255 Exam 2 Flashcards
(48 cards)
What 3 things does nursing involve?
- Thinking
- Doing
- Caring
What is clinical judgement?
Utilization of processes that promote safe client care
What does clinical judgement require of nurses?
- Requires nurses to recognize and interpret client problems, prioritize a response, take action, evaluate outcomes, and modify actions as needed.
What are the 4 types of nursing knowledge?
- Theoretical
- Practical
- Self
- Ethical
What 4 aspects does the Tanner model of clinical judgement contain?
- Noticing
- Interpreting
- Responding
- Reflections
What are the 4 layers of the NCSBN CJM model of nursing (0-2)
Layer 0: clinical decisions
Layer 1: Comprises the outcome
Layer 2: Form, refine hypothesis, evaluate
What are the 4 layers of the NCSBN CJM model of nursing (3-4)
layer 3: Contains the clinical judgement tasks (Recognizing cues, analyze cues, prioritize hypotheses, general solutions, take action, evaluate outcomes)
Layer 4: Context (individual and environmental factors)
Clinical reasoning Definition
- The process of synthesizing knowledge and information from numerous sources and incorporating experience to develop a plan of care for a particular scenario
Clinical reasoning (What does it require)
It requires a reliance on your knowledge and experience to develop a plan of care for a particular client or case scenario.
Why is Clinical reasoning important?
- Essential part of clinical judgement
- Healthcare is ever-changing and complex
- When ineffective, it is a major factor why nurses fail to respond to deteriorating client conditions.
What is critical thinking (Composed of)
- Reasoned thinking
- Openness to alternatives
- Ability to reflect
- A desire to seek truth
Why is critical thinking important to nurses?
- Handling complex situations
- Each client is unique
- Needed for holistic care
- Nursing is an applied discipline
- Nursing is fast paced
- Nursing changes rapidly
- Critical thinking is needed for evidence based practice
Critical thinking model (What are the 5 steps)
- Contextual awareness
- Inquiry
- Considering alternatives
- Analyzing assumptions
- Reflecting skeptically and deciding what to do
What is caring?
- Caring is always specific and relational for each nurse person encounter
- caring is not an abstraction
- Caring involves thinking and acting in ways that preserve human dignity and humanity
Components of caring (What are they?)
- Knowing
- Being with
- Doing for
- Enabling
- Maintaining belief
What is full spectrum nursing (Definition)
A unique blend of thinking, doing, and caring for the purpose of effecting good outcomes from a client situation
Socratic reasoning (3 components)
- Thinking (knowledge, problem solving)
- Doing (Skills)
- Caring (Self knowledge, ethical knowledge, effective and interpersonal skills)
What does assessment include?
- Collecting data
- Using a systematic approach and ongoing process
- Categorizing data
- Recording data
How does delegating assessment tasks work?
- A professional nurse must perform the assessment portion of nursing assessment.
- UAP and LPNs can collect vital signs, pain reports and glucose levels but it is the nurses responsibility to assign the tasks and validate the data collected.
What are the 5 Delegatee factors to consider?
- predictability of outcome
- Potential for harm
- Complexity of care
- Need for problem solving
- Level of interaction wth the client
What Bodies contain information on delegation rules?
- State nurse practice acts
- Agency policies/procedures
- accrediting agencies
- American Nurses Association
5 types of assessments (What are they?)
- Initial: at the beginning of
- Ongoing: conducted over time
- Comprehensive: of the full body systems
- Focused: focused on a specific body system
- Special needs: a more holistic assessment
Special needs assessments consist of
- Nutrition
- Pain
- Culture
- Spiritual health
- Psychosocial
- Wellness
- Family
- Community
- Functional ability
What is the purpose of a nursing interview?
To gather subjective data for the nursing health history
