Quiz 1 Flashcards
Banners stages of nursing proficiency
Novice
Advanced beginner
Competent
Proficient
Expert
Nursing responsibilities and roles
Autonomy and accountability
Caregiver
Advocate
Educator
Communicator
Manager
Types of APRN’s
Clinical nurse specialist
Nurse practitioner
Certified nurse midwife
Certified registered nurse anesthetist
Florence nightingale
Established first nursing philosophy based on health marine education and restoration
Organized first program for training nurses
First practicing epidemiologist
Improved sanitation in battlefield hospitals
Practices remain a basic part of nursing today
Ever changing needs of society
Aging population
Cultural diversity
Bioterrerism
Emerging infections
Disaster management
Contemporary concerns
Nurses self care
Health care reform and costs
Demographic changes
Medically underserved
Trends in nursing
Evidence based practice
Quality and safety education of nurses
Impact of emerging technologies
Genomics
Public perception of nursing
Impact of nursing on politics and health policy
Nursing practice acts (NPA’s)
Overseen by state boards of nursing
Regulate the scope of nursing practices
Protect public health, safety, and welfare
Code of ethics in nursing
Advocacy
Responsibility
Accountability
Confidentiality
Values
Deeply held beliefs
Clarifying values include yours, the patients, and your co workers
Approaches to ethics
Deontology
Utilitarism
Casuistry
Feminist ethics
Ethics of care
Processing an ethical problem
Is this an ethical problem
Gather information that is relevant to the case
Identify the ethical elements and examine your values
Name the problem
Indetify possible courses of action
Evaluate the action plan
Issues of health care ethics
Social media
Quality of care
Care at the end of life
Access to health care
Clinical judgement
Observed outcome of critical thinking and decision making
Model of clinical judgement
Help explain concepts
Explains many variables involved making decisions and clinical judgements about patients
Critical thinking
The ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process
Aim is to focus on most important issues to produce most desired patient outcome
Critical thinking competencies
Scientific method
Problem solving
Decision making
Diagnostic reasoning
Clinical decision making
Levels of critical thinking
Basic critical thinking
Complex critical thinking
Commitment
Components of critical thinking
Competence
Knowledge based
Experience
Environment
Critical thinking attitudes
Confidence
Thinking independently
Fairness
Responsibility and accountability
Risk taking
Discipline
Perseverance
Creativity
Curiosity
Integrity
Humility and self awareness
Evaluation of critical thinking
Reflection
Meeting with colleagues
Concept mapping
Critical thinking synthesis
Clinical decision making steps
Assessment
Diagnosis
Planning
Implementing
Evaluation
Tanner model
Recognizes role of nursing background
Circumstances of situations
Nurses relationship with patient
Range of knowledge in clinical judgement
Derived from since and theory, practice, knowing individual patients, and human understanding
Analytic processes
Breaking down situations into its elements to: gain knowledge, address mismatches between what is expected and what happens, and determining action when there are multiple choices
Intuition
Immediate understanding of clinical situation
Narrative thinking
Review the experience as a story of the patient and one’s response to the patient
Reflection
In depth review of a clinical experience, intent to learn from breakdowns of practice
Noticing in clinical
Patient responses
Similar patients from practice
Textbooks and resources
Awareness of excellence
Values and connections
Comfort with patterns of care
Interpreting and responding
Interviewing clinical reasoning into data
Reflection in vs on action
In: a ability to read the patient and his they are responding
On: learning what us gained in that clinical experience
Critical thinking 2 steps
Collect information from primary and secondary sources
Interpret and validate information to se if more is needed