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Clinical Reasoning And Judgement > Wk1 > Flashcards

Wk1 Flashcards

1
Q

Key critical thinking skills and terms associated with ADPIE

A

Assessment: ask, validate, identify, analyse, interpret
Diagnose: analysing, interpreting assessment data and identify gaps. Determine nursing diagnosis
Planning: achieve goals, consider consequences of actions, setting priorities
Implementation: involve patient and implement care, MDT
Evaluation: reassessing, modifying, individualising care, determining if outcomes are met

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2
Q

Relationship between critical thinking and clinical judgement

A

Critical thinking and reasoning = process

Clinical judgement = conclusion, decision, opinion (result or outcome)

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3
Q

Critical thinking and RN standards of practice

A

Standard 1: think critically and analyse practice
Use strategies and best evidence in making decisions
Provide safe and quality nursing with evidenced based and person centred frameworks

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4
Q

Critical thinking means

A

Not accepting information at face value without evaluating whether it is factual and reliable
Alfaro lefevre

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5
Q

Personality affects

A

Processing of information, decision making, degree of structure and control in your life

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6
Q

Nosce Te ipsum

A

Know thyself

Celebrate strengths and overcome weakness

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7
Q

The big five

A

Five traits that have surfaced repeatedly in factor analyses of personality measures

High reliability and considerable power in predicting job performance and team effectiveness

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8
Q

Ocean

A 
Openness
Conscientiousness
Extroversion
Agreeableness
Neuroticism
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9
Q

Conscientiousness

A

Careful and vigilant
Desire to do a task well
Takes obligation to others seriously
Efficient and organised

As opposed to easy going and disorderly

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10
Q

Emotional stability/neuroticism

A

Remain stable and balanced

High neuroticism have tendency to easily experience negative emotions

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11
Q

Introversion

A

One find energy from internal sources rather than external ones

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12
Q

Extroversion

A

Personality trait shared by people who are friendly assertive outgoing with others

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13
Q

How personality styles affect nursing

A

Know your own to celebrate strengths and overcome weakness

Know and recognise others styles to respect their own approaches to the same situation

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14
Q

Benefits of knowing personality traits in nursing

A

Partnering/team building: understand and respect relationships
Performance and retention: promotes critical thinking, less stress, self confidence, positive environment
Patient satisfaction: empowerment, communication, outcomes

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15
Q

Emotional intelligence

A

Social intelligence that emphasises the abilities to manage, recognise and understand emotions and use emotions to guide thought and action

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16
Q

Vark

A

Visual, auditory, read/write, kinaesthetic

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17
Q

Kolbs learning cycle

A

Concert experience
Reflective observation
Abstract conceptualisation
Active experimentation

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18
Q

When learning people have different preferences for

A

How they receive and perceive information

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19
Q

Key point in understandings learning styles in nursing is

A

Most people learn in a combination of styles rather than just one
Must adapt as a nurse for patient and families need for understanding and education

20
Q

Visual learners learn best by

A

Watching, maps, charts , diagrams, graphs, symbols

21
Q

Auditory learns learn best by

A

Lectures, group discussions, radio, speaking, podcasts

22
Q

Reading writing learners learn best by

A

Texts, manual, reports, essays, assignments, power points

23
Q

Kinaesthetic learners learn best by

A

Moving, doing, experience and practice, simulation, experimenting, demonstrations

24
Q

Techniques important to educating others

A

Summarise and explain concepts in own words

Ask-tell-ask

25
Q

Benners stages of nursing expertise

A

1: novice
2: advanced beginner
3: competent
4: proficient
5: expert

26
Q

Benner: novice traits

A

Act before thinking
Require clear rules
Hampered by not knowing resources
Need step by step procedures

27
Q

Benner: expert traits

A 
Asses and think before acting
Know when to bend rules 
Aware of resources and how to use them 
Can integrate steps
Focus on steps as a whole (pt response)
28
Q

Why is clinical reasoning important

A

Care for and make decisions about complex patients

Responsible for clinical judgements in health care

Need to respond to challenging and dynamic situations

Psychomotor and thinking abilities

Has positive impact on patient outcomes

Poor skills can fail to detect deteriorating patient

Errors are key factor in adverse outcomes

29
Q

Clinical reasoning is dependent on

A

Critical thinking disposition

30
Q

Clinical reasoning and critical thinking attributes include

HIIPO Flys CCAR

A 
Holistic and contextual perspective 
Intuition
Inquisitive 
Perseverance 
Open mindedness
Flexibility
 Confidence 
Creativity 
Academic integrity 
Reflexivity
31
Q

Within a conflict situation there can be three ways to view the situation

A

Your view
Their view
The way it really is

32
Q

Overall goal of conflict resolution

A

Try obtain a win-win situation in all conflict resolution

33
Q

Five main styles of managing conflict

A 
Avoiders
Accomodators
Forcers
Compromisers
Collaborative problem solvers
34
Q

When conflict is managed well, positive outcomes can include

A

Reduced stress
Increased harmony and productivity
Better relationships
Better understanding of others
Improved ability to clarify issues with creative solutions
Improved self-esteem
Able to exchange view points, wants and needs and come to a sincere agreement

35
Q

When conflict isnt managed well negative outcomes include

A 
Increased stress
Decreased harmony and productivity 
Poor relationships
Isolation
Wasted time and energy
Frustration
Anger
Poor self esteem 
Hopelessness
36
Q

Avoiders

A

Rarely argue and avoid confrontation
Ignore issues or pull away/withdraw from conflict
Opportunities are missed and things can build up to explode
Lose-win

37
Q

Accomodators

A

Give up own needs to smooth over and make others feel better
Ella’s to exploding due to failure of honestly addressing and confronting issues
Lose-win

38
Q

Forcers

A

Get their own way even if others have to give up their own needs or wants and don’t care if they aren’t liked
Win-lose

39
Q

Compromisers

A

A peeps who tries to find middle ground
Everyone gives up wants and needs
Persuades everyone to give up and compromise thus everyone loses something
Lose-lose

40
Q

Collaborative problem solver

A

Shows equal concern for issues and relationships
Solutions for win-win
Issues fairly faced together with seeking of full support of everyone involved

41
Q

Principles of negotiation can conclude

A

Don’t jump to conclusions -seek facts
Focus on relationships (goals and values)
Appropriate time and place for discussion
Encourage atmosphere of trust and desire to face issues well
Persevere with issues
Look for win-win solutions
Stay calm - keep focus
Seek help from outside sources

42
Q

Transactional analysis is based on two notions

A
  1. Three parts to our personality or ego state

2. We converse with each other using transactions

43
Q

4 basic life position as identified by TA author Harris

A

Ok corral

I’m ok/you’re ok
I’m ok/your not ok
I’m not ok/your ok
I’m not ok/your not ok

44
Q

In TA a split/ulterior transaction

A

Occurs when two messages are conveyed at the same time, hidden agenda is noted and consist of an on the surface message with ulterior meaning

Eg. This is a really intriguing problem but it might be too hard for you

Adult response: I don’t have the capability to deal with this issue
Child response: I will do it and show him

45
Q

Benefits of TA

A

Insight into personality and behaviour differences

Resolves communication difficulties

Clinical Reasoning And Judgement (1 decks)

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