Nursing Logic Flashcards
define clinical judgement
the decision made regarding a course of action based on a critical analysis of data when nursing knowledge is applied to a clinical situation
What do sound clinical judgement help ensure?
self care
high quality care
client- centered care
if a client returns from surgery and his BP is 95/55, what will the nurse need to do?
perform a focused assessment and analyze the data obtained to determine the next course of action.
What does the clients recovery depend on from the nurse?
Depends on the nurses ability to identify unexpected findings and to take measures to prevent further complications.
main idea: CORRECTLY MAKE SOUND CLINICAL JUDGMENTS.
Nursing compentencies
- Client centered care
- interdisciplinary collaboration
- Evidence based practice
- Quality improvement
- informatics
- Safety
- —————————————————————- - Client education
- Professionalism
- Leadership
- Priority setting
Nursing Definition from American Nurses Association
Protection, Promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.
Contents of Nursing knowledge
- Pysiology & pathopysiology
- Pharmacology
- Nutriiton
- Nursing procedures
- Mathematics
- Information technology
- Legal issues
- Ethical issues
- Effective communication
Why is pharmacology needed?
To have an understanding of drugs and the impact drugs have on your patient. We need to be able to intervene for adverse effects caused by drugs.
Legal issues
- Expected to protect the public
- Nursing practice acts vary between states
- Informed consent (VERY IMPORTANT)
Ethical Issues
Consider your own personal values before entering a situation.
Effective communication
Essential to nursing practice! Fosters trust and therapeutic relationships with your patients and coworkers. Consists of written words, gestures, facial expressions, and attitude.
Define Foundational Thinking
The ability to recall and comprehend information and concepts foundation to quality nursing practice.
Foundational thinking uses what concepts
- Recall information, then
- Demonstrate comprehension, then
- Apply it to a clinical situation.
Define Critical thinking
The thinking skills you use when analyzing patient issues and problems.
What are the critical thinking skills?
- interpretation
- analysis
- Evaluation
- Inference
- Explanation
What does interpretation consist of?
- Recognize, then
- Understand (look at chart for past shift reports), then
- explain the meaning of a situation
How do you analyze?
Examine the findings in relation to the situation and gather additional data as needed to validate the finding,
How do you evaluate?
Assess the relevance, significance or applicability of the findings to the situation
How to Inference
- Draw conclusions based on evidence
- Differentiate between conclusions and hypothesis
- Identify knowledge gaps
Draw conclusions that are based on evidential data and are logical given the patient’s situation.
Explanation- what do you do?
- Clarify the assumptions and reasoning processes followed
- Justify one’s reasoning and conclusions
In other words: Justify the reasoning/conclusions draw in relation to the evidence and contextual considerations
