Exam 2 - revised Flashcards
Patient centered care?
patient as source of control and full partner- respect for preferences, values, and needs.
4 attributes of PCC?
respect and dignity
information sharing
participation
collaboration
3 theoretical links to PCC?
Watson caring theory
Core of nursing: interaction and caring
knowledge of limitations
Cultural background?
the environment in which people and families develop values and preferences
Exemplars of PCC?
kangaroo care rooming in (newborns) bed-side reporting for shift change family advisory boards discharge teaching
Mayo clinic slogan (Berry)?
the best interest of the patient is the only interest to be considered
ADPIE? define each.
Assessment: what needs to be noticed in order to provide PCC- data collection and history review
diagnosis: organizing data and determining needs based on analysis
planning: establishing measurable priorities and outcomes, selecting interventions, goal setting
intervention/implementation: actual treatment/procedures, focused on symptom management, independent or collaborative
evaluation: reassessment of symptoms, patients response, documentation
4 interrelated concepts of PCC?
professionalism
therapeutic communication
safety
ethics
Clinical judgment?
interpretation/conclusion about a patients needs, concerns, or health problems AND the decision to take action, use/modify standard approaches, or improvise appropriately.
7 interrelated concepts of clinical judgment?
patient education professionalism care coordination leadership safety health care quality evidence
5 exemplars of standard v. interpretivist?
rules v. context specific standard v. individualized algorithms v. holistic new practitionars v. expert analytical v. intuitive
3 types of reasoning?
analytical: novice
intuitive: experienced (application of past to present)
narrative: full application based on present situation
3 attributes of nursing care?
NON-LINEAR
multiple factors
no clear-cut answers
Clinical judgment process?
noticing
interpreting
responding
reflecting
2 types of reflection?
in action: understanding of patient responses WHILE care is occuring
on action: contemplation and consideration of a situation on what is successful/unsuccessful
2 things to remember when considering clinical judgment?
it is an aspect of nursing in all settings
it is NOT required in all patient interactions
nurses judgment based on what 4 things?
nurse’s knowledge
experience
ethical perspective
knowledge of patient
What is clinical reasoning?
nurse’s ability to collect the right cues and take the right action for the right client at the right time.