Compliance - ANSImplementation or fulfillment of a prescriber's or caregiver's prescribed course of
treatment or therapeutic plan by a patient.
Use of compliance versus adherence is supportive of the terms used in the current listing of NANDA-I
nursing diagnoses.
Medication Error - ANSAny preventable adverse drug event involving inappropriate medication use by a
patient or health care professional; it may or may not cause the patient harm.
Noncompliance - ANSAn informed decision on the part of the patient not to adhere to or follow a
therapeutic plan or suggestion.
Nursing Process - ANSAn organizational framework for the practice of nursing. It encompasses all steps
taken by the nurse in caring for a patient: assessment, nursing diagnoses, planning (with goals and
outcome criteria), implementation of the plan (with patient teaching), and evaluation.
Outcomes - ANSDescriptions of specific patient behaviors or responses that demonstrate meeting of or
achievement of behaviors related to each nursing diagnosis. These statements are specific while framed
in behavioral terms and are measurable.
Prescriber - ANSAny health care professional licensed by the appropriate regulatory board to prescribe
medications.
The Quality and Safety Education for Nurses (QSEN) - ANSattempts to address the continued challenge of
preparing future nurses with the knowledge, skills, and attitudes (called KSAs) needed to continuously
improve the quality and safety of patient care within the healthcare system.
6 Major Initiatives of QSEN - ANS1. Patient-centered care
2. Teamwork and collaboration
, 3. Evidence-based practice (EBP)
4. Quality Improvement (QI)
5. Safety
6. Informatics
The ABCs of care - ANSAirway
Breathing
Circulation
Objective Data - ANSInclude information available through the senses, such as what is seen, felt, heard,
and smelled.
Among the sources of data are the chart, laboratory test results, reports of diagnostic procedures,
physical assessment, and examination findings.
Examples of specific data are - ANSage, height, weight, allergies, medication profiles, and health history
Subjective Data - ANSIncludes all spoken information shared by the patient, such as complaints,
problems, or stated needs
Nursing Diagnoses - ANSThe nurse analyzes objective and subjective data about the patient and the drug
and formulates nursing diagnoses.
3 Parts of the Nursing Diagnosis - ANS1. Knowledge Deficient
2. Related to lack of experience with medication regimen and second-grade reading level as an adult
3. As evidenced by, and lists clues, cues, evidence, and/
or data that support the nurse's claim that the nursing
diagnosis is accurate.
Planning: Outcomes Identification - ANSThe planning phase includes the identification of outcomes that
are patient oriented and provide time frames.
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