Thinking Like a Nurse - Clinical Decision Making/Nursing Process

A set of flashcards focusing on key vocabularies and concepts related to clinical decision-making in nursing, derived from the lecture notes.

Evidence-Based Practice

An approach that emphasizes the use of best research evidence, patient values, and clinical expertise in patient care.

ADPIE

Acronym for the five steps of the nursing process: Assess, Diagnose, Plan, Implement, Evaluate.

Assessment

The systematic and deliberate collection of information from patients and other sources.

Diagnosis/Problem Identification

The step where health problems are classified based on nursing domain, focusing on the patient's response to their medical condition.

Planning

The step that involves setting priorities, identifying goals and expected outcomes, and determining nursing interventions.

Implementation

The process of carrying out interventions to achieve the established goals for patient care.

Evaluation

The ongoing process of determining whether patient goals have been met and if revisions are needed.

Tanner Model of Clinical Judgment

A framework for clinical decision-making that includes noticing, interpreting, responding, and reflecting.

Noticing

The ability to recognize deviations from expected patterns and seek additional information.

Effective Interpretation

Prioritizing and making sense of data to identify relevant and important information.

Effective Responding

Reacting in a calm and confident manner while ensuring clear communication and competent clinical skills.

Effective Reflecting

Engaging in self-analysis and evaluation to improve critical thinking skills in nursing.

Maslow’s Hierarchy of Needs

A framework that prioritizes human needs from basic survival to self-actualization in patient care.

ABC’s

A priority framework in nursing focusing on Airway, Breathing, and Circulation.

CURE Framework

A tool for prioritizing nursing needs: Critical, Urgent, Routine, and Extras.

Acuity

A measure of the severity of a patient's illness and the complexity of care required.

Patient-Centered Goals

Goals that are specific, measurable, and focused on the patient's needs and outcomes.

Collaborative Problem

A situation in nursing where nurses work with other healthcare professionals to address patient needs.

NANDA

North American Nursing Diagnosis Association that classifies nursing diagnoses.

Critical Thinking

The ability to reason through clinical situations and make informed decisions based on evidence.

Clinical Expertise

The knowledge and skills acquired through experience and practice in the nursing field.

Prioritizing

The process of determining the order in which nursing tasks should be addressed based on patient needs.

Self-Analysis

The process by which nurses evaluate their own clinical judgments and decision-making processes.

Innovation in Nursing

The introduction of new ideas or methods that improve patient care and nursing practices.

Clinical Judgment Frameworks

Models and theories that guide nurses in making decisions in clinical settings.

Wisdom of Clinical Experts

The knowledge and experience from seasoned professionals that contributes to quality patient care.

Documenting Clinical Decisions

The important practice of recording nursing actions, patient responses, and evaluations.