Blended Competencies, Clinical Reasoning, and Processes of Person-Centered Care Flashcards

Vocabulary flashcards covering key terms, models, competencies, and processes from Chapter 13.

Cognitive Competencies

Blended skills involving critical thinking, assessing the purpose of thinking, checking adequacy of knowledge, anticipating potential problems, utilizing helpful resources, and critiquing judgment or decisions.

Technical Competencies

Skills related to the proper use of equipment and manual execution of nursing tasks.

Interpersonal Competencies

Skills focused on promoting human dignity and respect, establishing caring relationships, and enjoying the rewards of mutual exchange.

Ethical/Legal Competencies

Competencies involving understanding legal boundaries, scope of practice, owning personal strengths and weaknesses, following a moral code, and acting professionally.

QSEN Competencies

Quality and Safety Education for Nurses framework consisting of six competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.

Clinical Reasoning

The process used to think about patient problems in the clinical setting, guided by standards, policies, ethics codes, and laws.

Clinical Judgment

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

Trial-and-Error Problem Solving

A problem-solving approach that involves testing solutions until one is found that works.

Scientific Problem Solving

A systematic, seven-step process used for problem solving.

Intuitive Problem Solving

Direct understanding of a situation based on a background of experience, knowledge, and skill that enables expert decision making.

Tanner Model

A clinical judgment model comprising four phases: Noticing, Interpreting, Responding, and Reflecting.

Noticing (Tanner Model)

A perceptual grasp of the situation at hand.

Interpreting (Tanner Model)

Developing a sufficient understanding of the situation to respond.

Responding (Tanner Model)

Deciding on a course of action deemed appropriate for the situation.

Reflecting (Tanner Model)

Attending to patients' responses to the nursing action while in the process of acting.

Assessing

The systematic collection, validation, and communication of patient data, including detecting and noticing cues.

Diagnosing

Analyzing, synthesizing, and interpreting patient data to identify strengths, actual and potential health problems, and needs.

Planning

Developing a plan of individualized care that specifies desired patient goals, expected outcomes, and nursing interventions.

Implementing

Executing the plan of care, taking actions, monitoring responses, reflecting, and making adjustments.

Evaluating

Measuring the extent to which the patient achieved expected outcomes to determine whether to terminate or revise the plan of care.

Dynamic (Nursing Process)

A characteristic of the nursing process marked by great interaction and overlapping among its five steps.

Systematic (Nursing Process)

A characteristic of the nursing process in which care is delivered as part of an ordered sequence of activities.

Concept Mapping

An instructional strategy that requires learners to identify, graphically display, and link key concepts.

Reflection in Action

A form of reflective practice that happens in the here and now of an activity, also known as 'thinking on your feet'.

Reflection on Action

A form of reflective practice that occurs after the fact and involves thinking through a situation that occurred in the past.

Reflection for Action

A form of reflective practice that helps a person think about how future actions might change as a result of reflection.