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Nursing Concepts

Terms in this set (53)

Communication skills
Critical Thinking
Perseverance and creativity
Self-confidence
Fairness and Integrity
Humility
What is influenced by perception?
thinking
intrapersonal communication
occurs within an individual
interpersonal communication
one-to-one interaction between two people
transpersonal
interaction within a person's spiritual domain
small group
interactions with a small number of people
public
interaction with an audience
Basic elements of communication
referant-motivates one to communicate with another
sender and receiver- one who encodes and one who decodes the message
message-content
channels-conveying and receiving
feedback-message the receiver returns
interpersonal variables-factors that influence communication
environment-the setting for sender-receiver interactions
verbal aspects of communication
Vocab (denotation and connotative meaning)
Intonation (clarity and brevity)
Pacing (timing and relevance)
Nonverbal communication
personal appearance
posture
facial expressions
eye contact
gestures
sounds
What are 2 forms of communication
Symbolic (verbal and nonverbal symbolism used by others to convey meaning)
Metacommunication (a broad term that refers to all factors that influence communication...ala word and body lang.)
Ex: office hours are open but door is shut
4 steps of nurse patient relationship
Preinteraction-BEFORE meeting the patient
orientation-Nurse and patient meet
working phase-nurse and the patient work together
termination-occurs at the end of relationship
Professional Nursing Relationships
Nurse-patient
Nurse-family (answer questions, advocate)
Nurse-health (work with co-workers, PT, OT)
Nurse-community (interact with groups as a whole)
Helping relationship serve as the foundation of clinical nursing practice. Contracts for therapeutic helping relationship are formed during...
ORIENTATION STAGE
What are some elements of professional communication?
Appearance, demeanor and behavior
Courtesy
Use of names
trustworthiness
autonomy and responsibility
assertiveness
Always introduce yourself!
Nursing process
Assesment
Diagnosis
Planning
Implement
Evaluate
Assessment
gather info, synthesize, apply critical thinking, empathy
Phys. and emotional factors
developmental factors
sociocultural factors
gender
One step further into assessment...
assess learning needs
ask questions to see what motivates them
determine the patients phys and cog ability
appropriate teaching environment
assess the readiness of fam caregiver
assess barriers to learning
Diagnosis
many patients
LACK SKILLS (listening, responding)
INABILITY TO ARTICULATE
DIFFICULTY FORMING WORDS
DIFFICULTY WITH COMPREHENSION
Ex: When the docs talked bad about the patient that was "under" for surgery but surprise surprise the patient could still hear!
keep going!!
be like Nike and just do it.
Planning
Goals and Outcomes
Setting priorities (make sure he gets basic needs and maintain communication)
Teamwork and collaboration (interpreters if need be, Google Translate, team who can help with lang. barriers)
Implementation
Therapeutic communication techniques (est. respect, knowing what to say and when. Knowing ur audience)
Active listenting (SOLER)
Whats SOLAR?
Sit facing ur patient
Observe and open posture
Lean toward patient
Est. and maintain eye contact
Relax
When would you have to adapt communication techniques?
cognitive impairment
visual impairment
unresponsive
patients who do not speak English
patients who can't speak clearly
Evaluation
Through the patients eyes
is care successful?
which strategies or interventions were effective?
"For I know the plans I have for you says the Lord, plans to prosper you and give you hope"
...
What does the Joint commission do?
sets standards for patient and fam education with the collaboration among health care professionals
Purposes of Patient education?
To help individuals, families or communities achieve optimal levels of health
What does patient education include>?
Maintenance and promotion of health and illness prevention
Restoration of health
Coping with impaired functioning
T/F Teaching is an interactive process that promotes learning
T
T/F Learning is NOT the purposeful acquisition of knowledge, skills, behaviors and attitudes.
F.... Sorry that was dumb.
What is the role of nurse when teaching and Learning?
Teach- info that the patient and the family need to make informed decisions regarding their care
Determine-what patients need to know
Identify-when patients are ready to learn
Domains of Learning
Cognitive- includes all intellectual behaviors (lecture and project)
Affective-the feels, acceptance of attitudes, opinions and values
Psychomotor-Integration of mental and muscular activity (practice, demo)
What are some basic learning principles?
Motivation-how bad do u wanna learn something...
Ability to learn- how mentally and phys. are you able to learn...
Learning environment-how lit is it up in that room?
What 3 things make us wanna learn something?
Attentional set- the mental state that allows learner to focus on and understand learning activity

Motivation-the force within a person, phys need

Self-efficacy-perceived ability to successfully complete a task.
In what stage does learning occur?
Acceptance stage
PG 333
25-1
...
What are things that make a good learning environment?
Well lit
Appropriate furniture
Quiet
Good ventilation
Comfy temp
PRIVATE!!!!!
T/F The nursing process and the teaching process are the same
F

Nursing process= total health care needs
Teaching process=learning needs
Health literacy
the cognitive and social skills that determine the motivation and ability of individuals to promote good health
PG 339 example of a care plan
...
What is a big part of implementation and evaluation?
Documenting taking every interaction as an opportunity to teach
ALMOST DONE!!!
...
Critical thinking is...
a continuous process characterized by open-mindedness, continual inquiry and perseverance and look into each patient's unique situation.

ANALYZE, EVALUATE, CONCLUDE
Key critical thinking skills...
Interpretation
Analysis
Inference
Evaluation
Explanation
Self-regulation
Concepts for a Critical Thinker
Truth seeking
Open-mindedness
Analytic Approach
Systematic Approach
Self-confidence
Inquisitiveness
Maturity
Critical Thinking Competencies
Scientific Method
Problem Solving
Decision Making
Diagnostic reasoning and inference
Clinical decision making
Nursing process as a competency
...
Five Components of Critical Thinking
Knowledge base
Experience
Nursing process competencies
Attitudes
Standards
Name 10 attitudes a Nurse must need
Confidence
Independence
Fairness
Responsibility
Risk taking
Discipline
Perseverence
Creativity
Curiosity
Integrity
_______________________________ can help and RN make the decision about when to appropriately delegate care.
wonder what it is....
Critical thinking
Another part of Nursing is meeting in groups to discuss experiences and Nurses need what quality for this especially?
Humility to be open to dig deeper into the education of care
As seen in the pic before but what are the components of critical thinking in Nursing?
1. Specific KNOWLEDGE base in nursing
2. EXPERIENCE
3. Critical thinking competencies
4. ATTITUDES for critical thinking
5. STANDARDS for critical thinking
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