Exam #2: Nursing Knowledge, Culture, and Teaching Flashcards Preview

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Flashcards in Exam #2: Nursing Knowledge, Culture, and Teaching Deck (20):
1

Qualities of a critical thinker

raising questions
gathers and assesses relevant data
arrives at solutions and conclusions and tests them against relevant standards
open-minded to other ideas
communicates effectively w/ others as solutions are formulated

2

What's critical thinking?

process by which the thinker improves the quality of his/her thinking by skillfully taking charge of the structures inherent in thinking and imposing intellectual standards upon them

3

What's clinical reasoning?

cognitive process used to understand the significant of patient data, to ID and diagnose actual or potential patient problems, to make clinical decisions to assist in problem resolution, and to achieve positive patient outcome

helping understand the relevance of info to a specific patient in a selective scenario taking into consideration all patient data in a holistic manner, looking at every aspect of info related to the patient

4

4 goals of nursing

promote health
prevent illness
restore health
facilitate coping

5

5 steps of nursing process

assessment
analysis (diagnosis)
planning
implementation
evaluation

6

Assessment

addresses gathering subjective (patient spoken) and objective (observations) data, confirming data, organizing data, and communication and documenting data

7

Analysis (diagnosis)

difficult b/c it requires understanding principles of responses and interpretation of data

requires critical thinking and determining rational for interviews

formulation of a nursing diagnosis and communication and documentation of the process of analysis
--ex: dysfunctional GI motility

prioritizing: Maslow's Hierarchy of Needs

8

Planning

determine goals and outcomes (short and long-term)
developing plan of care
communication and documenting data

9

Implementation

organizing and managing care, counseling and teaching, providing care to achieve est. goals, supervising and coordinating care, communication and documenting nursing interviews

You by yourself do NOT have to implement every nursing intervention
--can be performing them or delegating them to other healthcare workers

10

Evaluation

comparing actual outcomes w/ expected outcomes

evaluate the patient's ability to implement self-care or the health team members' ability to implement care

evaluate for change in plan of care

11

Clinical Judgement

informed opinions and decisions based on empirical knowledge and experience
develops over time w/ increased knowledge base and exposure to clinical scenarios
allows you to anticipate patient needs and potential complications

12

Developing clinical judgement (8)

uses references
uses nursing process
assess and set priorities systematically
refuse to act w/out knowledge
use resources wisely
know standards of care
know technology and equipment
give patient-centered care

13

Cultural Humanity

entails developing a respectful partnership w/ diverse individuals, groups, and communities

14

Culture

pattern of learned behaviors and values that are reinforced through social interactions, shared by members of a particular group, and transmitted from one generation to the next

15

Cultural competency

nurses should provide "services that are respectful of and responsive to the health beliefs and practices and cultural and linguistic needs of diverse patient populations"

16

Helpful hints for cultural humility (4)

avoid stereotyping
understand differences in communication, personal space, and time frames
understand meds may work differently related to genetics
perform a cultural assessment on patients to improve quality care

17

Purpose of patient teaching (3)

increases patient knowledge of new illness or intervention
assists in patients coping w/ health issues
improves patient outcomes

18

Factors affecting learning (7)

motivation
readiness to learn
relevance of content ("want to know" may be different from "need to know")
timing
environment
health status
cultural aspects

19

Teaching process (6)

assess current knowledge level, learning strengths and deficits, barriers to learning, preferred learning style, learning capabilities

develop individualized content plan

maximize teaching environment

implement teaching

evaluate learning

document teaching session (in chart)

20

Teaching tips (6)

1. begin simple to complex
2. short teaching sessions
3. actively engage patient
4. repetition
5. keep content at 4th-grade level
6. provide feedback