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| a deliberate problem-solving approach for meeting people's health care and nursing needs. |
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| Nursing process has 5 steps: |
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Assessment
Diagnosis
Planning
Implementation
Evaluation |
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| ______ data are gathers through the health history and the physical assessment. |
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| The ___is conducted to determine a person's state of wellness or illness and is best accomplished as part of a planned interview. |
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| _____is a personal dialogue between a patient and a nurse that is conducted to obtain. |
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| The purpose of the ____ (which can be done before, after, or during after health history) is to identify those aspects of a patient's physical, psychological, and emotional state that indicate a need for nursing care. |
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| ___ a discriminating process of producing ideas, opinions, or judgement, underlies independent decision making. It includes questioning, analysis, synthesis, interpretation, inference, inductive and deductive reasoning, intuition, application, and creativity. |
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| ___ a complex, ongoing, interactive process of exchanging information, forms the basis for building relationships. It includes listening, as wel as oral, non verbal, and written skills and the use of emerging technologies. |
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| ___ the interaction of knowledge, skills and attitudes, is essential for the nurse to function as a member of the interdisciplinary team in a complex constantly changing health care environment. It uses critical reasoning, EBP, and holistic approach to patient centered care. |
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| ___ defined as active engagement of nursing students in regional and global health care concerns, creation of a climate of diversity of culture and opinion that recognizes the importance of inclusion of differing points of view. |
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| Characteristics of critical thinking: |
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systematic
organized
conscious
outcome oriented |
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| Critical-thinking skills: |
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Definition
Interpretation
Analysis
Evaluation
Inference
Explanation
Self-regulation |
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| Nurses must use ___ to plan, provide nursing care. It goes beyond basic problem solving--it is a center of process of clinical reasoning, clinical judgment. |
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Definition
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| How to become a critically thinking nurse: |
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Novice to expet concept
Study habits
Multiple views
Research
Attentive
Group Effect (no isolation)
Ask Questions (after hmwrk completed)
Flexibility |
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| Basic Ethical principles: |
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| Autonomy beneficence confidentiality fidelity double effect justice nonmaleficence paternalism respect for persons sanctity of life veracity |
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| determination of the patient's responses to the nursing interventions and the extent to which the outcomes have been achieved |
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| actualization or carrying out of the plan of care through nursing interventions |
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| situation in which a clear conflict exists between two or more moral principles or competing moral claims |
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| competing moral claim or principle; one claim or principle is clearly dominant |
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| conflict that arises within a person when he or she cannot accurately define what the moral situation is or what moral principles apply but has a strong feeeling that something is not right |
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| the adherence to informal personal values |
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| actual or potential health problems that can be managed by independent nursing interventions |
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Definition
| a deliberate problem-solving approach for meeting people's health care and nursing needs. |
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| development of goals and outcomes, as well as a plan of care designed to assist the patient in resolving the diagnosed problems and achieving the identified goals and desired outcomes. |
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This is an example of what?
A nurse wishes to be truthful with patient but family, physician wishing to spare patient distress prohibit informing patient about his condition. |
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| Self-rule; individual rights, privacy, and choice |
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| duty to do good and the active promotion of benevolent acts (eg. goodness, kindness, charity). |
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| the concept of privacy, information obtained from an individual will not be disclosed to another unless it will benefit the person. |
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A principle tha may morally justify some actions that produce both good and evil effects. A 4 criteria must be fulfilled:
1) action itself is good/morally neutral
2) agent sincerely intends the good (evil effect may be foreseen but is not intended)
3) good effect is not achieved by means of the evil effect
4) proportionate or favorable balance of good over evil |
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| a promise kept; the duty to be faithful to one's commitments. |
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| that like cases should be treated alike |
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| the duty not to inflict harm as well as to prevent and remove harm |
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| the intentional limitation of another's autonomy, justified by an appeal to beneficence or the welfare or needs of another. |
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| synonymously wiht autonomy, however, it goes beyond accepting the notion or attitude that people have autnomous choices, to treating others in such a way that enables them to make choices |
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| the perspective that life is the highest good. Therefor, all forms of life, including mere biologic existence, should take precedenc over external crieteria for judging quality of life. |
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| the obligaiton to tell the truth and not to lie or deceive others. |
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-Assess ethical/moral situations of problem
-collect information
-List alternatives; compare alternatives with applicable ethical principles, professional code of ethics
-decide, evlauate decision |
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