Term
oPlanning for Implementation Phase |
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Definition
o Check your knowledge and abilities
o Organize your work
o Establish feedback points
o Prepare supplies and equipment
o Prepare the client |
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Term
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Definition
| o Doing, Delegating and Recording |
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Term
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Definition
o Use cognitive, interpersonal, and psychomotor skills
o Promote client participation
o Coordinate care |
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Term
o What About Delegation and Supervision? |
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Definition
o Transferring responsibility while retaining accountability
o Includes supervision |
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Term
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Definition
o Any intervention that requires independent, specialized, nursing knowledge, skill, or judgment
-Monitoring skin
-dressing changes
-give meds - med aide only
-initial vitals
-follow up after procedure
-anything that uses the nursing process, critical thinking skills, or nursing assessment. |
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Term
o Five Rights of Delegation |
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Definition
o Right task-can they do it? Require teaching? Black and white?
o Right circumstance-does nurse need to perform intervention to assess for goal?
o Right person-Competency and trust of person
o Right direction/ communication-are we specific?
o Right supervision-you are essentially responsible and your liscense is on the line. be sure to follow up and ensure it was done and done correctly. |
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Term
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Definition
o The final step of implementation
o Records the nursing activities and the client’s response
- Do ASAP after you leave patient's room. Chart what you did as well as their response. |
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Term
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Definition
o The final step of the nursing process
o Evaluate:
o Client’s progress toward goals
o Effectiveness of nursing care plan
o Quality of care in the health-care setting |
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Term
o How Are Standards and Criteria Used in Evaluation? |
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Definition
o ANA standards include a set of criteria to help describe the standard
o Criteria: measurable characteristics, properties, attributes, or qualities
o Reliable
o Valid |
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Term
o Types of Evaluation: What is Being Evaluated? |
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Definition
o Structure
o Process
o Outcomes |
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Term
o Types of Evaluation: Frequency and Time of Evaluation |
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Definition
o Ongoing- at every contact with patient
o Intermittent-specific times
o Terminal-at time of discharge |
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Term
o How Do I Evaluate Client Progress? |
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Definition
o Review outcomes
o Collect reassessment data
o Judge goal achievement
o Record the evaluative statement
o Evaluate collaborative problems |
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Term
o Evaluating and Revising the Care Plan |
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Definition
o Relate outcome to interventions
o Draw conclusions about problem status
o Revise the care plan |
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Term
o Checklist for Evaluating the Care Plan |
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Definition
o Review assessment
o Review diagnosis
o Review planning outcomes
o Review planning interventions
o Review implementation |
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Term
o Reflecting Critically About Evaluation: Thinking About Your Thinking |
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Definition
o Inquiring
o Noticing content
o Analyzing assumptions
o Reflecting skeptically |
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Term
o Common Errors of Evaluation |
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Definition
o Failing to evaluate systematically
o Failing to record results
o Failing to use reassessment data to reexamine and modify the care plan |
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Term
o Evaluating Quality of Care in a Health-Care Setting |
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Definition
o Quality Assurance (QA) goal:
o To evaluate and improve care provided in the health-care setting
o QA involves evaluation of:
o Structures, outcomes, and processes |
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Term
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Definition
| focuses on the setting in which care is provided.It explores the effect of organizational characteristics on the quality of care. |
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Term
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Definition
| focuses on the manner in which care is given- the activities performed by the nurses. I explores whter the care was relevant to patient needs, appropriate, complete, and timely. |
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Term
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Definition
| Focuses on demonstrable changes in the patients health status that result from the care given. |
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