Nursing Process Flashcards
Charged of the personal health of somebody
Nursing according to Florence Nightingale
What is the definition of nursing according to ANA?
the protection
promotion
and optimization of health and abilities
The American Nurses Association defend nursing in ____ and reaffirmed that definition in _____.
1980
1995
What are the roles of nursing according to ANA?
Prevention of illness and injury
alleviation of suffering through the diagnosis and treatment of human response
advocacy in the care of individual, families, communities and populations
the diagnosis and treatment of human responses to actual or potential health problems
Nursing diagnosis
Who is the recipient of nursing care in the broadest possible sense?
Patient
Nursing is, enumerate the 5 definitions
An art and science with its own evolving scientific body of knowledge
-involving care
-holistic or concerned with the client’s physical, psychological, emotional, social, cultural, and spiritual needs
-occurring in variety of settings
-concerned with health promotion, disease prevention, and care during illness
Purposeful, disciplined, reflective reasoning focused on finding meaning, deciding what to believe and do and improve the current situation
critical thinking
Critical thinking is based on _____ rather than ___, ____, _____, _____, or ______
evidence (data)
personal
values
biases
guess work
What is the definition critical thinking according to Kozier?
It is intellectually disciplined process of actively and skillfully conceptualizing, applying, analyzing, synthesizing and/or evaluating information gathered from, or generated by observation, experience, reflection, reasoning, or communication as guide to belief and action.
What is critical thinking according to Taylor?
A systematic way to form and shape one’s thinking. It functions purposefully and exactingly. It is thought that it is disciplined, comprehensively based on intellectual standard, and as a result well-reasoned.
What are the components of critical thinking for clinical judgement?
Cognitive skills (thinking)
Affective skills (feelings and beliefs)
Personality Traits
Write the equation for good clinical judgement in nursing.
Good clinical judgement in nursing= knowledge + clinical experience + reasoning skills using nursing process + attitudes + standards
What are the three levels of critical thinking?
Committed Level or expert
Complex Level or intermediate
Basic Level or novice
In this level, there is only one right answer
Basic level or novice
In this level, you ask for the right answer, only right and wrong and you have less knowledge and experience?
Basic level or novice
involves testing any number of solutions until one is found that works for that particular problem
trial and error problem solving
The right answer depends
several solutions; which one
sees +/- of each solution
more knowledge and experiences
Complex level or intermediate
In committed level or expert level, what are the features?
-solution is for the patient in this situation
-based on +/- of the solutions
- years of knowledge and experience
What are the characteristics of critical thinker?
inquisitive or curiosity
systematic
fair-minded
analytic
critical thinking confidence
truth seeking
mature thinking leads to independence
What are the attitudes that foster critical thinkers?
insight to egocentricity
intellectual humility
intellectual courage to challenge status quo and rituals
integrity
perseverance
is the way one thinks like a nurse
The Nursing Process
It is a ____, ________ used to identify, prevent, and treat actual or potential health problems; to identify patient strengths; and to promote wellness
The Nursing Process
The _____ provides the frameworks in which nurse use their _____ and ______ to express ______
nursing process
knowledge and skills
human caring
In ____, _____ used the first term nursing process
1955
Lydia Hall
What is nursing according to Lydia Hall?
Nursing is a process- series of actions directed toward a specific aim
In ____, _______ described nursing as fostering the behavioral functioning of the client. (_______)
1959, Dorothy Johnson
(Assessment Decision Action)
In _____, _______ nursing is the interaction of
3.
4.
5.
- 1961
- Ida Jean Orlando-Pelletier
- client behavior
- reaction to nurse
- nursing action
identify act, evaluate
1963
Ernestine Wiedenbach
In _____, nursing theorists began to describe nursing as distinct entity among the health care professions and also _____ specific steps in a process approach
1960s
delineated
In ______, _____ and _____ published the comprehensive book on nursing process, in which they describe 4 steps in nursing process : APIE ( enumerate )
1967
Yura and Walsh
Assessment
Planning
Implementation
Evaluation
Yura and Walsh viewed nursing diagnosis as _______
conclusion of assessment
In ______, ______ and ______ made nursing diagnosis a separate step in process: ADPIE (enumerate )
1974
Gebbie and Lavin
Assessment
Diagnosis
Planning
Implementation
Evaluation
In _____, Steps in nursing process legitimized when _______ developed standards of practice to guide nursing performance.
1973
ANA Congress of Nursing Practice
The standards of practice to guide nursing performance were revised in what years?
1991, 1998, 2003
The nurse collects patient health data
Assessment
ADOPIE
ASSESSMENT
DIAGNOSIS
OUTCOME IDENTIFICATION
PLANNING
IMPLEMENTATION
EVALUATION
The nurse analyzes the assessment data
Standard 2- Diagnosis
The nurse identifies expected outcomes individualized to the patient
Outcome Identification
The nurse develops a plan of care that prescribes _____ to attain expected outcomes
Standard IV- Planning
interventions
The nurse implements the interventions identified in the plan of care
Implementation
The nurse evaluates the patient’s progress toward attainment of outcomes
Evaluation
Enumerate the advantages to become skilled on the use of nursing process
Confidence
Aid in staff assignment
Professional growth
Employments in nationally accredited hospital
Graduation from an accredited nursing school
Job satisfaction
What is nursing process according to Kozier?
a systematic, rational method of planning and providing individualized nursing care
what are the purpose of nursing process or focus of nursing according to ANA?
- To identify a client’s health status and actual or potential health problems or needs
- to establish plans to meet the identified needs
- to deliver specific nursing intervention to meet those needs
- To achieve scientifically based, holistic, individualized care for the patient
- To achieve the opportunity to work collaboratively with the clients and others
- to achieve continuity of care
The nursing process provides a framework that enable the nurse and patient to accomplish the following:
- Systematically collect patient data- structured form
- clearly identify patient’s strengths and actual and potential problems
- Develop a holistic plan of individualized care that specifies the desire of the patient goals and related outcomes and the nursing interventions most likely to assist the patient to meet those expected outcomes
- execute plan outcomes
- evaluate the effectiveness of the plan of care in terms of patient goal achievement
What are the skills required in utilizing nursing process
intellectual or cognitive skills
technical skills
interpersonal skills
Ethical and Legal Skills
What skills offers a scientific rationale for the patient?
intellectual or cognitive skills
what skills select those nursing interventions that are most likely to yield the desire outcomes?
intellectual or cognitive skills
What skills use critical thinking to solve problems creatively?
intellectual or cognitive skills
________ nurses are critical thinkers
cognitively skilled
What skills manipulates equipment skillfully to produce a desired outcome or result?
technical skills
What skills use technical equipment with sufficient competence and ease to achieve goals with minimal distress to participants involved?
technical skills
What skills creatively adapt equipment and technical procedure to the needs of particular patient in diverse circumstances?
technical skills
What skills established and maintain caring relationships that facilitate the achievement of valued goals while simultaneously affirming the worth of those in the relationship?
interpersonal skills
What skills use interaction: patients, SO (significant others) and colleagues affirm their worth?
interpersonal skills
What skills elicit the personal strength and abilities clients/SO to achieve valued health goals?
interpersonal skills
What skills provide the health care team with knowledge about the patient’s valued goals and expectations?
Interpersonal skills
What skills work collaboratively with the health care team as a respective and credible colleague to reach valued goals?
Interpersonal skills
What skills conduct themselves in a manner consistent with their professional _____ and professional _____
- ethical and legal skills
- moral code
- role responsibilities
What skills is being accountable for their practice, to themselves, the patient they serve, the care giving team and the society?
Ethical and legal skills
What skills is being trusted to act in ways that advance the interest of patients?
ethical and legal skills
What skills encourages the nurses to act as effective patient or client advocate?
Ethical and legal skills
What skills mediates ethical conflict among the patient, SO, health care team, and other interested parties?
Ethical and legal skills
What skill practice nursing faithful to the tenets of professional _______ and appropriate standards of practice?
- Ethical and legal skills
- code of ethics
is based from methodology (strength)
nursing process
is a basic life skill; identifying a problem then taking steps to resolve it as a matter of common sense
Problem Solving
the understanding or learning of things without conscious use of reasoning
Intuition or intuitive thinking
Intuition or intuitive thinking is also called as?
sixth sense, hunch, instinct, feeling or suspicion
Identify the steps in problem solving process.
Problem Identification
Data Collection
Hypothesis Formulation
Plan of Action
Hypothesis Testing
Interpretation of Results
Evaluation
general problem areas identified through screening
Client identified
subjective and objective data
Assessment
data analyzed, problem identified, labelled
Diagnosis
expected outcome, strategies, interventions
planning
intervention provided
implementation
result of the process analyzed
evaluation
What are the characteristics of nursing process?
systematic
dynamic
interpersonal and collaborative
outcome orientation
Nursing process is adaptation of problem solving and system theory
Decision making is involved in every phase of nursing process
universally applicable in nursing situation
Nurses must use a variety of critical-thinking skills
is a scientific process which is a foundation, the essential tool, and the enduring skill that has characterized nursing from the beginning of the profession
nursing process
it is a plan of care for the patient which may look different from different institutions but provides both _____ and _____ course of intervention to patients
Nursing Process
systematic and effective
