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Discipline &Practice

Discipline & Practice_Final Exam

Self-Understanding It influences our ability to make key decisions about ourselves, our organizations and those around us
Self-esteem A person's measure of his or her overall worth; reflected in personal behavior
Self-image The mental image a person has of him or herself
Self-confidence The degree to which you are secure with your own abilities and facing new challenges
Self-determination Personal motivation; being in charge of your own fate; motivation is the energy that allows a person to meet new challenges.
Self-responsibility The ability to accept consequences for your effort—good, bad, or other; includes the ability to be resilient
What are the 7 Nursing Outcomes for MNU? Aesthetic Literacy; Social Responsibility; Self-Understanding; Scientific Literacy; Critical Thinking; Effective Communication; Spiritual Development
What are the 5 components of Emotional Intelligence? Self-awareness; Empathy; Self-regulation; Internal Motivation; Social Skills
Emotional Intelligence The ability to monitor one's own and others' feelings and emotions, to discriminate among them and to use this information to guide one's thinking and actions
Who coined the term "Emotional Intelligence?" Daniel Goleman (1995)
Self-awareness insight regarding one’s own emotions
Self-regulation ability to control one’s impulses and to channel moods constructively
Motivation innate drive to achieve (does not have to do with compensation, title or perks
Empathy ability to consider thoughtfully another’s feelings while making intelligent decisions
Social skills the ability to manage relationships with others
What lies at the root of altruism? Empathy
According to Freedman, EI accounts for how much of our success in life? (%) 80%
True or False: Beginning a sentence with "I feel" is a good way to develop EI T
True or False: EI means being able to differentiate between thoughts and feelings T
What should you feel instead of feeling "angry?" Feeling "energized"
What is reflective practice? defined as the process of making sense of events, situations and actions that occur in the workplace' changing your attitude and opening your perspective
Reflection-in-action refers to the reflective thinking one is doing while one is doing the action
Reflection-on-action occurs, in contrast to reflection- in-action, AFTER the experience has taken place
List the 5 steps of EBP 1) Ask a clinical question; 2) Collect the best and most relevant evidence; 3) Critically appraise the evidence; 4) Integrate evidence with clinical expertise; 5) Evaluate
What does PICO stand for? Population/Problem; Intervention; Comparison; Outcome
What is peer review A panel of experts on the topic has scrutinized and reviewed the paper
What is considered the most accurate type of trial? RCT (Randomized Control Trial)
What sets apart an RCT? All of the participants have an EQUAL chance of making it into the Control and Treatment groups
What is Meta-analysis/Systematic Review? Independent researcher reviews all of the randomized controlled trials on the same issue and ascertains if the evidence is conclusive or if further study is needed.
List the Hierarchy of Evidence pyramid from bottom to top Expert Opinions; Internal organization-quality/risk management data; Systematic Review of Qualitative studies; Case Studies; Well-designed control trials without randomization; 1 well-designed RCT; Systematic Review/Meta-analysis of RCTs
What are some reputable databases we can use as nurses? MEDLINE; CINAHL; Cochrane; EBSCO
Explain Quantitative data Numbers, deductive, measurable, general to specific, starts with theory then tests it (scientific method)
Explain Qualitative data Words, interpretive, grounded in experience, starts with observations to build on a theory, specific to general
Bias having an opinion that influences the research
Confidentiality Ensures that any information the subject provides will not be reported in any manner that identifies the subject; this info will not be accessible to people outside the research team.
Anonymity Even the research can't link the subject to the data
Quality Improvement (QI) A focus on continued study and improvement of the health care process
Social Responsiblitiy the personal involvement of self in nursing’s role and responsibilities to people and society
Entering into a covenantal relationship with our patients means we ___ to them promise
Morals our private, personal standards of what is right and wrong
Name some examples of Unprofessional Conduct Performing beyond scope of practice; physical or verbal abuse to patients or staff; Falsifying pt records; Failing to take action to maintain pt safety; Diversion of drugs; Violating pt confidentiality; Delegating to unqualified people; being unprepared
What are Benners Levels (Novice to Expert) in order from least to most experienced? Novice, Advanced Beginner, Competent, Proficient, Expert
Novice Follows rules; little clinical experience; thinks inside box
Advanced Beginner Task oriented; operates on rules set by preceptor; needs help prioritizing
Competent can prioritize but lacks flexibility and speed
Proficient more flexible, prioritized quickly; notices subtle things
Expert Relies on intuition; ability to predict pt's responses based on experience
Novice: Characteristics of Performance Rely on abstract principles, follow rules, look at the "parts" to the task, detached observer
Expert: Characteristics of Performance Rely on concrete experience, intuition, look at "whole" with some parts being important; wholly engaged participant
How can we become an Expert? Find a mentor; be your own cheerleader/positivity; Build your own confidence; Keep current; Strive to achieve "team confidence;" be a lifelong learner
True or False: A patient's perception IS reality T
Caring universal phenomenon that influences the way people think/feel/behave; helps nurse know patient, identify problems and implement solutions
Swanson's Nursing Theory 1) Knowing (from pt's POV); 2) Maintaining Belief; 3) Being with; 4) Doing for; 5) Enabling
Body language accounts for what % of communication? 90%
Examples of contact touch placing your hand on the patient's shoulder to comfort them
Examples of non-contact touch eye contact, soothing tone of voice
Listening provides ____ for the pt meaning
Nurses are torn between which two models? Task-orientated vs. Human caring model
Is there a correlation between IQ & EI? No
What are the main sources of conflict (REMV acronym; we want to remove conflict) R = Roles; E = Emotion; M = Misinformation; V = Values
Which source of conflict is responsible for the greatest conflict (90%!) in our profession? Miscommunication
What are the steps to the communication process Message - Encode - Send - Decode - Interpret
What are some examples of ways to actively listen? Repeat back "If I heard you correctly..."; Defer judgement; Control desire to mentally argue; Recognize your own prejudices; Shut up! :)
What leads to blocked communication? Unfamiliar terminology, idioms
T or F: Silence is a gift T
What are examples of poor communication techniques? Changing subject, asking too personal of questions, sympathy, giving personal opinions, approval/disapproval, arguing, passive aggressiveness, defensiveness
Is it possible to pay attention to someone without speaking? Yes! Eye contact, facial expression, being engaged
What are some benefits that can result from conflict? > Open mind, creativity, courage
What is one tip to resolving conflict? Don't make conflict personal; "This isn't about me"
What are the five different types of conflict management? Avoidance; Accomodaters; Competitors; Compromisers; Collaborators
Avoidance Conflict Management Style Avoid problem; I lose/you lose; unassertive; uncooperative
Accomodator Conflict Management Style Value relationship over not losing; satisfy others; constantly yielding; when they blow their lid, be prepared; Unassertive, cooperative; I lose/you win
Competitor Conflict Management Style Value opinion over relationship; dominating presence; take control in emergencies; clear stance; Assertive; uncooperative; I win/you lose; use power to win
Compromisor Conflict Management Style Give and take; can both live with compromise; may get more in return later; Part Assertive, Part Cooperative
Collaborator Conflict Management Style win-win; highly assertive & cooperative; willing to listen but also want to be heard; challenge = takes TIME/ no quick fix
Steps to Conflict Resolution: 1) Acknowledge you're in a conflict; 2) What are your goals; 3) Negotiate; 4) Generate, choose, try, repeat
Tips to negotiation: Do's Recognize, share, negotiate, promote, explore alternatives, check yo'self
Tips to negotiation: Dont's make personal, lock up, walk out, block communication, assume
When emotions are high, is rational reasoning high or low? Low
What is a rack audit? Audit $ for Medicare
Why should you document? Limit liability; research; communication; reimbursement via DRG (Diagnostic Related Groups), QA (Quality Assurance), QI (Quality Indicators), and CQI (Continuous Quality Improvement)
What does the SOAP acronym stand for (charting aid)? S = Subjective data "Pt states..."; O = Objective; A = Assessment (Nursing Diagnosis); P = Plan
What does the PIE acronym stand for (charting aid)? P = Problem; I = Intervention; E = Evaluation
T or F: Nurses should never chart opinions T; we should only document FACTS
What are some characteristics of correct documentation? Factual, Accurate, Complete, Current, Organized
What disciplines is Nursing Informatics comprised of? Nursing Science + Computer Science + Information Science
Why did the field of Nursing Informatics arise? Knowledge explosion; Saves pt lives; More efficient; Affordable HC Act; Allows for easier data collection
What are some benefits of the Pyxis? Reduces medication errors; automatically charges to pt's bill; prevents diversion (theft of narcotics)
EHR: Advantages Avoid penmanship errors; safer data; can't hide ANYTHING, remote access, always up-to-date
EHR: Disadvantages Loss of privacy; at mercy of hackers; misuse of info; unethical or illegal use
How can we as nurses mitigate the risks of the EHR? Change passwords, logging off after use, protect pt info; HIPAA; printed info
Culture specific behavioral pattern that distinguishes society and gives meaning to human expression
How to become culturally competent Value diversity; acute awareness of cultural dynamics; actively seek knowledge; adapt to the other culture where possible; don't stereotype
LEP Limited English Proficiency; increases error 2x
What blocks cultural sensitivity ethnocentrism; stereotyping; prejudice; discrimination; racism
What are some categories of health care disparities? Socioeconomic; rural groups
Name the Professionalism values: 1) Altruism (selfless concern for others); 2) Autonomy (self-determination); 3) Human Dignity; 4) Integrity (act ethically); 5) Social Justice (fairness)
9 provisions in the code of ethics !!!Study from ANA Ethics book...dignity & respect of all individuals; primary commitment to protect health, safety & rights of pt; advocate for pt; preserve own integrity; responsible for own practice
What organization protects the public from incompetent nurses? State Board of Nursing
Is assault verbal or physical? verbal
Is battery verbal or physical? physical
Good Sam Laws Identify self as RN; ask permission to perform task; stay w/in scope of practice; need to be CPR certified; don't accept ANY compensation
What is balanced in a therapeutic relationship? dignity + autonomy + privacy
What makes Professionhood different from Profession? Professionhood = whom we are; way of being; what we commit to (vs. professionalism = how we carry ourselves)
Name some nursing roles: Caregiver; pt advocate; case manager; communicator; teacher; leader; research consumer; counselor; clinical decision maker; change agent
What level of Benner's theory are we at currently? Novice
What level of Benner's theory should we be at by our capstone? Advanced Beginner
What level of Benner's theory should we be at after working for year? Competent
What are the criteria of a profession? Vital to humanity/society; Special body of knowledge that's continually growing through research; Educated practitioners; Independent Control; Accountability; Code of Ethics; Encourages & Supports high standards of practice
What does HIPAA stand for? Health Insurance Portability Accountability Act
Spirituality What the person considers as truth to be followed; how you relate to a higher power; core essence of whom we are
What are the components of spirituality? 1) Meaning; 2) Values; 3) Transcendence; 4) Connecting w/; 5) Becoming
Meaning making sense of life; finding one's purpose
Values cherished beliefs; what's important to the person
Transcendence Experiences beyond self; beyond explanation; what helps the person get through difficult situations
Connecting w/ Religion can play a role here; connecting with others, nature, sacred place, music, etc.
Becoming Reflection on who we are
What lies at the intersection of religion and spirituality? Faith
Which type of nurse requires an extra certificate and can assist the surgeon with procedures? First Assist (FA)
Which nurse hands the surgeon the tools he needs? Scrub nurse
How many levels of care are there in the NICU? I, II & III
What are some characteristics of acute care? Fast-paced, highly skilled, high demand, flexible shifts
An NP is pt-centered, while a PA is ___ disease-centered
Which is more specialized: NP or PA? NP
Is a PA able to practice without the supervision of a physician? No
What % of nurses work in the community? 70%
What are some advantages that nurses say come with working in the community? Greater autonomy, connection with patients, and better than being overworked & understaffed
What are some examples of things a Home Health Nurse can do? Hospice, mental health, wound care, administer meds, prenatal & postnatal checkup
Where can evidence be found when performing research? Bibliographic databases; agency policies; procedure manuals; QI data; Clinical Practice Guidelines
What is the gold standard of research? RCT
What is the purpose of QI & EBP? To improve health care & knowledge base
What came out of the Tuskegee Syphilis trial? Informed Consent
What are the 5 key characteristics of magnet hospitals? Transformational Leadership; Structural Empowerment; Exemplary Professional Practice; New Knowledge, Innovations & Improvements; Empirical Outcomes
What membership benefits can ANA members receive? Auto insurance; Life insurance; Liability Insurance; Financial Planning
Why is Critical Thinking important? Nurses do it constantly; required for accreditation; safe nursing care; part of educational process; essential for functioning in soceity
What are the 3 levels of Critical Thinking? 1) Basic; 2) Complex (more independent); 3) Commitment (self-determination; make opinions on your own)
What are the 5 components of Critical Thinking? 1) Knowledge (science, communication, nursing); 2) Experience (personal, loved one, clinicals, etc.); 3) Attitudes; 4) Intellectual Standards; 5) Competencies
Name attitudes a nurse should possess Confidence, independent thinking, fairness, accountability, curiosity, creativity, risk taking, integrity, humility
Intellectual Standards thought processes (SBARR/ISBARR)
Professional Standards ANA, AACN, JCAHO
General competencies as a nurse scientific process + problem solving + decision-making
What is written down in the Nursing Care Plan Essentially the Nursing Process (ADPIE)
Which nursing organization lobbies Congress? ANA
When is national nurses week? May 6-12
ICN stands for International Council of Nurses
NSNA stands for Nursing Student Nurses Association
Which nursing association only represents baccalaureate and higher degree education? AACN (American Assoc. of Colleges of Nursing)
Which nursing organization recognizes achievement in nurseing? AAN (American Academy of Nursing)
Which nursing organization will give us our license if we pass N-CLEX-RN? KSBN
Sigma Theta Tau is Nursing Honor Society
Who are student nurses accountable to? State Board of Nursing, patient, institution, profession, self, society, physicians
What constitutes malpractice? Duty (The nurse owed a duty to the patient); Breach (The nurse didn’t carry out the duty); Causation (The patient was injured); Damages (The patient’s injury was a result of the nurse’s failure to carry out the duty/negligence)
What are the stages of Cultural Competence? Unconscious Incompetence; Conscious Incompetence (begin to understand but lack knowledge); Conscious Competence (actively seek and obtain but can't implement); Unconscious Competence (automatic)
Cultural Assessment A systematic and comprehensive examination of the cultural care, values, beliefs, and practices of individuals, families and communities
What does TIGER stand for Technology Informatics Guiding Education Reform
Goals of TIGER initiative Identify best practices; Provide nurse education; Create/disseminate local & global plans useful in healthcare
Which emotions contribute negatively toward communication? Pain, anger, fear, anxiety, fatigue
Name the 7 steps in the Problem Solving Process Encounter the problem; Collect data; Analyze data; ID the problem; Determine plan of action (decision making); Carry out the plan; Evaluate plan and outcome; Terminate/modify plan (Aligns w/ ADPIE)
Created by: Caremillard
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