Chap 13+14+15+16+17+18 ECPI Nur 166
ANA definition of nursing - ANS the protection, promotion, and optimization of health and
abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and
treatment of human response, and advocacy in the care of individuals, families, communities,
and populations
Provision of a caring relationship, attention to range of human experiences, Integration of
assessment data with knowledge, Application of scientific knowledge
Thoughtful Person-Centered Practice - ANS considerate, compassionate, keeps person at
center of caregiving
-The person
-The professional nurse
-Reflective practice leading to personal learning
-Clinical reasoning, judgment, and decision making
-The nurse's action in response to individual clinical need
-Person-centered nursing process
blended competencies - ANS the set of intellectual, interpersonal, technical, and ethical/legal
capacities needed to practice professional nursing
critical thinking - ANS a systematic way to form and shape one's thinking"
Personal Critical Thinking Indicators - ANS self-aware, genuine, self-disciplined, healthy, careful
and prudent, confident and resilient, honest and upright, curious and inquisitive, alert to context,
analytical and insightful, logical and intuitive, open and fair-minded, sensitive to diversity,
creative, realistic and practical, reflective and self-corrective, proactive, courageous, patient and
persistent, flexible, empathetic, improvement-oriented
clinical reasoning - ANS a specific term usually referring to ways of thinking about patient care
issues (determining, preventing, and managing patient problems); for reasoning about other
clinical issues (e.g., teamwork, collaboration, and streamlining work flow); nurses usually use
critical thinking
clinical judgement - ANS refers to the result (outcome) of critical thinking or clinical reasoning;
the conclusion, decision, or opinion a nurse makes
decison making - ANS purposeful, goal-directed effort applied in a systematic way to make a
choice among alternatives
Five steps of the nursing process - ANS 1) Assessment/data collection
, 2) Diagnosis - Analysis/data collection
3) Outcome - planning
4) Implementation - intervention
5) Evaluation
Nursing Process - ANS Systematic: part of an ordered sequence
Dynamic: great interaction and overlapping among the five steps
•Interpersonal: human being is always at the heart of nursing
•Outcome oriented: nurses and patients work together to identify outcomes
•Universally applicable: a framework for all nursing activities
Steps in Concept Mapping - ANS 1. Collect patient problems and concerns
2. Collect and analyze, categorize data.
3. create diagram
5. Keep in mind, key concepts,safety, and advocacy
Gibbs Reflective Model - ANS Description - What happened
Feelings - what were your reactions/feelings
Evaluation - what was bad or good about the experience
Analysis - what sense can you make of the situation
Conclusion - what can be concluded, general and specific
Action plan - what are you going to do differently in this type of situation next time?
Five types of nursing assessments - ANS •Comprehensive initial - performed shortly after the
patient is admitted to a health care facility or service
•Focused - data about a specific problem that has already been identified
•Emergency - identify life-threatening problems
•Time-lapsed - scheduled to compare a patient's current status to the baseline data obtained
earlier
•Assessment of communities and special populations - assess patient complexity using the
social determinants of health
Assessment - ANS •Systematic and continuous collection, analysis, validation, and
communication of patient data