Nursing Judgement and Spirt of Inquiry Flashcards
What is patient centered care
recognition of the patient or caregiver as the source of control and full partner in providing compassionate an coordinated care based on respect for patients preferences, values and needs
What is QSENs definition of teamwork and collaboration
patient and family centered care the nurse must function effectively within nursing and interprofessional teams, fostering open communication, mutual respect and shared decision making
What does SBAR stand for
situational, background, assessment, recommendation
What does SOAP stand for
subjective, objective, assessment and plan
What is system thinking goal
to develop awareness of the relationships that exist between individual care and the overall context of the care safety and quality improvement
What is QSEN
national initiative that informs best practice at multiple levels within the systems based continuum of care
What are some barriers to interprofessional collaboration
miscommunication, distrust, lack of respect among provider types, different levels of perceived importance, misunderstanding of each other roles
What is clinical judgment
the visible or observed outcome of critical thinking and decision making that considers nursing knowledge, client situations, prioritization of client problems and concerns while utilizing evidence based practice
What are the 6 phases of clinical judgement
recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, evaluate outcomes
What is critical thinking
the skill of learning to analyze and interrupt data to solve a problem to achieve a desired goal
What does critical thinking include
questioning, analysis, synthesis, interpretation, inference, inductive, intuition, application, and creativity
What is clinical reasoning
analyzing all the data getting rid of irrelevant data of a clinical situation to make a decision
What does AAPIE stand for
accessing, analyzing, planning, implementing, evaluating
What is maslows hierarchy of needs from least to most
physiological needs, safety, love, esteem, self actualization
What does ABCDE stand for
airway, breathing, circulation, disability, exposure
What is priority setting
delivery of nursing care based on the most critical intervention or action is first
What are the principles of prioritization
systemic before local (life before limb), acute before chronic (acute has less opportunity for physical adaptation), actual problems before potential future problems
What does CURE stand for when prioritizing client care
critical (life threatening), urgent (could suffer harm), routine, extras (promote comfort)
What is delegation
one person assigning tasks to another person
What are some things that could be delegated to an LPN
PO meds, continuous IV fluids (but not start them), urinary cath (insert and removal), ostomy care, non sterile dressing changes, give vaccines
What is the most important to remember when considering delegation
each person should understand their own scope of practice and stay in it
What are the steps of nursing process for an LPN
data collection (collect data and report changes to RN), planning (implement plan under supervision and guidance of RN), implementation ( collaborate with RN to take action), evaluation (evaluate effectives)
What does PACET stand for when considering what cant be delegated
planning, assessment, collaboration, evaluation, teaching
What are the five rights of delegation
right task, right circumstance, right person, right direction and communication, right supervision and evaluation
What is acuity
the complexity of a clients condition, ranked from stable to high risk based on the tasks involved in their care
What is a acuity calculation tool
helps ensure client assignments are consistent and fair
What is noncompliance
defined as failure to act in accordance with a plan
What could be some reasons for noncompliance
could be bc of challenges outside of the clients control
What is time management
the process of planning time available in accordance with goals to achieve
What should be included in discharge planning
understandable discharge instructions, ongoing/emergency care info, explain self fare activites, list of commonly outpatient resources, knowledge of patients language/culture/health literacy, medication reconciliation
What is continuity of care
the transition of a client from one area within the same facility, from on level of care to a higher and more intense level or to a less intense level and any discharges to the home in the clients community
What is spirit of inquiry
persistent sense of curiosity that informs both learning and practice – raise questions, challenge practices, and seek creative approaches to problem solving
What are the steps of evidence based practice process
assess (determine clinical problem), ask (well build clinical question), acquire (conduct a research), appraise (appraise for closeness to the trust and usefulness), apply (integrate evidence), evaluate
What should be included when deciding if research is good (article wise)
published In the last 5 years, intervention explicitly listed, data to support the intervention, ongoing study, peer reviewed
