Week 1 Lecture Nursing Process: Clinical Decision Making

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Leon
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309494
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Week 1 Lecture Nursing Process: Clinical Decision Making
Updated:
2015-10-11 23:01:44
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Week Lecture Nursing Process Clinical Decision Making
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N210
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  1. Describe the Nursing Process and each of its five steps.
    • Assessment - Collection, validation and communication of patient data
    • Diagnosis - Analyze patient data - patient strengths health problems - resolved by independent nursing intervention
    • Outcomes/Planning - Specify patient outcomes to prevent, reduce or resolve problems
    • Implementation - Carry out care plan
    • Evaluation - Measure patient status with care plan. Identify negatives and revise plan if necessary
  2. Assessment
    Collection, validation and communication of patient data
  3. Diagnosis
    Analyze patient data - patient strengths health problems - resolved by independent nursing intervention
  4. Outcomes/Planning
    - Specify patient outcomes to prevent, reduce or resolve problems
  5. Implementation
    Carry out care plan
  6. Evaluation
    Measure patient status with care plan. Identify negatives and revise plan if necessary
  7. List five characteristics of the Nursing Process.
    • Systematic -Nursing process directs each step in a sequential, ordered manner.
    • Dynamic - Great interaction, overlapping of steps, flow of steps. ALL FIVE STAGES OCCUR SIMULTANEOUSLY
    • Interpersonal - Process ensures that nurses are PERSON CENTERED rather than TASK CENTERED - encourages other nurses to collaborate to help improve patient care
    • Outcome oriented - Nurses work together to identify specific outcomes related to health promotion, disease, illness prevention, health restoration and coping
    • Universal Application - CHANGE IS CONSTANT in healthcare - best to master the nursing process
  8. Systematic
    Nursing process directs each step in a sequential, ordered manner.
  9. Dynamic
    Great interaction, overlapping of steps, flow of steps. ALL FIVE STAGES OCCUR SIMULTANEOUSLY
  10. Interpersonal
    Process ensures that nurses are PERSON CENTERED rather than TASK CENTERED - encourages other nurses to collaborate to help improve patient care
  11. Outcome oriented
    Nurses work together to identify specific outcomes related to health promotion, disease, illness prevention, health restoration and coping
  12. Universal Application
    CHANGE IS CONSTANT in healthcare - best to master the nursing process
  13. Contrast three approaches to problem solving
    • Trial and Error Problem Solving - Testing different solutions until one is found
    • Inefficient
    • Dangerous for patient
    • NOT RECOMMENDED FOR NURSING PRACTICE


    • Scientific Problem Solving
    • Systemic: 7steps:

    • Problem ID
    • Data Collection
    • Hypothesis Formulation
    • Plan of Action
    • Hyothesis Testing
    • Interpretation of results
    • Evaluation

    • MOST LIKELY USED IN A CONTROLLED LAB SETTING
    • Closely related to the problem solving process for health care providers with patients


    • Intuitive Problem
    • Solving Solving of a problem using knowledge, experience, and skill
    • Uses logical reasoning in decision making
    • Intuition sometimes cannot be validated
  14. List three patient benefits and three nursing benefits of using the nursing process correctly.
    • Patients
    • Better individualized care
    • Opportunity to work with nurses
    • Continuity of care

    • Nurses
    • Clear, efficient, and cost-effective plan of action which promotes better patient results
    • Satisfaction of helping patient
    • Opportunity to grow professionally by evaluating effectiveness of interventions and variables for both neg/pos. patient outcomes
  15. Assess one’s capacity to competent, responsible and caring practice.
    • Critical with the very first assessment by the nurse
    • Patient's impression of the nurse is crucial, especially patients who are new to the health care environment
    •      Patient may judge all nurses universally
    • Communicating with respect and genuine concern with help encourage the patient to discuss health concerns and problems more freely
    • THIS HELPS THE PATIENT UNDERSTAND THAT HELP/ASSISTANCE OF ANY SORT IS AVAILABLE
    • Successful assessments begin with rust and confidence
    • An interpersonally competent nurse inspires
  16. Apply the Tanner’s Clinical Decision Making Model when making clinical judgments and decisions.
  17. Develop a personal plan to develop interpersonal skills essential to quality care
    • Communicate professionally with patient, if necessary, possible get to know the patient
    • Understand patient and family needs
    • Discuss expectations, hopes, fears with family
    • MUST CONVINCE patient that your are meeting their health and well-being
  18. Describe the steps in concept mapping care planning.
    • Instructional strategy which helps learners identify, graphically display, and link key concepts.
    •     Promotes critical thinking and self-directed learning
    •     Also known as...
    •         Cognitive Maps
    •         Mind Maps
    •         Meta cognitive tools for learning

    • Steps
    •    Develop a basic skeleton diagram
    •    Analyze and categorize data
    •    Analyze nursing diagnoses relationships
    •    Identify goals, outcomes, and interventions
  19. Identify personal strengths and weaknesses in light of nursing’s essential knowledge and skills.
  20. Value reflective practice as an aid to self-improvement.
    • Promote professional development
    • Enhance self-esteem
    • Help one develop self-awareness

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