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-Essential core of nursing
...
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-Essential 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
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