Chapter 13: Person-Centered Care in Nursing

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Questions and Answers

Which personal attribute is essential for a nurse to effectively question the system?

Technical knowledge

Leadership skills

Self-awareness

Open-mindedness (correct)

What is the primary focus of cognitive competencies in nursing?

Understanding legal boundaries

Establishing caring relationships

Developing technical skills

Enhancing critical thinking (correct)

Which competency is primarily concerned with promoting human dignity and respect?

Technical

Ethical/Legal

Cognitive

Interpersonal (correct)

To whom does the scope of practice apply when discussing ethical/legal competencies?

All healthcare practitioners Signup and view all the answers

Which of the following best describes the purpose of technical competencies in nursing?

To ensure proper use of equipment Signup and view all the answers

Which component emphasizes the integration of assessment data with the patient's subjective experience?

Critical thinking Signup and view all the answers

What is a guiding principle regarding the role of families in patient care?

Families are considered an essential part of the care team. Signup and view all the answers

Which principle highlights the importance of a healing environment for patient care?

Care is based on continuous healing relationships. Signup and view all the answers

Which aspect is essential for assuring quality and evidence-based practice in nursing?

Professional nursing knowledge advancement Signup and view all the answers

What is the primary focus of the diagnosing step in the nursing process?

Analyzing patient data to identify strengths and weaknesses Signup and view all the answers

What is emphasized in the person-centered nursing process?

Individual clinical needs and patient preferences Signup and view all the answers

Which of the following is NOT a guiding principle of person-centered care?

Exclusive decision-making by healthcare providers Signup and view all the answers

Which step of the nursing process involves measuring the extent to which the patient achieved outcomes?

Evaluating Signup and view all the answers

Which of the following best describes the characteristic of the nursing process that highlights the interaction and overlapping of steps?

Dynamic Signup and view all the answers

What role does professional judgment play in nursing according to the definitions provided?

It is crucial for diagnosis and treatment processes. Signup and view all the answers

Which aspect of practice leads to personal learning for nurses?

Reflective practice Signup and view all the answers

What is a benefit of the nursing process for nurses?

Opportunities for professional growth Signup and view all the answers

What is the first step in concept mapping for nursing?

Collect patient problems and concerns on a list Signup and view all the answers

Which characteristic best describes how the nursing process serves to provide individualized patient care?

Holistic approach Signup and view all the answers

During which step does the nurse carry out the established care plan for the patient?

Implementing Signup and view all the answers

What is not considered a characteristic of the nursing process?

Static Signup and view all the answers

Which QSEN competency emphasizes the importance of involving patients and their families in care decisions?

Patient-centered care Signup and view all the answers

What is a key characteristic of the nursing process?

Dynamic and interactive Signup and view all the answers

In the Tanner Model of clinical judgment, what does 'Responding' refer to?

Taking action based on the situation Signup and view all the answers

Which step of the nursing process involves establishing a plan for nursing interventions?

Planning Signup and view all the answers

What form of problem-solving involves testing solutions until one is found that works?

Trial-and-error Signup and view all the answers

Which of the following is NOT a component of clinical reasoning?

Emotional reactions Signup and view all the answers

What does the 'Evaluating' step of the nursing process involve?

Measuring patient outcomes Signup and view all the answers

Which type of thinking emphasizes a direct understanding based on experience and skill in nursing?

Intuitive thinking Signup and view all the answers

What is identified as one of the main purposes of clinical reasoning?

To develop sufficient understanding to respond effectively Signup and view all the answers

Which of the following is NOT part of the Tanner Model of clinical judgment?

Evaluating Signup and view all the answers

Study Notes

Chapter 13: Blended Competencies, Clinical Reasoning, and Processes of Person-Centered Care

Focuses on blended competencies, clinical reasoning, and person-centered care
Covers ANA definitions of nursing, Thoughtful Person-Centered Practice, Components of Thoughtful Practice, 10 Guiding Principles of Person-Centered Care, The Professional Nurse, Blended Competencies, QSEN Competencies, Clinical Judgment Concepts, Critical Thinking, Clinical Reasoning & Decision Making, Problem-Solving and the Nursing Process, Clinical Judgment Models, Five Steps of the Nursing Process, Steps in Concept Mapping, and Reflective Practice

ANA Definitions of Nursing

Definition #1: Providing a caring relationship to facilitate health and healing, considering the range of human experiences and responses to health and illness within the patient's environment. This involves the integration of assessment data with the patient's subjective experience and applying scientific knowledge to diagnosis and treatment using critical thinking and judgment.
Definition #2: Advancement of professional nursing knowledge through scholarly inquiry; influence on social and public policy to promote social justice; assurance of safe, quality, and evidence-based practice.

Thoughtful Person-Centered Practice

Emphasizes the importance of the person, the professional nurse, reflective practice, clinical reasoning, decision-making, and the nurse's action in response to individual clinical needs.

Components of Thoughtful Person-Centered Practice

Includes reflective practice for personal learning
Focuses on the nurse's personal attributes, knowledge base, clinical experience, blended competencies, and QSEN competencies
Incorporates patient-centered nursing processes for assessing, diagnosing, planning, implementing, and evaluating

Guiding Principles of Person-Centered Care

Principle #1: All team members are caregivers; care is continuous, customized, and reflects patient needs, values, and choices; knowledge and information are shared; care is provided in a healing environment.
Principle #2: Families and friends are part of the care team; patient safety is prioritized; transparency is essential; caregivers cooperate to support patient best interests; patients control their care.

The Professional Nurse

Possesses personal attributes: open-mindedness, valuing individuals, self-awareness, responsibility, motivation, leadership skills, and bravery to question the system
Shows a knowledge-base with the ability to draw upon nursing knowledge and evidence

Blended Competencies

Blended Competencies #1: Cognitive competencies for critical thinking, purpose of thinking, adequacy of knowledge, potential problems, helpful resources, and critique of judgment/decision
Blended Competencies #2: Developing technical competencies, interpersonal competencies (promoting human dignity, establishing caring relationships, enjoying mutual exchange), and ethical/legal competencies (understanding legal boundaries, scope of practice, personal strengths/weaknesses)

QSEN Competencies

Includes patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.

Clinical Judgment Concepts

Includes critical thinking, clinical reasoning, clinical judgment, and situational awareness

Clinical Reasoning & Decision Making

Processes used to address patient problems in clinical settings
Leads to clinical judgment (outcomes) of critical thinking
Uses purposeful, informed, outcome-focused thinking
Driven by standards, policies, ethics, patient, family, and community needs

Problem-Solving and the Nursing Process

Includes trial-and-error and scientific methods (seven-step process)
Incorporates intuitive processes for direct understanding
Encourages creative thinking in problem-solving

Clinical Judgment Models

Tanner Model: Noticing, interpreting, responding, and reflecting in action or in the situation
Nursing Process: Systematically collecting patient data (assessing), identifying patient strengths/problems (diagnosing), creating individualized care plans (planning), executing care plans (implementing), evaluating care plan effectiveness (evaluating)

Five Steps of the Nursing Process

Assessing: Collecting, validating, and communicating patient data.
Diagnosing: Analyzing data to identify patient strengths and problems.
Planning: Specifying patient outcomes and related nursing interventions.
Implementing: Carrying out the care plan.
Evaluating: Measuring extent of patient outcome achievement.

Steps in Concept Mapping

Collect patient problems/concerns.
Connect and analyze relationships.
Create a diagram.
Keep key concepts in mind (nursing process, holism, safety, advocacy)

Reflective Practice

Reflection in action: Thinking on your feet within an activity.
Reflection on action: Thinking about an activity after it occurred
Reflection for action: How present and future actions may change as a result of the reflection

PICMONIC ADPIE Video

A video resource for the ADPIE nursing process.

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Description

This quiz focuses on blended competencies, clinical reasoning, and processes essential for person-centered care in nursing. Explore various guiding principles, definitions, and models that define thoughtful practice and enhance patient outcomes. Test your understanding of the core components in delivering effective nursing care.