Study Guide - NUFT 341-Exam I Medical Surgical Nursing

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Chapter 1- Professional Nursing Definitions of Nursing PAGE 2 Nursing’s View of Humanity A person is composed of interrelated dimensions and not separate entities- Scope of Nursing Practice-Esse... ntial core of nursing practice is to deliver holistic patient-centered care. It includes assessment and evaluation giving a variety of interventions, patient and family teaching and being a member of the interprofessional health care team. An advanced practice registered nurse (APRN) is a nurse educated at the master’s or doctoral level PAGE 2 Standards of Professional Nursing Practice has 2 parts 1. Standards of Practice and Standards of professional performance Standards of practice describe a competent level of nursing care based on the nursing process 2. Standards of professional Performance describe behavioral competencies expected as a nurse Diverse Populations When delivering care, consider patient’s and caregiver’s cultural beliefs Consumerism Nurses must be able to help patients access interpret and use safe health care information -patients are more involved in their health care. Patient-Centered Care The nursing process is a problem-solving approach to the identification and treatment of patient problems: ADPIE Standard Nursing Terminologies NANDA , NANDA international and Nursing Outcomes Classification PAGE 6 TABLE 1.2 PAGE 5 QSEN Competencies Concept map – visual record of nursing plan Conceptual care maps blend a concept map and a nursing care plan. CARE MANAGEMENT – is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources….PAGE 7 Telehealth Telehealth nursing delivers health care and info. Through telecommunication technologies includes High speed internet, wireless, video communications. Critical thinking is the ability to make judgments and solve problems by making sense of information Clinical reasoning is using critical thinking to examine and analyze patient care issues -used when you identify a change in patient’s status SBAR-PAGE 9 Coordinating Care SBAR is used to improve communication Clinical pathways also known as care maps are interprofessional care plans that outline the care and desired outcomes for a specific time period for patients with a specific diagnosis. Safety About 250,000 patients die each year due to preventable medical errors The National Quality Forum (NQF) uses the term serious reportable event (SRE) also called a never event to describe serious, largely preventable, and harmful clinical events. TABLE 1.5 Rights of Delegation PAGE 11 Informatics Technology improved the work environment and the care nurses provide Computers and mobile devices allow you to document at the time you deliver care and give you quick and easy access to information… The National Database of Nursing Quality Indicators provides data on nursing-sensitive measures to evaluate the impact of nursing EHR- a computerized record of patient information Evidence -based practice EBP is a problem-solving approach to clinical decision making. EBP does not mean that you conduct a research study, instead it depends on you to take an active role in using the best available evidence when delivering care. SIX STEPS TO EBP process 1. Ask a clinical question in PICOT format 2. Search for the best evidence 3. Critically appraise the evidence 4. Implement the evidence 5. Evaluate the outcome 6. Sharing the results Chapter 2- Health Equity and Culturally Competent Care Determinants of health are factors that influence the health of individuals and groups and help explain why some people experience poorer health than others EX. Where people are born, grow up, live, work, and age helps to determine their health status, behaviors, and care. Health Disparities are differences in the incidence, prevalence, mortality rate, and burden of diseases that exist among specific populations groups in the U.S. Health Equity is achieved when each person has the opportunity to attain his or her health potential and no one is disadvantaged. Table 2.1 PAGE 18 Factors and Conditions leading to health disparities Culture is a way of life for a group of people [Show More]

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