NSE111.Week1 Approaches to Care2.pptx

NSE 111 Week 1 Approaches to Client Care 1 Week 1 Objectives 1. Understand how the clinical judgement model (CJM) relates to the implementation of foundational skills. 2. Identify the approach to care of clients using DIPPS acronym 3. Describe what person-centered...

NSE 111 Week 1 Approaches to Client Care 1 Week 1 Objectives 1. Understand how the clinical judgement model (CJM) relates to the implementation of foundational skills. 2. Identify the approach to care of clients using DIPPS acronym 3. Describe what person-centered/client-centered care is. 4. Identify who the College of Nurses of Ontario (CNO) are and describe their purpose. 5. Examine the CNO Code of Conduct 2 Approach to Care How do you approach a client or patient when providing 3 Patient Centered Care A standard of care that places the patient as the focus of care Includes the patient as a partner in care & one who participates in their care Having concern for the dignity, independence, preferences, privacy and safety of patients at all times 4 Approach to Care DIPPS DIPPERS D – Dignity D – Dignity I – Independence I – Independence P – Preferences P - Partner P – Privacy P – Preference S - Safety P- Privacy E – Empathy R - Respect S - Safety 5 Approach to Care - DIPPS Dignity The state of feeling worthy, values and respected Independence Encourage patients to do what they can themselves Preferences Allow patients to make choices and how they would like to have things done Privacy Ensure to provide privacy during care Safety Patients need to be in an environment 6 that will keep them safe from harm Approach to Care – Clinical Judgement Model A clinical decision making approach to care Assists nurses with identifying and treating health related concerns & helps patients to attain health outcomes 7 Recognizing Cues Identify relevant and important information from different sources (e.g., medical history, vital signs). Gather accurate information Identify or notice any cues What information is relevant / irrelevant? What information is most important? What data is of immediate concern? 8 Analyze Data or Cues Organize and link the recognized cues and data to the client’s clinical presentation. What client conditions are consistent with the cues? Are there cues that support or contraindicate a particular condition? Why is a particular cue or subset of cues of concern? What other information would help establish the significance of a cue or set of cues? 9 Prioritize Hypothesis Evaluating and ranking hypotheses according to priority (urgency, likelihood, risk, difficulty, time, etc.). Which explanations are most / least likely? Which possible explanations are the most / least likely? 10 Generate Solutions Identify expected outcomes and using hypotheses to define a set of interventions for the expected outcomes. What are the desirable outcomes? What interventions can achieve these outcomes? What should be avoided? 11 Take Action Implementing the solution(s) that addresses the highest priorities. Which intervention or combination of interventions is most appropriate? How should the intervention(s) be accomplished (performed, requested, administered, communicated, taught, documented, etc.)? 12 Evaluated Outcomes Compare observed outcomes against expected outcomes What signs point to improving / declining / unchanged status? Were the interventions effective? Would other interventions have been more effective? 13 CNO - A Registered Nurse is… The goal of nursing is to restore, maintain and advance the health of individuals, groups or entire communities. It is a science and an art. The science is the application of nursing knowledge and the technical aspects of the practice. The art is the establishment of a caring relationship through which the nurse applies nursing knowledge, skills and judgment in a compassionate manner. Both focus on the whole person, not just a particular health problem. CNO 2004 Week 1 14 Questions to answer………. ▪What is the CNO? ▪Who can call themselves a registered nurse in Ontario? Registered by who? For what? ▪What does it mean to be a self-regulating profession? Who is regulating who? And Why? ▪Whose interests are served by the CNO? Week 1 15 CNO Code of Conduct- Revised June 2023 Code of Conduct is: A practice standard describing the accountabilities all nurses registered in Ontario have to clients, employers, colleagues and the public. It explains what people can expect from nurses. The Code also describes what nurses must do to maintain professionalism, competence and ethical behaviour to deliver safe client care. Week 1 16  CNO: Principles of the Code Principles of the Code The Code consists of six principles: 1. Nurses respect clients’ dignity. 2. Nurses provide inclusive and culturally safe care by practicing cultural humility. 3. Nurses provide safe and competent care. 4. Nurses work respectfully with the health care team. 5. Nurses act with integrity in clients’ best interest. 6. Nurses maintain public confidence in the nursing profession. Each principle is supported by a set of statements of core behaviours all nurses are accountable for. All principles have equal importance and work together to describe the conduct, behaviour, and professionalism necessary for safe and ethical nursing practice in Ontario. Week 1 17 Principle 1: Nurses respect clients’ dignity Core behaviour examples Brief Statement nurses work together with clients with respect and sensitivity to client needs. To do this, nurses are expected to model the following core behaviours: Week 1 18 Principle 2: Nurses provide inclusive and culturally safe care by practicing cultural humility Brief Statement Core behaviour examples nurses demonstrate cultural humility through self-reflection and evaluating their own behaviour. They advocate for equitable and culturally safe care that is free from discrimination. This includes understanding how personal attributes and societal contexts, such as disabilities, sexual identity, anti-Indigenous and anti-Black racism, influence client care. To achieve this principle, nurses are expected to model the following core behaviours: Week 1 19 Principle 3: Nurses provide safe and competent care Brief Statement Core behaviour examples nurses work within the limits of their legal scope of practice, education, experience, knowledge, skill and judgment to ensure safe and competent nursing care. To do this, nurses are expected to model the following core behaviours: Week 1 20 Principle 4: Nurses work respectfully with the health care team to best meet clients’ needs Brief Statement Core Behaviour examples nurses are accountable to one another and are expected to build and maintain respectful relationships with the health care team. To do this, nurses are expected to model the following core behaviours: Week 1 21 Principle 5: Nurses act with integrity in clients’ best interest Brief statement Core behaviours examples nurses are honest and fair practitioners who strive to build a trustworthy, therapeutic, nurse- client relationship. To do this, nurses are expected to model the following core behaviours: Week 1 22 Principle 6: Nurses maintain public confidence in the nursing profession Brief statement Core behaviour examples nurses promote dignity and respect for the nursing profession by portraying professionalism and showing leadership. To do this, nurses are expected to model the following core behaviours: Week 1 23 Week 1 24 In preparation for week 2: Infection Prevention and Control Review: Introduction to Infection Prevention and Control Practices for the Interprofessional Learner - OER: Chapters 1-7: Introduction to Infection Prevention and Control Practices for the In terprofessional Learner For Lab: Please review and bring with you a copy of the: Infection Prevention & Control Performance Testing Guidelines and Rubric (available on LMS) Week 1 25