Module 1 Vocab

Nursing Process (and name the 5 components)

The way in which care is organized through a series of actions undertaken in response to the individual needs of the patient.

The components of the nursing process are (ADPIE):

Assessment

Diagnosis

Planning

Implementation

Evaluation

Person-Centered Care

Providing individualized care to each patient while working collaboratively with other members of the healthcare team to ensure the best outcome for the patient.

(AKA, treat patients nicely and don’t be a jerk)

QSEN (Quality and Safety Education for Nurses)

Preparing future nurses who will have the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the quality and safety of the health care systems within which they work

Reflective practice

A purposeful activity of having self-awareness of biases or actions that leads to action, improvement of practice, and better pt outcomes

Critical thinking

A systematic way to shape one’s thinking in order to think in a disciplined, comprehensive manner based on intellectual standards. (coursepoint)

AKA: Reasoning by thinking outside of linear thinking

Clinical Reasoning

The process you use to think about patient problems in the clinical setting

Clinical Judgement

The result/outcome of critical thinking, clinical reasoning, and decision making

The decision you make after analyzing available clinical information

Nurse-Initiated Intervention

Actions an RN will take, based on evidence-based strategies, care bundles, and protocols/standing orders, in order to enhance the outcome of the client’s health.

Medical Dx

Prioritization of traumatic, disease, condition, or symptom to obtain a treatment or resolution of the state of illness

Nursing Dx

Clinical judgement about individual, family, or community responses to actual or potential health problems or life processes. Nursing dx provides the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable

Risk nursing diagnosis

Clinical judgment concerning the vulnerability of an individual, family, group, or community for developing an undesirable human response to health conditions/life processes.