Nursing Interventions, Clinical Judgment, Teaching & Learning, and Evidence-Based Practice Review

Flashcards covering key vocabulary terms related to nursing interventions, clinical judgment, teaching and learning, and evidence-based practice based on lecture notes.

Dependent Interventions

Nursing actions that require a doctor's order, such as invasive procedures, lab work, diagnostics, catheter insertion, or starting an IV.

Independent Interventions

Nursing actions that can be performed without a doctor's order, as long as they are within the nurse's scope of practice.

Direct Care

Hands-on patient care activities such as administering medications, assessing the patient, or bathing them.

Indirect Care

Activities that involve planning, preparing, or collaborating to support patient care, but do not involve direct physical contact with the patient.

Delegation

The transfer of a task to another individual, with the delegating nurse retaining ultimate responsibility for that task.

Five Rights of Delegation

The principles ensuring safe and effective delegation: right task, right person, right circumstance, right instruction, and right evaluation.

Clinical Judgment

The process by which nurses critically think, recognize potential or actual problems, and create, develop, and implement a plan to address those problems.

Six Cognitive Skills for Clinical Judgment

Recognizing cues, analyzing cues, prioritizing hypotheses, generating solutions, acting on solutions, and evaluating.

Nursing Process (Phases)

An older model for nursing care consisting of assessment, diagnosis (now called concept or patient problem), planning, implementation, and evaluation.

SMART Goals

Patient-centered goals that are Specific, Measurable, Achievable, Relevant, and Time-bound, used in the planning phase of the nursing process.

Quality and Safety Education for Nurses (QSEN)

A safety regulatory board created by the Robert Wood Johnson Foundation to address common nursing errors, protect licenses, ensure patient safety, and protect healthcare facilities through teaching modules.

Interprofessional Education Collaborative

Collaboration and communication among different healthcare disciplines or professional bodies (e.g., ANA, FNA) to identify problems and develop solutions to improve nursing practice.

Reflection in/on Action

The process of looking back at a past event or action, thinking about how it went, identifying ways to improve, and assessing satisfaction with the outcome.

Aims of Teaching

Goals of patient education, including maintaining and promoting health, preventing illness, restoring health, facilitating coping, and promoting optimal patient outcomes.

Key Teaching Concept: Patient-Centered Education

Education focused on the patient's individual needs, involving them and their family, starting at admission, and aiming to keep them engaged and motivated.

Factors Affecting Patient Learning

Elements that can influence a patient's ability to learn, such as age, developmental level, family/caregiver support, financial resources, cultural influences, language, and health literacy.

Cognitive Learning Domain

Learning that involves using the brain for intellectual activities such as lectures, reading, recalling information, or watching videos.

Psychomotor Learning Domain

Learning that involves hands-on practice, typically following a 'see one, do one, teach one' model, and demonstrated through return demonstrations.

Affective Learning Domain

The most challenging learning domain, focused on changing a person's attitudes, values, beliefs, and outlook on a particular subject.

Adherence

A term used in healthcare, replacing 'compliance,' to describe a patient's willingness and ability to follow a prescribed plan of care, often promoted by clear instructions and active patient participation.

Methods of Teaching

Various approaches used in patient education, including lecture, discussion (one-on-one or panel), return demonstration, discovery, and role play.

Evidence-Based Practice (EBP)

A healthcare approach based on scientific research and proven efficiency of procedures, aiming to improve positive patient outcomes.

Sources of Knowledge in Nursing

Tradition (things always done a certain way), Authoritative (knowledge from seasoned nurses), and Scientific (knowledge proven through research and studies).

Florence Nightingale

Considered the first person to initiate evidence-based practice by demonstrating that clean environments and handwashing reduced infection rates.

Peer-Reviewed Articles

Research articles that have been evaluated by other experts in the field to ensure quality and validity, and are typically required to be within five years of publication for EBP.

Quality Improvement (QI)

A systematic approach to optimize patient care and outcomes by using evidence-based provisions, emphasizing coordination of care, patient engagement, cultural competence, and open communication.