Nursing Process Framework Quiz

Learning Outcomes

• Understanding how clinical judgment guides nursing decisions
• Developing strategies for collecting accurate assessment data
• Learning to prioritize nursing care
• Exploring methods for planning and evaluating patient care

Critical Thinking in Nursing

• Evidence-based approach: Using scientific reasoning
• Reflective and open-minded: Seeking objective truth and challenging assumptions
• Supports evidence-based practice: Essential for nursing practices

Nursing Process Framework - Core Components

• Types of Assessments:
  • Initial: First comprehensive evaluation of the patient
  • Focused: Targeted to specific health concerns
  • Specific: Detailed examination of particular systems
  • Ongoing: Continuous monitoring
  • Re-evaluation: Reassessing patient status
  • Comprehensive: Thorough, complete patient assessment

Data Collection Strategies

• Data Types:

  • Subjective data: Patient-reported information (personal experiences, emotional states, thoughts, and feelings)
  • Objective data: Measurable and observable findings (physical assessment results, vital signs, quantifiable health indicators)

• Data Sources:

  • Primary sources: Directly from the patient (first-hand information, personal observations)
  • Secondary sources: Medical records, caregiver reports, historical documentation

Clinical Judgment Model

• Recognize Cues: Identifying significant findings and determining what additional information is needed. Focuses on what findings are most significant, needing further investigation, and requiring immediate attention
• Analyze Cues: Identifying potential patient conditions, comparing expected vs. actual findings, and determining data significance. Evaluate what patient problems are consistent with findings and what additional information is needed to understand the findings.
• Prioritization Strategies (ABCDEF): Prioritizing urgent needs based on the ABCDEF approach: Airway, Breathing, Circulation, Safety, Discomfort, Education, and Feelings
• Intervention Types:
  • Independent interventions: Nurse-initiated actions (no physician prescription needed, for example, patient positioning)
  • Dependent interventions: Physician-prescribed treatments (requires medical order)
  • Collaborative interventions: Multidisciplinary approach, coordinated with the healthcare team; shared responsibility.

Evaluation Process

• Outcome Measurement: Measuring goal achievement (fully achieved, partially achieved, not met)
• Evaluation Questions: Assessing intervention effectiveness, patient improvement and alternative approaches. Determining if goals are met

Clinical Judgment Practice Framework - Steps

• Recognize Cues: Identifying significant clinical findings
• Analyze Cues: Evaluating and understanding the significance of the findings
• Prioritize Hypotheses: Determining the urgency of the patient’s needs
• Generate Solutions: Developing potential solutions for patient needs
• Take Action: Implementing the chosen interventions
• Evaluate Outcomes: Assessing the effectiveness of interventions

Nursing Process Stages

• Assessment: Recognizing cues, prioritizing data collection, identifying patient findings
• Diagnosis: Analyzing cues, identifying potential patient conditions, comparing expectations/realities, determining data significance
• Planning: Prioritizing hypotheses, considering possible explanations, ranking problems by urgency, exploring the future consequences, generating solutions
• Implementation: Selecting appropriate interventions, determining intervention sequence
• Evaluation: Assessing outcomes, measuring goal achievement, determining if goals were fully achieved, partially achieved, or not achieved at all; identifying effective interventions

Key Takeaways

• Clinical judgment is a dynamic process, requiring continuous critical thinking.
• It is patient-centered and adaptable to changing healthcare scenarios.
• Key principles: dynamic process, evidence-based approach, patient-centered focus