ensures the quality and integrity of nursing programs supports and encourages continuing self-assessment by nursing programs continuing growth and improvement of the program hold nursing education programs accountable
What is the accreditation of CCNE based on?
continuous quality improvement in nursing programs inclusion of diverse opinions review and oversight trust innovation self-improvement supporting life long learning
How are students involved in CCNE?
CCNE visitors loo at example of student work observe nursing classes may vist clinical sites to observe practicum experiences
What is the goal of accreditation?
serves as a statement of good educational practice in the field of nursing
What are Nightingale's beliefs on nurses?
thought that the most important lesson to teach nurses is what to observe, what symptoms indicate improvement and to evaluate evidence carefully
What must girls do to think as a nurse?
think critically because: it is required by accrediting bodies essential for successfully answering questions on NCLEX success and survival as a nurse
Agency for Healthcare Research and Quality
What does AHRQ do?
federal government agency concerned with the quality of our health care mission is to improve the quality, saftey, efficiency and effectiveness of health care for all Americans supports research that helps people make more informed decisions and improves quality of health care services
What are the goals and focus of AHRQ?
The goal of their research is measurable improvements in health care in America , in terms of quality of life and patient outcomes, lives save, and value gained for what we spend
How does AHRQ achieve these goals?
1. Safety and Quality: reduced the risk of harm by promoting delivery of the best possible health care 2. Effectiveness: Improve health care outcomes by encouraging the use of evidence to make informed health care decisions Efficiency: transform research into practice to facilitate wider access to effective health care services and reduce unncessary costs
Who are AHRQ's customers?
clinicians and other health care providers consumers and patients health care policymakers purchasers, payers such insurers other halth officials such as hospital systems and medical school faculty
a general notion or idea an idea of something formed by mentally combining all its characteristics a directly conceived or intuited object
How to think Conceptually
use the nursing process to solve problems ADPIE knowledge is god, but remember to the process it consider the evidence and logic to support ideas be open to different viewpoints separate relevant info from irrelevant define frame of reference (context)
Critical Thinking characteristics
asking why, why not, how? testing motives, bias, incompleteness formulation and testing of hypotheses if, then statements and conditions pattern recognition analysis and synthesis
Benefits of critical thinking in teams
different set of eyes promotes time management improves quality on a unit increases customer service fine-tuning nursing practices
knowledge of anatomy knowledge of the body's physiologic processes pharmacology technical skills critical thinking pulls these together
Carper's Ways of Knowing
Empirical-factual knowledge from science Personal-knowledge of moral questioning and choices Aesthetic- awareness of the immediate situations
What are the aspects of Empirical (Carper's Ways of Knowing)
memorization: helpful for certain situations nursing classes build on previous coursework: need to obtain info best to study with expectation that purpose of learning is to apply info, solve problems, and make decisions
What is expected in Lab and clinicals?
applying knowledge practicing hands-on skills accepting feedback: defensiveness arises from feeling the need to perfect and limits your ability to learn looking and acting professional
Four types of questions: Bloom's Taxonomy
Knowledge Comprehension Application Analysis
fact-based, important for learning details
requires connecting pieces of info-skill necessary for problem solving
deciding which course of action is best
must use multiple concepts to derive accurate conclusion
What are some other Ways of knowing important to nursing?
empathy stereotypes listening to patients intuition
Aspects of personal (2nd carper's ways of knowing)
emapthy: imagining one's self in patient's position
Aspects of ethical (3rd carper's ways of knowing)
Stereotypes: popular belief about specific types of people nurses must be aware of their bias which usually based on previous influences and experiences key is to not act on a bias in a negative manner, but to consider each situation
Listening to the Patients
patient is the expert on themselves think about the meaning behind the words ask open-ended questions what are the patients actions you?
aspects of Aesthetic (4th carper's ways of knowing)
intution is an example recognizing patterns using subtle cues that are not apparent to all, often descibed as something wrong before overt signs appear
collect objective data to determine the extent to which goals were acheived revise plan as needed
What is the nursing process?
an organizational framework for the practice of nursing orderly, systematic central to all nursing are encomasses all steps taken by the nurse
Definition of nursing process
organized sequence of problem-solving steps used to identify and to manage the health problems of clients accepted by ANA for clinical practice
Benefits of nursing process
provides an orderly and systematic method for planning and providing care enhances nursing efficiency by standards facilitates documentation of care provides a unity of language for the nursing profession is economical stresses the independent function of nurses increases the care quality through the use of actions
within the legal scope of nursing based on knowledge-requiring thinking organized and systematic client centered goal directed prioritized dynamic
Benefits of using the nursing process
continuity of care individualized care standards of care increased client participation collaboration of care
Observation Interview: types of questions, environment, spiritual considerations Examination
Types of data to collect
objective date-observable and measure facts SIGNS subjective data-info that only the client feels and can describe SYMPTOMS
Sources of data
primary source: client secondary source: clients family, reports, test results, info in current and past medical records and other health care workers
measurable data double check personal observations double check equipment check with experts and team recheck outliers compare objective and subjective data clarify statements
process of prioritizing nursing diagnoses and problems identify measurable goals or outcomes select appropriate internventions documenting the plan of care nurse consults with client while developing and revising the plan
Guidelines for Setting Priorities
address immediate life threatening issues safety concerns patient-identified issues nurse identified priorities based on overall picture, and avalible time and resources determine problems that require immediate action
Nurse Identified Priorities
composite of all patient's strengths and health concerns moral and ethical issues time, resources, setting hierachy of needs interdisciplinary planning
Communicating the plan
nurse share the plan of care with nursing team members, client and client's family plan is permanent part of record
involves planning measures that the client and nurse will accomplish nurse selects strategies based on the knowledge that certain nursing actions produce desire effects must be safe and within the legal scope of nursing practice
way nurses determine whether a client has reached a goal evaluation includes the analysis of the client's response helps to determine the effectiveness of nursing care
Standerized Nursing Language
accepted by the ANA supports the learning of the nursing process provides consistency develops critical thinking skills improves communication research based
Nursing Diagnosis: Definitions and Classifications
Nursing Interventions Classifications
Nursing Outcomes Classification
What is NOC?
a classification of nurse sensitive outcomes outcomes and indicators allow for measure ment of the patient, family or community at any point on a continuum fromst most negative to positive
Each nursing diagnosis is followed by a list of suggested outcomes to measure whether it helped the problem Each outcome can individualized to the patient or family by choosing the appropriate indicators or adding more
comprehensive, standardized language describing treatments that nurses perform in all settings and in all specialties
each NANDA diagnosis is followed by interventions needed to resolve the problem interventions should be chosen to meet the client needs
c, with a line over it
s, with a line over it
a, with a line over it
p, with a line over it
What is the difference between short-term and chronic anxiety?
Short-term stress is an immediate problem Chronic stress is unabated stress that is long term