Chapters 1-4

American Nursing Association (ANA)

- Sets nursing scope, standards and ethics

- Advocated for nurses, patients, and workplace safety

- Provides education, certification, and research support

- Promotes policies to improve safety, quality, and well-being

To prepare future nurses to improve quality and safety in healthcare

What is the goal of QSEN?

Developing knowledge, skills, and attitudes to provide safe, effective care

What is the focus of QSEN?

National Council of State Boards of Nursing (NCBSN)

- Creates and runs the NCLEX

- Works with state boards of nursing to regulate practice

- Makes sure only qualified nurses provide care (protects the public)

The Joint Commission

- Accredits healthcare organizations

- Sets safety and quality standards they must meet

- Monitors compliance to keep accreditation

Expand focus from only patients to include staff, visitors and everyone in healthcare settings

What is the purpose of the 2026 National Safety Goals (NSG)?

Clinical Judgement Model: Recognize cues

Tanner's: Noticing

What parts of the clinical judgement (NCJMM) model and Tanner's Clinical Judgement model go with the assessment phase of the nursing process?

NCJMM: Analyze Cues and prioritize hypothesis

Tanner's: Interpreting

What parts of the clinical judgement (NCJMM) model and Tanner's Clinical Judgement model go with the diagnosis phase of the nursing process?

NCJMM: Generate solutions

Tanner's: Interpreting

What parts of the clinical judgement (NCJMM) model and Tanner's Clinical Judgement model go with the Planning phase of the nursing process?

NCJMM: Take Actions

Tanner's: Responding

What parts of the clinical judgement (NCJMM) model and Tanner's Clinical Judgement model go with the Implementation phase of the nursing process?

NCJMM: Evaluate outcomes

Tanner's: Reflecting

What parts of the clinical judgement (NCJMM) model and Tanner's Clinical Judgement model go with the Evaluation phase of the nursing process?

Critical Judgement

the observed outcome of critical thinking and decision making

Emergency Assessment

Comprehensive Assessment

Focused Assessment

What are the 3 types of focus assessments?

Emergency Assessment

a rapid evaluation during a life-threatening situation to support vital functions

Example: a patient in a car accident with severe bleeding. The nurse quickly assesses the airway, breathing, and circulation while administering first aid to stop the bleeding

Comprehensive Assessment

A detailed health history and physical examination of all body systems, usually done on admission to a hospital or at the start of care in a primary setting

Example: A patient admitted to the hospital for elective surgery undergoes a comprehensive assessment, including past medical history, current medications, and a full physical exam to identify any potential risks

Focused Assessment

An abbreviated health history and examination used to evaluate the status of previously identified problems or monitor new symptoms

Example: A patient with a known history of abdominal pain visits the clinic with increased discomfort. The nurse performs a focused assessment on the abdomen to determine the cause of pain

1. Inspection

2. Palpation

3. Percussion

4. Auscultation

What are the steps of the nursing assessment?

The abdomen

1. Inspection

2. Auscultation

3. Percussion

4. Palpation

What part of the body is the exception to the oder of the nursing assessment? What is the order used for this region?

Five rights of delegation

a set of principles that help leaders ensure delegation is done in a responsible and effective manner

Right Task

Right Person

Right Circumstances

Right Direction and Communication

Right Supervision and Feedback

What are the 5 rights of delegation?

1. Economic stability

2. Neighborhood and physical environment

3. Education

4. Food

5. Community and social context

6. Health Care System

What are the social and economic factors that drive health outcomes? (6)

Economic stability

Employment

Income

Expenses

Debt

Medical bills

Support

Neighborhood and Physical Environment

Housing

Transportation

Safety

Parks

Playgrounds

Walkability

Zip cod/geography

Education

Literacy

Language

Early childhood education

Vocational training

Higher education

Food

Food security

Access to healthy options

Community and social context

Social integration

Support Systems

Community engagement

Stress

Exposure to violence/trauma

Health Care System

Health coverage

Provider availability

Provider linguistic and cultural competency

Quality of care