Nursing Definitions and Thoughtful Practice

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Questions and Answers

Which attribute is essential for a professional nurse to possess when engaging with patients?

Bravery to question the healthcare system (correct)

Ability to perform technical procedures

Knowledge of all available medications

Experience in various medical specialties

What cognitive competency is crucial for nurses when assessing potential problems in a patient's care?

Awareness of legal boundaries

Ability to establish caring relationships

Critical thinking skills (correct)

Technical knowledge of nursing equipment

What is the aim of developing ethical/legal competencies in nursing?

Enhancing communication skills with patients

Improving knowledge of psychological assessment

Understanding and adhering to legal boundaries and scope of practice (correct)

Gaining technical skills for advanced procedures

Which type of competency is focused on promoting human dignity and establishing caring relationships?

Interpersonal Signup and view all the answers

When a nurse needs to seek out special services for a patient, which type of blended competency is predominantly utilized?

Ethical/Legal Signup and view all the answers

Which element is NOT considered a component of thoughtful practice?

Financial management of healthcare resources Signup and view all the answers

What is a key principle regarding the role of families in person-centered care?

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

What does the ANA define as an essential aspect of nursing related to patient care?

Influence on social and public policy to promote social justice Signup and view all the answers

Which guiding principle emphasizes the importance of communication among caregivers?

Knowledge and information are freely shared between caregivers. Signup and view all the answers

What should be the primary focus of all caregivers in person-centered care?

The best interests and personal goals of the patient Signup and view all the answers

Which statement best reflects the idea of continuous healing relationships in person-centered care?

Relationships between caregivers and patients are maintained over time. Signup and view all the answers

The provision of safe, quality, and evidence-based practice is emphasized in which aspect of nursing?

Advancement of professional nursing knowledge Signup and view all the answers

What is the essence of the nurse's role in person-centered practice?

Understanding and integrating the patient's subjective experience Signup and view all the answers

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

To analyze patient data to determine strengths and weaknesses Signup and view all the answers

Which characteristic of the nursing process emphasizes its ability to involve real-time adjustments based on patient needs?

Dynamic Signup and view all the answers

Which of the following best describes the assessing step of the nursing process?

Collecting, validating, and communicating patient data Signup and view all the answers

What is an advantage of using the nursing process from the patient’s perspective?

Holistic individualized patient care Signup and view all the answers

Which step involves executing the planned interventions in the nursing process?

Implementing Signup and view all the answers

What is a benefit of the nursing process for nurses?

Professional growth and satisfaction Signup and view all the answers

In concept mapping within the nursing process, what is the first step?

Collect patient problems and concerns Signup and view all the answers

Which of the following characterizes the universal applicability of the nursing process?

It's a framework for all nursing activities Signup and view all the answers

Which QSEN competency emphasizes the importance of shared decision-making and collaboration among healthcare professionals?

Teamwork and collaboration Signup and view all the answers

What does 'noticing' in Tanner's Clinical Judgment Model refer to?

Perceptual grasp of the situation Signup and view all the answers

Which of the following processes relies on systematic steps to solve patient problems?

Scientific nursing process Signup and view all the answers

In which step of the nursing process does a nurse collect and validate patient information?

Assessing Signup and view all the answers

What is a key characteristic of the nursing process?

Interpersonal and outcome-oriented Signup and view all the answers

Which component of clinical reasoning involves understanding the situation deeply enough to formulate a response?

Interpreting Signup and view all the answers

When nurses implement an individualized care plan, what are they primarily achieving?

Carrying out the prescribed interventions Signup and view all the answers

Which type of clinical judgment is characterized by immediate understanding through previous experience and knowledge?

Intuitive judgment Signup and view all the answers

What process does the nurse use to identify patient's strengths and needs after analyzing collected data?

Diagnosing Signup and view all the answers

Which of the following best describes a principle underlying critical thinking in nursing?

Purposeful, informed, outcome-focused thinking Signup and view all the answers

Study Notes

ANA Definitions of Nursing

Provision of a caring relationship facilitating health and healing
Attention to the range of human experiences and responses to health and illness
Integration of assessment data with knowledge of patient's subjective experience
Application of scientific knowledge to diagnosis and treatment through critical thinking and judgment

ANA Definitions of Nursing #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

The person
The professional nurse leading to personal learning
Reflective practice
Clinical reasoning, judgment, and decision-making
The nurse's action in response to individual clinical needs
Person-centered nursing process

Components of Thoughtful Practice

Thoughtful Person-Centered Practice
Reflective Practice leading to personal learning
The Nurse's personal attributes, knowledge base, clinical experiences, blended competencies, and QSEN competencies
Patient-centered Nursing Process (assessing, diagnosing, planning, implementing, evaluating)
Person/Patient
Clinical reasoning, judgment, and decision making

10 Guiding Principles of Person-Centered Care #1

All team members are considered caregivers
Care is based on continuous healing relationships
Care is customized and reflects patient needs, values, and choices
Knowledge and information are freely shared among patients, care partners, physicians, and other caregivers
Care is provided in a healing environment of comfort, peace, and support

10 Guiding Principles of Person-Centered Care #2

Families and friends of the patient are considered an essential part of the care team
Patient safety is a visible priority
Transparency is the rule in the care of the patient
All caregivers cooperate with one another through a common focus on the best interests and personal goals of the patient
The patient is the source of control for their care

The Professional Nurse

Personal attributes: Open-mindedness, sense of the value of the person, self-awareness, sense of personal responsibility, motivation to do the best, leadership skills, bravery to question the system
Knowledge base: Ability to draw upon a body of nursing knowledge and evidence

Blended Competencies #1

Cognitive Competencies
- Critical Thinking
- Purpose of thinking
- Adequacy of knowledge
- Potential problems
- Helpful resources
- Critique of judgment/decision

Blended Competencies #2

Developing technical competencies
Developing interpersonal competencies
- Promoting human dignity and respect
- Establishing caring relationships
- Enjoying the rewards of mutual exchange
Developing ethical/legal competencies
- Understanding legal boundaries
- Scope of practice
- Owning personal strengths and weaknesses

Question #1

A nurse's moral code is assisting all patients to the best of their ability. What blended skill should a nurse use when seeking services for a homeless patient with a diabetic foot ulcer?
Answer: D. Ethical/Legal

Answer to Question #1

Rationale: Ethical/legal skills are best as they involve following a moral code and acting professionally. Cognitive skills involve thinking through a situation for outcomes. Technical skills relate to proper use of equipment. Interpersonal skills are used to develop caring relationships.

QSEN Competencies

Patient-centered care
Teamwork and collaboration
Evidence-based practice
Quality improvement
Safety
Informatics

Clinical Judgment Concepts

Critical thinking
Clinical reasoning
Clinical judgment
Situational awareness

Critical Thinking

Critical thinking

Clinical Reasoning & Decision Making #1

Process used to think about patient problems in a clinical setting
Leads to clinical judgment (outcome of critical thinking, clinical reasoning, and decision making)
Purposeful, informed, outcome-focused thinking
Guided by standards, policies, ethics codes, and laws
Driven by patient, family, and community needs
Based on principles of the nursing process, problem solving, and the scientific method
Focuses on safety, quality, reevaluating, and self-correcting

Clinical Reasoning & Decision Making #2

Identifies key problems, issues, and risks
Includes patients, families, and key stakeholders in decision-making early in the process
Uses logic, intuition, and creativity
Grounded in specific knowledge, skills, and experiences
Calls for strategies that make the most of human potential and compensate for problems created by human nature

Problem-Solving and the Nursing Process

Trial-and-error: Involves testing solutions until one works
Scientific: Systematic, seven-step process
Intuitive: Direct understanding of a situation based on experience, knowledge, and skill
Creative thinking

Clinical Judgment Models #1

Tanner Model
- Noticing: Perceptual grasp of the situation
- Interpreting: Developing sufficient understanding to respond
- Responding: Deciding on a course of action
- Reflecting: Attending to patient responses

Clinical Judgment Models #2

Nursing Process: Systematically collecting patient data, identifying strengths and problems, developing a plan of care, executing the plan, evaluating the plan

Characteristics of the Nursing Process

Systematic: Part of an ordered sequence of activities
Dynamic: Great interaction and overlapping among steps
Interpersonal: Human being is always at the heart of nursing
Outcome-oriented: Nurses and patients work together to identify outcomes
Universally applicable: Framework for all nursing activities

Five Steps of the Nursing Process

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

Question #2

Which step of the nursing process is a nurse using when analyzing patient data to determine a patient's strengths following a CVA?
Answer: B. Diagnosing

Answer to Question #2

Rationale: Diagnosing involves analyzing data to determine strengths and weaknesses. Assessing involves collecting, validating, and communicating data. Planning involves determining patient outcomes and interventions. Implementing involves carrying out the plan. Evaluating involves measuring patient outcomes.

The Steps of the Nursing Process are Dynamic and Interrelated

Question #3

Which characteristic of the nursing process describes the interaction and overlapping of steps within the process itself?
Answer: B. Dynamic

Answer to Question #3

Rationale: The nursing process is dynamic, having interaction and overlapping steps. It is systematic, an ordered sequence of activities. Interpersonal refers to the human element in nursing. The nursing process is universally applicable, a framework for all nursing activities.

Benefits of the Nursing Process

Patient: Scientifically based, holistic individualized patient care, continuity of care, clear, efficient, cost-effective plan of action
Nurse: Opportunity to work collaboratively with other health care workers, satisfaction of making a difference in the lives of patients, opportunity to grow professionally

Steps in Concept Mapping

Collect patient problems and concerns in a list
Connect and analyze relationships
Create a diagram
Keep key concepts in mind: the nursing process, holism, safety, and advocacy

Question #4

Is concept mapping an instructional strategy requiring learners to identify, graphically display, and link key concepts?
Answer: A. True

Answer to Question #4

Rationale: Concept mapping is an instructional strategy needing learners to identify, graphically display, and link key concepts.

Reflective Practice

Reflection in action: Happens in the present activity, "thinking on your feet"
Reflection on action: Occurs after the activity, involves thinking through a past situation
Reflection for action: Helps think about how future actions might change

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Description

Explore the essential definitions of nursing according to the ANA and the components of thoughtful person-centered practice. This quiz will challenge your understanding of the relationships, assessments, and reflective practices that define effective nursing care. Enhance your professional knowledge through both theory and practical inquiry.