NUR 243 Quiz 1 - Questions and Answers Noticing What is going on with patient -based on background, context, experience, ethical perspective, knowing patient -notices patterns from previous experiences -uses this info to guide care ex: Notices patient has shortness of breath Interpreting What does...
NUR 243 Quiz 1 Noticing What is going on with patient -based on background, context, experience, ethical perspective, knowing patient -notices patterns from previous experiences -uses this info to guide care ex: Notices patient has shortness of breath Interpreting What does presented info mean -assembles info to make sense of situation Novice nurse: analytic Expert nurse: analytic/intuitive/ narrative -nurse established priorities ex: patient has Shortness of breath due to diagnosis of respiratory dist ress Responding Nurse takes actions based on patient needs(Interventions) - nurse may or may not be able to judge effectiveness before initiating intervention (nurse may not know what does will be effective until after administration) Reflecting proces s of thinking and learning from experiences Reflection in action Reflection on action Reflection in action During NURSE SHIFT - was the intervention (response) effective -nurse adjusts care according to response -nurse may return to new intervention if d esired response is not met ( pain does not go away after medication) Reflection on action After nurses shift (after care) -what was successful vs unsuccessful -critical for development of knowledge and improvement All nurses, all settings clinical judgement is used in all settings but is not required for each intervention/interaction (depends on experience and knowledge) ex: post nurse knows to do immediate vitals (does not need to use clinical judgement to do so Environmental context can affect the nurses ability to use clinical judgement -depends on knowledge and experience Novice nurses rely on theoretical knowledge/ analytic reasoning to make clinical judgement Expert nurses become more intuitive with more experience -look at whole picture (holistic) -use past experience Developing clinical judgment PROCESS - can start using in clinical -learn to recognize patterns (relies on identification of specific cues) -knowledge or deep understanding -Applying concepts to nursing practice -Skillful responding (setting priorities and modifying as situation changes) -reflective practice (journaling/what was successful/story telling) Clinical skills skills used by nurses and knowledge -what size catheter -decisions about timing and extent of b athing and personal care -assessment of wound and determining next steps -selection of wound dressing Management of care: Patient assignments nurse leader realizes safe patient assignments of well beyond abiding by unit guidelines -knowledge of nursing s taff skills
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