temperature Rest
What are Safety and Security Needs?
2nd: Being protected from potential or actual harm.
Using hand hygiene to prevent infection
Using electrical equipment properly
Administering medications knowledgeably
What are Love and Belonging Needs?
3rd: Called A higher-level need.
Understanding and acceptance of others in both giving and receiving love.
Belonging in groups such as families, peers, friends, neighborhood, and community
Can produce loneliness and isolation if unmet
Whaat are Self-Esteem Needs
4th: Need for apersont o feel good about oneself. Positive self-esteem facilitates the person’s confidence and independence
What are Self-Actualization Needs
Highest.
Acceptenance of self and others as they are.
Focus of interest on problems outside oneself
Ability to be objective
Feelings of happiness for others
Respet for all people
