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MI Clinical Reasoning And Judgement > Wk1 > Flashcards

Wk1 Flashcards

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1
Q

Key critical thinking skills and terms associated with ADPIE

A

Assessment: ask, validate, identify, analyse, interpret
Diagnose: analysing, interpreting assessment data and identify gaps. Determine nursing diagnosis
Planning: achieve goals, consider consequences of actions, setting priorities
Implementation: involve patient and implement care, MDT
Evaluation: reassessing, modifying, individualising care, determining if outcomes are met

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2
Q

Relationship between critical thinking and clinical judgement

A

Critical thinking and reasoning = process

Clinical judgement = conclusion, decision, opinion (result or outcome)

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3
Q

Critical thinking and RN standards of practice

A

Standard 1: think critically and analyse practice
Use strategies and best evidence in making decisions
Provide safe and quality nursing with evidenced based and person centred frameworks

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4
Q

Critical thinking means

A

Not accepting information at face value without evaluating whether it is factual and reliable
Alfaro lefevre

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5
Q

Personality affects

A

Processing of information, decision making, degree of structure and control in your life

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6
Q

Nosce Te ipsum

A

Know thyself

Celebrate strengths and overcome weakness

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7
Q

The big five

A

Five traits that have surfaced repeatedly in factor analyses of personality measures

High reliability and considerable power in predicting job performance and team effectiveness

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8
Q

Ocean

A 
Openness
Conscientiousness
Extroversion
Agreeableness
Neuroticism
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9
Q

Conscientiousness

A

Careful and vigilant
Desire to do a task well
Takes obligation to others seriously
Efficient and organised

As opposed to easy going and disorderly

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10
Q

Emotional stability/neuroticism

A

Remain stable and balanced

High neuroticism have tendency to easily experience negative emotions

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11
Q

Introversion

A

One find energy from internal sources rather than external ones

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12
Q

Extroversion

A

Personality trait shared by people who are friendly assertive outgoing with others

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13
Q

How personality styles affect nursing

A

Know your own to celebrate strengths and overcome weakness

Know and recognise others styles to respect their own approaches to the same situation

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14
Q

Benefits of knowing personality traits in nursing

A

Partnering/team building: understand and respect relationships
Performance and retention: promotes critical thinking, less stress, self confidence, positive environment
Patient satisfaction: empowerment, communication, outcomes

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15
Q

Emotional intelligence

A

Social intelligence that emphasises the abilities to manage, recognise and understand emotions and use emotions to guide thought and action

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16
Q

Vark

A

Visual, auditory, read/write, kinaesthetic

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17
Q

Kolbs learning cycle

A

Concert experience
Reflective observation
Abstract conceptualisation
Active experimentation

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18
Q

When learning people have different preferences for

A

How they receive and perceive information

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19
Q

Key point in understandings learning styles in nursing is

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A

Most people learn in a combination of styles rather than just one
Must adapt as a nurse for patient and families need for understanding and education

20
Q

Visual learners learn best by

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A

Watching, maps, charts , diagrams, graphs, symbols

21
Q

Auditory learns learn best by

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A

Lectures, group discussions, radio, speaking, podcasts

22
Q

Reading writing learners learn best by

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A

Texts, manual, reports, essays, assignments, power points

23
Q

Kinaesthetic learners learn best by

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A

Moving, doing, experience and practice, simulation, experimenting, demonstrations

24
Q

Techniques important to educating others

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A

Summarise and explain concepts in own words

Ask-tell-ask

25
Benners stages of nursing expertise
1: novice 2: advanced beginner 3: competent 4: proficient 5: expert
26
Benner: novice traits
Act before thinking Require clear rules Hampered by not knowing resources Need step by step procedures
27
Benner: expert traits
``` Asses and think before acting Know when to bend rules Aware of resources and how to use them Can integrate steps Focus on steps as a whole (pt response) ```
28
Why is clinical reasoning important
Care for and make decisions about complex patients Responsible for clinical judgements in health care Need to respond to challenging and dynamic situations Psychomotor and thinking abilities Has positive impact on patient outcomes Poor skills can fail to detect deteriorating patient Errors are key factor in adverse outcomes
29
Clinical reasoning is dependent on
Critical thinking disposition
30
Clinical reasoning and critical thinking attributes include | HIIPO Flys CCAR
``` Holistic and contextual perspective Intuition Inquisitive Perseverance Open mindedness Flexibility Confidence Creativity Academic integrity Reflexivity ```
31
Within a conflict situation there can be three ways to view the situation
Your view Their view The way it really is
32
Overall goal of conflict resolution
Try obtain a win-win situation in all conflict resolution
33
Five main styles of managing conflict
``` Avoiders Accomodators Forcers Compromisers Collaborative problem solvers ```
34
When conflict is managed well, positive outcomes can include
Reduced stress Increased harmony and productivity Better relationships Better understanding of others Improved ability to clarify issues with creative solutions Improved self-esteem Able to exchange view points, wants and needs and come to a sincere agreement
35
When conflict isnt managed well negative outcomes include
``` Increased stress Decreased harmony and productivity Poor relationships Isolation Wasted time and energy Frustration Anger Poor self esteem Hopelessness ```
36
Avoiders
Rarely argue and avoid confrontation Ignore issues or pull away/withdraw from conflict Opportunities are missed and things can build up to explode Lose-win
37
Accomodators
Give up own needs to smooth over and make others feel better Ella's to exploding due to failure of honestly addressing and confronting issues Lose-win
38
Forcers
Get their own way even if others have to give up their own needs or wants and don't care if they aren't liked Win-lose
39
Compromisers
A peeps who tries to find middle ground Everyone gives up wants and needs Persuades everyone to give up and compromise thus everyone loses something Lose-lose
40
Collaborative problem solver
Shows equal concern for issues and relationships Solutions for win-win Issues fairly faced together with seeking of full support of everyone involved
41
Principles of negotiation can conclude
Don't jump to conclusions -seek facts Focus on relationships (goals and values) Appropriate time and place for discussion Encourage atmosphere of trust and desire to face issues well Persevere with issues Look for win-win solutions Stay calm - keep focus Seek help from outside sources
42
Transactional analysis is based on two notions
1. Three parts to our personality or ego state | 2. We converse with each other using transactions
43
4 basic life position as identified by TA author Harris
Ok corral I'm ok/you're ok I'm ok/your not ok I'm not ok/your ok I'm not ok/your not ok
44
In TA a split/ulterior transaction
Occurs when two messages are conveyed at the same time, hidden agenda is noted and consist of an on the surface message with ulterior meaning Eg. This is a really intriguing problem but it might be too hard for you Adult response: I don't have the capability to deal with this issue Child response: I will do it and show him
45
Benefits of TA
Insight into personality and behaviour differences | Resolves communication difficulties

MI Clinical Reasoning And Judgement (1 decks)

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