Nursing Process Flashcards
blended competencies
set of intellectual, interpersonal, technical, and ethical/legal capacities needed for professional nursing
clinical judgment
result of critical thinking or clinical reasoning
clinical reasoning
referring to ways of thinking about patient care issues, reasoning about clinical issues
creative thinking
involves imagination, intuition, and spontaneity
critical thinking
thoughts that are disciplined, comprehensive, and based on intellectual standards
decision making
goal-directed effort applied in a systematic way to make a choice
intuitive problem solving
direct understanding of a situation based on a background of experience, knowledge, and skill
nursing process
5 step method of giving patient care
person-centered care
Based on holistic roots, every clinical encounter is used to assess how the person is doing
Quality and safety education for nurses (QSEN)
Prepares future nurses with the knowledge, skills, and attitudes (KSA) necessary to improve the healthcare system
reflective practice
caregiver has a profound awareness of self and own biases, understand how they may affect the therapeutic relationship
scientific problem solving (7 steps)
Problem identification, data collection, hypothesis formulation, plan of action, hypothesis testing, interpretation of results, evaluation
thoughtful practice
care of a patient by a caregiver who uses clinical reasoning and reflective practice to guide thoughtful actions and person-centered care
trial and error problem solving
involves testing any number of solution until one is found that works for that problem
assessing
systematically and continuously collect, validate and communicate patient data
cue
significant information that is helpful for decision making
database
all pertinent patient info that enables a effective plan of care
focused assessment
assess specific problem or highest priority concerns
inference
judgment reached about a cue
initial assessment
comprehensive assessment, baseline data to make judgments about health status, need for nursing and to plain individualized care
interview
planned communication for a specific purpose
minimum data set
specifies the info that must be collected from every patient
nursing history
identify patient’s health status, strengths, health problems, health risks, and need for nursing care
objective data
perceptible to the sense, verified by another person
observation
conscious and deliberate use of the five senses to gather data
patient-centered assessment method (PCAM)
assesses patient complexity using the social determinants of health
physical assessment
objective, better defines patient’s condition and helps plan care
Review of systems (ROS)
physical examination of all body systems
subjective data
info perceived only by the affected person
collaborative problem
health problem that may occur from complications of disease or treatment. nurse works with other members of the health care team