Complete assessment - A review and physical examination of all body systems, for stable patients
only
clinical judgment - "Thinking Like A Nurse". integral to the Safety of pt. Interpretation or conclusion
about a patient's needs, concerns, or health problems, and/or the decision to take action ...
Critical thinking nur 200 Hondros, 200 exam 1 critical thinking Complete assessment - ✔✔A review and physical examination of all body systems, for stable patients only clinical judgment - ✔✔"Thinking Like A Nurse". integral to the Safety of pt. Interpretation or conclusion about a patient's needs, concerns, or health problems, and/or the decision to take action (or not), use or modify standard approaches, or improvise ne w ones as deemed appropriate by the patient's response. Database - ✔✔Completed health history and physical examination, large store or bank of info clinical reasoning - ✔✔is the thinking process by which a nurse reaches a clinical judgement. an iterative process of noticing, interpreting, and responding - reasoning in transition with a fine attunement to the patient and how the patient responds to the nurses action Psychosocial history - ✔✔Psychological and social factors evidence -based practice - ✔✔clinical decision making that integrates the best available research with clinical expertise and patient characteristics and preferences 1st method of data collection - ✔✔Interiew patient, health history. Patient is your primary source Tanner's Model - ✔✔Noticing Interpreting Responding Reflecting 2nd method of data collection - ✔✔Physical examination ( guided by subjective and objective) noticing (tanners model) - ✔✔identify s/s, gather complete and accurate data, assessing systematically and comprehensive ly, *predicting (and managing) potential complications, identifying assumptions Concepts of clinical judgment - ✔✔1. Safety 2. Healthcare quality 3. Leadership 4. Patient education 5. Evidence 6. Professionalism 7. Care coordination objective data (noticing) - ✔✔information that is seen, heard, felt, or smelled by an observer; signs Analytic reasoning - ✔✔Situation is unfamiliar subjective data (noticing) - ✔✔things a person tells you about that you cannot observe through your sense s; symptoms Intuitive reasoning - ✔✔Able to recognize the situation immedialy. Pattern based factors that influence "Noticing" - ✔✔-intrapersonal characteristics of the nurse -theoretical and experiential knowledge of the nurse -knowing the patient -cont ext or environment of care Narrative reasoning - ✔✔Situation to patient experience with illness.
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