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What is the first two parts of the ANA Standsards of Practice?
1. Assessment: gather subjective and objective data
2. Diagnosis: cluster data to form nursing diagnosis
What are the third and fourth parts of the ANA Standards of Practice?
Outcome Identification: Realistic, Measurable, Time-limited and Client-centered
Planning: Identify efidence-based interventions that will assist in client reaching outcome
What are the fifth and six sections of the ANA Standards of Practice?
Implementation: perform interventions successfully
Evaluation: was the outcome achieved?
What are the five roles of a nurse?
List some consumer factors that shape nursing.
- Longer life span
- Chronic disease/obesity
- live far from home
List some Societal Influences that shap nursing.
- Women's health issues
- Medically underserved
- Threat of bioterrorism
- Threat of litigation
- Tech test ethical principles
List some factors of today's health care delivery system that shape healthcare.
- Rising Cost
- Access to Care
- Evidence based practice
- Nursin research
- Focus on Safety
What are the five steps of Evidence-based Practice?
- 1. Ask the PICO question
- 2. Collect best and most relevant evidence
- 3. Critique evidence
- 4. Integrate evidence
- 5. Evaluate the practice decision
Describe a PICO question.
- P = Patient population of interest (age, race, disease)
- I = Intervention of Interest (what do you want to test)
- C = Comparison of Interst (what is done now)
- O = Outcome (what do you want to achieve)
Describe what to look for when critiquing evidence.
Best to Worst: Metaanalysis, randomized, case control, opinions
What are characteristics of the Pre-interaction phase?
- Find a confidential space
- Correct Timing
- Use appropriate communication strategies
- Use patients name, not room number or illness
What are characteristics of the Orientation phase?
- Engagement and Assessment
- Observe Environment
- Claridy Roles/Expectations
- Identify patient strengths
- Use open questions, watch verbal cues, listening
What are some characteristics of the Working Phase?
- Plan strategies to meet goal and act on them
- Establish trust and candor
- Use skills to manage challenging behaviors, gain feedback balanced by attending and listening
What is the keystone to a therapeutic relationship?
What is the most common type/manner of communication?
- Body Language is 55%
- Vocal Cues are 38%
- 7% words
What are three purposes of therapeutic communication?
- 1. Listening so you can identify needs
- 2. Encourages expression of feelings, builds trust
- 3. Allows better chance health goals will be met
What are two characteristics of therapeutic communication?
It is client-centered and purposeful
Therapeutic Environment: what does SOLER mean?
- S = Sit next to patient
- O = Open posture
- L = Lean in
- E = Eye Contact
- R = Relax
What are three characteristics of Active Listening?
- 1. Restate
- 2. Reflect (verbalize the content AND the implied emotion)
- 3. Clarify (summarizes and focuses client's thoughts)
What does empathy do that sympathy does not?
Maintains some objective