Blended Competencies and Person-Centered Care Practice Flashcards

A set of 200 vocabulary-style flashcards covering nursing blended competencies, assessment, diagnosis, planning, implementation, and evaluation as described in the lecture transcript.

Person-centered care

An approach to nursing where the focus is on treating the actual patient rather than the computer or machine, emphasizing proximity and relationships.

Patience cemented care

Development care centered relationships based on respect and mutual trust

Promote humanity and dignity

An attribute of the thoughtful nurse that involves respecting the intrinsic value and well-being of the patient.

Therapeutic relationship

Powerful connections established with patients that serve as the foundation of nursing practice.

Standard critical thinking

Clear concise accurate relevant plausible consistent logical deep broad complete significant adequate and fair

Critical thinking indicators

Evidence base description of behavior that demonstrates the knowledge characteristics sndbskillsbthstvrokitebcriticsk thinking skills.

Affective

Feeling

Cognitive

Thinking

Nurses

Must’ve independent thinks and not allow stays quo it persuasive people to control their thinking

Clinical reasoning

A process of thinking and decision making used by nurses to determine appropriate patient care actions.

Clinical judgment

The result or outcome of clinical reasoning and thinking processes applied to a specific patient situation.

HCAPS Survey

A standardized survey instrument used to measure patient perspectives of hospital care, with a version effective beginning $\text{July 1, 2020}$.

Open-mindedness

A personal attribute of the professional nurse that allows for receptiveness to new ideas and perspectives.

Self-awareness

A professional nurse's knowledge of their own beliefs and values.

Sense of personal responsibility

The willingness of a nurse to be accountable for their own actions and behaviors.

Leadership Skills

Attributes including bravery to question the system to ensure patient well-being.

Blended Competencies

The core set of nursing skills consisting of cognitive, technical, interpersonal, and ethical/legal capacities.

Cognitive Competency

The ability to think critically and solve problems using scientific, intuitive, or logical methods.

Technical Competency

The ability to use equipment and perform procedures safely and effectively.

Interpersonal Competency

The ability to establish therapeutic relationships and communicate effectively with patients and teams.

Ethical/Legal Competency

The adherence to professional standards and legal requirements in nursing practice.

Trial and Error Problem Solving

A problem-solving method based on trying various solutions until one works.

Scientific Problem Solving

A systematic, seven-step research-based approach to problem solving.

Intuitive Problem Solving

A problem-solving method based on experience and a 'gut feeling' or inner sense.

Critical Thinking

A systematic way to shape one's thinking to solve problems and make decisions effectively.

Critical Thinking

Purposefully and exactingly. Thought to be disciplined comprehensive, based on intellectual standards “ well reasoned”

Development of critical thinking

The reason for thinking knowledge, potential problem, resources, critical judgement and decision

Purpose of thinking

Identify the purpose or goal of thinking; make judgments about particular patients or situations or make a decision about how to best intervene

Adequately of knowledge

Make sure info is correct , complete factual timely and relevant.

A potential error in decision making where preconceived notions influence judgment.

Failure to consider total situation

A decision-making error where the nurse neglects the broader context of the patient's condition.

Impatience

A decision-making error characterized by rushing through assessment or diagnosis without sufficient data.

Systematic (Nursing Process)

A characteristic of the nursing process meaning it follows an ordered sequence of activities.

Dynamic (Nursing Process)

A characteristic describing the nursing process as overlapping and constantly changing.

Interpersonal (Nursing Process)

A characteristic of the nursing process emphasizing the human side of care and the nurse-patient interaction.

Outcome Oriented (Nursing Process)

A characteristic where the nurse and patient work together to identify and achieve specific goals.

Universally Applicable (Nursing Process)

The characteristic meaning the nursing process serves as a framework for nursing in all types of health care settings.

Reflective Practice

A purposeful activity that leads to action, improvement of practice, and better patient outcomes.

Reflection IN action

A type of reflection that happens in the moment while the care is being delivered.

Reflection ON action

Reflection that occurs after the care event has happened.

Reflection FOR action

Reflection where the nurse considers how they might do things differently in future situations.

Purposeful Assessment

A requirement of nursing assessment to have a clear reason for collecting specific data.

Prioritized Assessment

Ensuring that the most important and urgent information is gathered first during data collection.

Complete Assessment

Systematically gathering all data needed to identify patient health problems.

Factual and Accurate Assessment

Gathering data that is based on objective observation and truthful subjective reporting.

Relevant Assessment

Gathering data that specifically pertains to the patient's current health status and needs.

Initial Assessment

A comprehensive assessment performed shortly after medical admission to establish a baseline database.

Focused Assessment

An assessment performed to gather data about a specific problem already identified or to identify new/overlooked problems.

Emergency Assessment

An assessment performed to identify life-threatening problems during a crisis.

Time-Lapsed Assessment

An assessment performed to compare a patient's current status to baseline data obtained earlier.

Health Orientation

An assessment priority that focuses on a patient's strengths and potential for wellness.

Developmental Stage

A priority in assessment that accounts for age-related growth and milestones.

Need for Nursing

An assessment priority that determines how much assistance the patient requires from nursing staff.

Subjective Data

Information perceived only by the affected person; also known as symptoms or covert data.

Objective Data

Observable and measurable data that can be seen, heard, felt, or measured by someone other than the patient.

Subjective Data Example

A patient complaining of pain in his left arm.

Objective Data Example

Redness and swelling noted at the site of an incision.

Patient Record

A primary source of data that includes medical history, physical examination, and laboratory reports.

Observation

The method of data collection using the five senses to gather information about the patient.

Nursing History

A collection of data that identifies the patient's health status, strengths, and need for nursing care.

Physical Assessment

The examination of the patient for objective data to help define their condition.

Cues

Information obtained through the use of the senses.

Inference

The judgment reached about a specific cue obtained through assessment.

Validation (Assessment)

Checking the accuracy and reliability of data, specifically when there is a discrepancy between subjective and objective data.

Legal Alert (Nursing)

Nurses are responsible for alerting health professionals when assessment data differ significantly from the baseline.

Diagnosing

The second step of the nursing process where the nurse identifies actual or potential health problems.

Nursing Diagnosis

Actual or potential health problems that can be prevented or resolved by independent nursing interventions.

Medical Diagnosis

A statement identifying a specific disease or condition, which remains the same as long as the disease is present.

Standard (Assessment)

A norm or generally accepted measure, rule, or model used to compare patient data.

Data Cluster

A grouping of patient data or cues that point to the existence of a health problem.

No Problem Conclusion

A diagnostic conclusion where no nursing response is indicated and the patient's wellness is reinforced.

Possible Problem Conclusion

A conclusion where the nurse must collect more data to confirm or rule out a suspected condition.

Actual Nursing Diagnosis Conclusion

A conclusion where a real problem exists and the nurse plans, implements, and evaluates care to resolve it.

Clinical Problem Conclusion

A problem other than a nursing diagnosis that may require referral to other health care professionals.

Problem-Focused Diagnosis

A clinical judgment concerning an undesirable human response to a health condition.

Risk Nursing Diagnosis

A clinical judgment concerning the vulnerability of a patient for developing an undesirable human response.

Health Promotion Diagnosis

A clinical judgment concerning motivation and desire to increase well-being.

Problem statement

The first part of a nursing diagnosis that identifies what is unhealthy about the patient using NANDA terminology.

Etiology

The part of the nursing diagnosis statement that identifies factors causing or contributing to the problem; identified by 'related to' ($\text{R/T}$).

Signs and Symptoms

The 'as evidenced by' ($\text{AEB}$) portion of a diagnostic statement identifying specific patient manifestations.

Etiology Rule

The cause should be within the scope of nursing practice, not a medical diagnosis or diagnostic test.

AEB

Abbreviation for 'as evidenced by', used to introduce the clinical manifestations in an actual nursing diagnosis.

Needs assistance walking

A common error in writing a nursing diagnosis where it is stated in terms of needs rather than a healthy/unhealthy response.

Risk for nausea R/T side effects

An example of a risk nursing diagnosis statement including etiology.

Outcome Identification and Planning

The phase of the nursing process where the nurse establishes priorities and identifies expected patient outcomes.

Initial Planning

Planning developed by the nurse who performs the nursing history and physical assessment.

Ongoing Planning

Planning carried out by any nurse who interacts with the patient to keep the care plan up to date.

Discharge Planning

Planning that begins on admission to ensure the patient can perform home care behaviors competently.

High Priority

A nursing diagnosis that poses the greatest threat to a patient's well-being, such as impaired gas exchange.

Medium Priority

A nursing diagnosis identifying non-life-threatening needs.

Low Priority

A nursing diagnosis that is not specifically related to the current health problem.

Physiologic Needs

The base level of Maslow's hierarchy, representing survival needs like air and water.

Safety Needs

The second level of Maslow's hierarchy, involving protection from harm.

Love and Belonging Needs

The third level of Maslow's hierarchy, involving social relationships.

Self-esteem Needs

The fourth level of Maslow's hierarchy, involving respect and recognition.

Self-actualization Needs

The highest level of Maslow's hierarchy, representing personal growth and fulfillment.

Cognitive Outcome

An outcome category describing increases in patient knowledge or intellectual behaviors.

Psychomotor Outcome

An outcome category describing the patient's achievement of a new skill.