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Module 1 nur

nur151 module 1

Name the nursing program core values Critical thinking, caring, holism, safe practice, role development, information management and technology
Define critical thinking An active organized cognitive process used to examine one's thinking and the thinking of others. / A process that involves using one's mind in framing conclusions, making decisions, drawing inferences and reflecting.
Name the skills involved in the critical thinking process. Interpretation, analysis, evaluation, inference, exlanation, self regulation.
Define interpretation as it relates to critical thinking Systematic orderly data collection; look for patterns to categorize data, clarify any data you are uncertain about
Define analysis as it relates to critical thinking be open minded as you look at information about the patient; do not make careless assumptions; does data reveal what you believe is true or are there other options.
Define evaluation as it relates to critical thinking look at all situations objectively; use criteria (expected outcomes, pain characteristics, learning objectives) to determine results of nursing actions; reflect on your own behavior.
Define inference as it relates to critical thinking looking at the meaning and significance of findings; does data about the patient help you see that a problem exists?
Define explanation as it relates to critical thinking support your findings and conclusions; use knowledge and experience to choose strategies to use in the care of patients; justify procedures and present arguments.
Define self-regulation as it relates to critical thinking reflect on your experiences; identify the ways you can improve your own performance; what will make you believe you have been successful? Define caring
Benner's statement on caring caring means that persons, events, projects and things matter to people; it creates possibility
With what is an ethic of care concerned? relationships between people and with a nurses character and attitude towards others.
______________ is at the heart of ability to work with people in ____________&___________ways. caring, respectful, therapeutic
How is caring related to culture? Human caring varies among cultures in its expressions, processes and patterns.
Name the 5 characteristics of Swanson's theory of caring Knowing, being with, doing for, enabling, maintaining belief
Define knowing according to Swanson striving to understand an event as it has meaning in the life of the other; avoiding assumptions; centering on the one cared for; seeking cues; engaging the self or both.
Define being with according to Swanson being emotionally present to the other; being there, conveying ability, sharing feelings, not burdening
Define doing for according to Swanson doing for the other as he or she would do for self if it were possible; comforting; anticipating; performing skillfully; protecting; preserving dignity
Define enabling according to Swanson facilitating the others passage through life transitions (eg. birth, death) and unfamiliar events; informing; explaining; supporting; allowing; focusing; generating alternatives; validating; giving feedback
Define maintaining belief according to Swanson sustaining faith in the others capacity to get through an event or transition and face a future with meaning; believing in; holding in esteem; maintaining a hope filled with attitude; offering realistic optimism; going the distance
Define holism the whole is greater than the sum of it's parts
Name three domains of holistic nursing Theory, concept, practice
Holism considers these five aspects of the individual physiological, psychological, sociocultural, intellectual, spiritual
Describe holistic nursing care the art and science of caring for teh whole person, knowing that each individual is unique in all aspects of self.
What are four holistic concepts to keep in mind as a nurse relating to a patient? Mind and body are one, not separate; people are responsible for their own choices; people have power to solve their own problems; well-being is multifaceted (physical, emotional, mental, spiritual)
Define safe practice as it relates to the core values providing safe quality patient care according to the standards of practice
What are the minimum standards of care Assessment, diagnosis, Outcomes ID, planning, implementation, (coordination of care; health teaching & health promotion; consultation; prescriptive authority & treatment) & evaluation
Define assessment in relation to ANA SoP the registered nurse collects comprehensive data pertinent to the patients health or situation
Define diagnosis in relation to ANA SoP the registered nurse analyses the assessment data to determine the diagnosis or issues
Define outcomes ID in relation to ANA SoP the registered nurse identifies expected outcomes for a plan individualized to the patient or situation
Define planning in relation to ANA SoP the registered nurse develops a plan that prescribes strategies and alternatives to attain expected outcomes
Define implementation in relation to ANA SoP the registered nurse implements the identified plan within 4 domains (coordination of care, health teaching and promotion, consultation and prescriptive authority and treatment)
Define evaluation in relation to ANA SoP the registered nurse evaluates progress toward attainment of outcomes
What is the current and expanded role of the nurse? comfort and care, specific functions, health promotion & illness prevention as well as concern for client as a whole
What are the classifications of the progressive roles in the continuum of nursing? Novice, advanced beginner, competent, proficient, expert.
Define novice nurse beginning nursing student or any nurse entering a new field w/o experience
Define advanced beginner nurse nurse who has some level of experience with the situation; is able to identify meaningful aspects of principles of nursing care
Define competent nurse nurse who has been in the same position for 2-5 years, understands the organization and specific care required; generally has experience with all types of psychomotor skills required by this type of client
Define proficient nurse > 3 yrs exp in same position & perceives & assess situation as a whole, uses knowledge; focuses on managing care as opposed to managing & performing skills
Define expert nurse diverse experience intuitive grasp of existing or potential clinical problems; able to zero in on the problem & focus on multiple dimensions of the situation; identifys needs of novice nurse
Define information management in relation to the core values interventions to facilitate communication among health care providers
What is the biggest trend shaping health care? evidence based practice - EBP
A step-by-step approach ensures that you obtain the strongest available evidence to apply in patient care. evidence based practice - EBP
Basic description of LPN, RN and APN LPN - 18 mo program / pass NCLEX-LPN, RN - 24 to 48 month program depending on ASN or BSN / pass NCLEX-RN,
Name nine major rolls in nursing caregiver, communicator, teacher, counselor, leader, researcher, advocate, manager of care, member of dicipline
Define caregiver combines the art of caring and the science of nursing to meet the holistic needs of individuals, families and communities through collaboration with other health professionals.
Define communicator uses effective interpersonal and therapeutic communication skills to establish and maintain helping relationships with clients of all ages in a wide variety of health care settings
Define teacher the nurse educator uses communication skills to assess, plan, implement and evaluate client learning; the nurse shares information formally and informally and acts as a consultant to promote restore and maintain health
Define counselor nurses encourage clients to look at alternatives, recognize their choices and develop a sense of control in rapidly changing health care environments
Define leader, nurse manager demonstrates ability to communicate effectively uses critical thinking skills, coordinates cost effective care & provides case management; delegates care, guides & directs others; collaborates w/interdisciplinary health care teams.
Leadership roles held by staff nurses team leaders, charge nurses, role models
Define researcher the nurse researcher uses and participates in nursing research to increase knowledge in nursing and improve client care.
Define advocate promotes human dignity, respects diversity, protects legal rights of client, enhances access to health care, assists clients in making informed decisions regarding health
Define manager of care nurse is responsible for assessing client needs; developing a care plan, ensuring appropriate interventions are delivered to client; often serves as coordinator between different members of HC team.
Define elder abuse Harm caused by: physical abuse, neglect, intimidation, cruel punishment, financial abuse, abandonment, deprivation of goods or services necessary to avoid physical harm or mental suffering of an elderly adult
Define passive neglect well-intentioned caregiver is incapable of meeting the needs of the elder.
Define active neglect malicious, with holding of basic life necessities, can include over or under medicating
Define psychological abuse profanity or intimidating verbal conduct
Define financial abuse caregiver squanders elders funds or refuses to make expenditures necessary to the patient's health or general well-being
Five patient rights of delegation RN's can delegate ; 1. right task 2. right circumstance 3. right person 4. right communication/direction 5. right supervision.
Scope of practice SoP is set by the state board of nursing; each RN is responsible for state SoP, agency policies and procedures; do not perform a procedure if you do not feel adequately trained and prepared.
Professional boundaries maintain professional relationships with clients and their families; proficient conflict management skills; self care strategies; workers rights - harassment - discrimination - violence.
Conflict management with other health care workers common areas of conflict include: failure to communicate effectively; workload division; quality of care; treatment decisions; errors.
Ethical responsibilities related to professional nurse practice autonomy, beneficence, non-maleficence, justice fidelity, veracity, confidentiality, accountability.
Autonomy right to be self determined; to make decisions based on ones own values, adequate information and sound reasoning that considers all of the alternatives
Beneficence benefiting others; intent of acting in the best interest of the client
Non-maleficence avoidance of harm or hurt; choosing the least harmful intervention that will provide the most benefit
Justice intending to treat others fairly and giving what is due or owed
Fidelity faithfulness to patient and co-workers and institutions; keeping promises
Veracity the value of honestly telling the truth
Confidentiality respecting the privacy of information; HIPPA
Accountability taking responsibility for the consequences of your performance; mistakes or negligence
Assault deliberate attempt or threat to inflict bodily injury upon another person and with the apparent ability to do so.
Battery illegal touching of another person
Fraud deliberate deception; intended to produce unlawful gain
Liability the condition of being actually or potentially subject to legal obligation
Malpractice improper or illegal practice as in medicine or law
Negligence failure to take responsible precautions to protect others from the risk of harm
Libel false charges; written or published information that causes unjust damage to a persons reputation
Slander stating false information that damages someones reputation
Patient Self-Determination Act of 1991 (PSDA) requires all HCF to have written P&P concerning advanced directives and give this information to all patients upon admission
Advanced directives gives an individual a right to accept or refuse treatment in advance of a situation where they are unable to communicate their wishes and they will surely die, ie. DNR, DNH
DNR do not resuscitate; written order by a physician if a person does not want CPR in the event of cardio-pulmonary arrest; generally seen in terminally ill and elderly pts.
Living will legal document in which patient makes their wishes known regarding life sustaining measures if they become incapacitated; ie. cpr, ventilators, feeding tubes, IV fluids
Health care power of attorney appoint someone to make medical decisions for you if you are unable
Internal or external disasters computer crash, power outage, terrorist attack, natural disasters
Fire procedures RACE and PASS; Rescue Alarm Contain Extinguish; Pull pin Aim Squeeze trigger Sweep at base of flame.
Sentinel events TJC tracks these incidences; ie. amputation of wrong leg, baby abduction, surgery on wrong person, patient suicide
Risk management implementation of policies that reduce danger or hazard; reduces risk of liability to institution; identifies problems; prevents or reduces risk of occurrence; prevents patient injury; organization liability
Accidental error prevention identify potential; protect from; monitor environment; verify orders; human factors engineering
Reducing risk for yourself carry malpractice insurance; protecting yourself means protecting your patient; dying persons bill of rights; pain care bill of rights; patient care partnership
Nursing organizations that accredit educational programs develop standards of care, support research, provide educational opportunities, lobby for nursing issues ANA, NLN,.
EMTALA (emergency medical treatment active labor act) - cannot turn away a patient in a critical state regardless of financial burden or no insurance
Created by: larue10510