NURSING PROCESS CHAPTER 2 Flashcards
a systematic and rational method of providing nursing care
Nursing Process (ADPIE)
first step the nursing process in which are data are gathered to identify actual or potential problems
Assessment
second step of nursing process and includes clinical judgements made about wellness states, illness states and syndrome, and the redness to enhance current state of wellness experienced by individuals.
Nursing Diagnosis? Diagnosis
the step in the nursing process where goals and interventions are created for a patient.
Planning
written summary of the care that the client is to receive
Nursing Care Plan
the fourth step of the nursing process involves the execution of the nursing care plan derived during the planning phase
Implementation
an action performed by the nurse that helps the client to achieve the results specified by the goals and expected outcomes
Nursing Intervention
last step of the nursing process it determines the efficacy of nursing care and ensures delivery of quality needs
Evaluation
a decision making process that ranks the order of nursing diagnosis in terms of importance to the client
Nursing Priority Setting
the condition of a being answerable and responsible to someone for specific behaviors that are part of of nurses professional roles
Accountability
> identify the clients health status and healthcare problem
establish the plans to meet the identified
deliver the specific nursing intervention to meet the needs
Goals of Nursing Process
What nursing process is this “identify the clients health status and healthcare problem”
Diagnosis
What nursing process is this “establish the plans to meet the identified’’
Planning
What nursing process is this “deliver the specific nursing intervention to meet the needs”
Implementation
what is the three skills needed to successfully use nursing process
COGNITIVE SKILLS
TECHNICAL SKILL
INTERPERSONAL SKILLS
offer a scientific rationale for a patient’s plan of care and use critical thinking for solve problems
COGNITIVE SKILLS
technical equipment with sufficient competence and care to achieve goals with minimal distress or to partcipants involved
TECHNICAL SKILLS
use interaction with patients
INTERPERSONAL SKILLS
> be trusted to act in ways that advance the interest of patients
be accountable for their practice
act as effective patient
ETHICAL AND LEGAL SKILL
> system is open and flexible
it is plan it is goal oriented
it is client oriented
it permits activity for the nurse and client to solve health problems
it is interpersonal and collaborative
it is cyclic and dynamic
it emphasizes feedback
it is universally applicable
CHARACTERISTICS OF NURSING PROCESS
discipline process activity and skillfully conceptualizing applying analyzing and or evaluating information gathred from or generated by, observation, experience, reflection
CRITICAL THINKING
> Mental Operation
Knowledge
COMPONENTS OF CRITICAL THINKING
the cognitive process of actively analyzing, interpreting, and making sense of patient data collected during the assessment phase, allowing the nurse to form a clinical judgment and develop a nursing diagnosis and care plan
MENTAL OPERATION
nurses must develop abroad base of knowledge to solve problems make decisions and think critically
Knowledge
understanding of the nature of that knowledge
Knowldge
specific fact or information
Declarative Knowledge
BENEFITS OF THE NURSING PROCESS:
for the client and
for the nurse
- Quality client care
- Continuity of care
- Participation by the clients in their health care
for the client
- Consistent and systematic nursing education
- Job satisfaction
- Professional growth
- Avoidance of legal actions
- Meeting professional nursing standards
for the nurses
- Tolerance
- Curiosity
- Persistence
- Respect for other perspective
- Intellectual Humility
- Self condence
- Flexible
- Organized
ATTITUDES OF A CRITICAL THINKER:
application of a set of questions to a particular situation or idea to determine essential
information and ideas and discard superfluous information and ideas
Critical Analysis
2 reasinong of critical analysis
inductive and deductive reasoning
generalizations are found from a set of factor observations.
INDUCTIVE REASONING
-from general to specific
DEDUCTIVE REASONING
inference(base on book), judgemtn and opinion
DIFFERENTIATING FACTS
information of sources
EVALAUTING CREDIBILITY
to precisely define and understand the meaning of key terms and ideas used within each step of the nursing process
CLARIFYING CONCEPTS
a nurse should actively identify any underlying beliefs or presumptions made about a patient’s condition, response to treatment, or their ability to participate in care
RECOGNIZING ASSUMPTIONS
clarity, accuracy, precision relevance, depth,breadth, logic, significance, fairness
CAPRDBLSF
the critical thinker clearly defines
CRITICAL THINKER AND PROBLEM SOLVING
safe effective nursing interventions are implemented only after reflection implemented after reflection
CRITICAL THINKING AND DECISION MAKING