MODULE ONE: NURSING KNOWLEDGE Flashcards
WHAT IS A NURSE/MIDWIFE? WHAT DO THEY DO? (WHERE, WHO HOW)
Where do they work?: private sector, community, acute care institutions
Who (what kind of patients): preconceptions, conception, birth, childhood, adulthood, and death
How?: health promotion, helping relationships, professionalism
WHAT IS HEALTH PROMOTION?
The process of enabling others to increase control over and improve their health
TALK IN DEPTH ABOUT NURSE-PATIENT RELATIONSHIPS? HOW IS IT ENSURED?
practicing ethical and respectful care, as well as facilitating non-judgmental acceptance of all patients!
The nurse recognizes the patient as their own person, an individual with specific health needs, has their own human responses and their own pattern of living
Established through care, skill and development of trust
The nurse-patient relationship is characterized by the natural progression of these 4 goal directed phases: pre-interaction, orientation, working, and termination.
WHAT ARE THE 4 PHASES OF THE NURSE-PATIENT HELPING RELATIONSHIP? EXPLAIN EACH PHASE
Pre-interaction: this is before you meet the patient, this highlights looking at patient history, data, gathering information from other caregivers, or finding suitable environments that will ensure comfort for the patient and is somewhere you can have private discussions.
Orientation: is when you first interact with the patient, this is where you start to develop trust, be friendly and form that initial relationship. Focuses a lot on socializing.
Working phase: this is the phase where you begin to have that nurse-patient relationship, it is where you work together to reach goals and resolve conflicts. The nurse encourages the patient to express their feelings,and uses therapeutic communications.
Termination: is where the nurse-patient relationship comes to an end, the nurse communicates with the patient that treatment has come to an end, they will evaluate if they had met the goals they had set in place and try to make a smooth transition for the patient.
NAME SOME GENERAL WAYS TRUST IS DEVELOPED?
Respect for individuality
Showing warmth and caring
Using proper names
Allowing sufficient time: shows that you care
Congruence between verbal and nonverbal communication
Warm tone of voice
Offering options and choice: give enough info so the patient can have the freedom of choice
Giving information
Consistency
Competence
Confidentiality: what happens here stays here!
Following through on commitments
WHAT IS SOLER USED FOR? EXPLAIN EACH ELEMENT OF IT.
S: Sit squarely, sit towards the patient
O: open posture, sitting closed off can give the wrong idea
L: lean slightly inwards: shows interest
E: eye contact: shows that you are paying attention and listening
R: relax: don’t be too uptight
EXPLAIN THE COMPONENTS OF THE HUMAN MODE OF BEING (THE 6 C’S)
Compassion: is minimizing suffering, sensitivity, presence, sharing
Competence: being able to do your job, having knowledge, judgement, skills, experience, motivation, and a professional!
Confidence: trusting and respectful relationships
Conscience: ethics! Have moral awareness
Commitment: convergence between our desires ad obligation to act
Comportment: the way or manner we conduct ourselves.
EXPLAIN SWANSON’S THEORY OF CARING!!!!!!!!
Knowing: having patient centered care, each patient is unique, has open and active listening and communication. An example of this is looking at health, spiritual, cultural history, etc.
Being with: being there for the patient, being emotionally present, engaging, “it is not about me”, an example of this is being there/comforting a patient who is about to undergo a procedure.
Doing for: helping patients with things they are not able to do themselves. Having competence in your skills, comforting, anticipating, and protecting.
Enabling: is providing information, encouraging independence, providing alternatives, preserving dignity, and facilitating a passage through development and situational events (birth, illness, death, disability, etc).
Maintaining belief: having hope for the patient, validating feelings, giving positive feedback, offering realistic optimism, believing in and going the extra mile.
WHAT DOES NURSING PROFESSIONALISM LOOK LIKE?
Knowledge: highlights the fact that you never stop learning and that learning is evidence based! As well as having competence.
Caring: creating a healing environment, being empathetic, communicating effectively and being trustworthy.
Altruism: commitment, dedication, and the patient is prioritized
WHAT ARE THE FIVE ESSENTIAL INGREDIENTS IN COLLABORATIVE NURSING PROCESS AND GENERAL SURVEY
Sharing power
Being non-judgemental and accepting
Being open and respectful
Living with ambiguity: being okay with change and adaptation
Being self aware and reflective: being okay with taking feedback
WHAT ARE SOME EXAMPLES OF COGNITIVE SKILLS
interpretation
analysis
inference
evaluation
explanation
self-regulation
WHAT ARE SOME COMPONENTS OF CRITICAL THINKING
specific knowledge base, experience in nursing, competencies (general and specific), attitudes, and standards (intellectual and professional)
WHAT ARE THE STEPS OF THE COLLABORATIVE NURSING PROCESS
ASSESSMENT, ANALYSIS, PLANNING, IMPLEMENTING, EVALUATING
EXPLAIN THE ASSESSMENT PROCESS IN THE COLLABORATIVE NURSING ASSESSMENT
looking at subjective and objective data. and using the GENERAL SURVEY.
WHAT ARE THE PARTS OF THE GENERAL SURVEY
physical appearance
body structure
behaviour
mobility
WHAT ARE CHARACTERISTICS OF THE GENERAL SURVEY
- begins when first meeting the patient
- observations are done as part of general assessment
- cues help guide physical assessment later
- cues determine client ability to participate in assessment and care
- nurse determines if observed behaviours fall within expected ranges
EXPLAIN THE ANALYSIS PART OF THE COLLABORATIVE NURSING PROCESS
- organizing information into usable clusters
-making inferences
- data validation
use priorities from high (life threatening or immediate harm if left untreated, safety issue), intemediate (non life threatening), low (not related to current illness but may effect long term well being)
EXPLAIN THE PLANNING PART OF THE COLLABORATIVE NURSING PROCESS (STROMMC)
Singular (1 specific thing)
Time limited
Realistic
Observable
Measurable
Mutual/collaborative
Client centered
goals are based on strengths and concerns
EXPLAIN THE IMPLEMENTATION PART OF THE COLLABORATIVE NURSING PROCESS
is the doing/trying out part of the plan.
nursing interventions may be:
direct: nurse doing it to patient
indirect: doing something on their behalf (like talking to social worker)
independent: without consultant from physician
dependent: with help from physician (ex, meds and oxygen)
EXPLAIN THE EVALUATION PART OF THE COLLABORATIVE NURSING PROCESS
reviewing
collect data
interpret and summarize
document
terminate, continue, or revise
make sure to document
