Exam 1: Ch 1

Nursing 3015 Adult with Scott at Oklahoma Christian University of Science & Arts

About this deck

By: Ali McIlroy
Textbook:

Medical-Surgical Nursing - Single Volume Text and Virtual Clinical Excursions Package: Assessment and Management of Clinical Problems (Mosby's Medical-Surgical Nursing (Single Edition))
Created: 2011-09-08
Size: 28 flashcards
Views: 41

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Nursing is:

-putting the patient in the best condition for nature to act; nightengale

-the unique funtino of the nurse is to assist the individual, sick or well, in the performance of those actividties contribution to health or recovery that he would perform unaided if he had the necessary strenght, will, or knowledge. and do this in such a way as to help him gain independance as rapidly as possible; henderson

-the diagnosis and treatment of human responses to actual and potential health problems

advanced practice nurse (APN)

is a nurse with a master's degree in nursing, advanced education in pharmacology and physical assessment, and expertise in a specialized area of practice.

ex: nurse practitioner, clinical nurse specialists, nurse midwives, and nurse anesthetists

clinical nurse leader (CNL)

a general clinician with education at the master's degree level

doctorate of nursing practice (DNP)

degree and credential endorsed in 2004 by the AACN to support its position to move the educaitonal preparation for nursing practive from the master's degree level to the doctoral level in 2015; and is designed for nurses seeking a terminal degree in np

clinical decision making

a problem solving activity in which critical thinking is used to resolve problems; it is a dynamic process that involves the interplay among knowledge of clinical problems, patient information, and available treatment options.

SBAR (situation-background-assessment-recommendation)

technique for communication which provides a mechanism for framing communication between members of a health care team about a patient's condition, especially one that is critical

QSEN (quality and safety education for nurses

consists of 6 competencies: 1) patient0centered care, 2) teamwork and collaboration, 3) eidence-based practice, 4) quality improvement, 5) safety, 6) informatics

healthy people initiative

government actions in establishing goals and objectives for promoting heath and health care delivery for the nation. vision is a society in which all people live long, healthy lives. involves government, private, public, and non-profit orgs in preventing disease and promoting health

health care reform

passed by U.S. congress in march 2010;

needs in HC reform: control rising HC costs, guarantee the choisce of health care providers to patients, and assure high-quality, affordable health care for all americans. goals are: affordable HC for all americans, improve patient safety and quality of care, investigation in prevention adn wellness, guaranteeing choice of doctors and health plans

evidence based practice (EBP)

consistent use of the best evidence in combination with clinician expertise and patient preferences and values to support clinical decision making

process of evidence based practice

FIG. 1-2

1- develop and ask the clinical question

2- search for and collect sources of evidence

3- appraise and synthesize evidence

4- apply valid, relevant evidence in practice; generate evidence (research, quality, improvement outcomes)

5- evaluate outcomes based on evidence

PICO format (or PICOT)

Patient population

Intervention

Comparison and comparison group

Outcome(s)

Time period (as applicable)

clinical question

is searchabl and answerable; creates the context for integrating research findings, clinical judgment, and patient preferences; guides the serach and evidence required

critical appraisal

focuses on three essential questions: 1) What are the results? 2) Are the results valid? 3) are the findings clinically relevant to my patients?

ANA nursing terminologies

NANDA International: Nursing diagnosis, definitions, and classification; 2) the nursing outcomes classification (NOC) 3) and Nursing Interventions Classification (NIC)

Electronic health record (EHR)

and electronically accessed record of all the health information related to an individual. designed to provide nationwide access to designated info compiled from data found in med recs regardless of the location of affiliation of health care providers.

nursing informatics

the integration of nursing, its infromation, and information management with information processing and communication technology, to support the health of people worldwide

nursing process

an assertive, problem-solving approach to the identification and treatment of patient problems. provies an organizing framework for the practice of nursing and the knowledgel, judgments, and actions that nurses bring to patient care

nursing process: phase assessment

collection of subjective and objective patient information on which to base the plan of care

nursing process: phase diagnosis

the act of analyzing the assessment data and making a judgment about the nature of the data/ includes identifying and labeling human responses to actual or potential health problems/life processes

nursing process: planning

the nursing diagnosis directs the development of patient outcomes or goals and identification of nursing interventions to accomplish the outcomes

nursing process: implementation

the activation of the plan with the use of nursing interventions/ eval is continuous activity in teh nursing process

nursing process: phase evaluation

determines if the patient outcomes have been met as a result of nursing interventions. if outcomes were not met a review of the steps of the process is necessary to determine why the outcomes were not met

etiology

provides direction for a nursing intervention

signs and symptoms

s/s: also called defining characteristics, are the clinical cues that, in a cluster, support the nursing diagnosis

major s/s

s/s that are sually present when the diagnosis exists; must be present to make an actual nursing diagnosis

minor s/s

are evidence for a possible nursing diagnosis; included in ND by the phrase "as evidenced by"

determining interventions

1) desired patient outcomes

2) Etiology of the nursing diagnosis

3) clinical practice guidelines developed from evidence based summaries

4) scientific principles from behavioral and biologic sciences

5) feasibility of successfully implementing the intervention

6) acceptability to the patient

7) capabilty of the nurse

About this deck

By: Ali McIlroy
Textbook:

About StudyBlue

“I have used this website for three exams, and I see a huge difference in my test results.”
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