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

Vocabulary flashcards covering blended competencies, clinical reasoning, clinical judgment models, problem-solving approaches, and the nursing process.

Nursing (ANA Definition)

The integration of the art and science of caring focused on the protection, promotion, and optimization of health and human functioning; prevention of illness and injury; facilitation of healing; and alleviation of suffering through compassionate presence, diagnosis, treatment of human responses, and advocacy.

Thoughtful Person-Centered Practice

A nursing care model centered on the patient that integrates reflective practice, clinical reasoning, the nursing process, personal attributes, knowledge base, clinical experience, blended competencies, and QSEN competencies.

Cognitive Competencies

Critical thinking skills involving understanding the purpose of thinking, assessing adequacy of knowledge, anticipating potential problems, utilizing helpful resources, and critiquing judgments or decisions.

Technical Competencies

Practical nursing skills developed by practicing until confident, familiarizing oneself with new equipment, learning techniques from nurse experts, and asking for help when needed.

Interpersonal Competencies

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

Ethical/Legal Competencies

Skills related to understanding legal boundaries and practicing within the designated professional scope of practice.

QSEN Competencies

Quality and Safety Education for Nurses framework consisting of six core domains: 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.

Clinical Judgment

The outcome or result of critical thinking, clinical reasoning, and decision making, defined as purposeful, informed, and outcome-focused thinking.

Clinical Reasoning Cycle

A continuous practice cycle comprising eight stages: consider the patient situation, collect cues/information, process information, identify problems/issues, establish goal(s), take action, evaluate outcomes, and reflect on process and new learning.

Trial-and-Error Problem Solving

A problem-solving technique that involves testing various solutions sequentially until one is found that works.

Scientific Problem Solving

A systematic, seven-step approach to problem solving based on scientific principles.

Intuitive Problem Solving

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

Creative Thinking

A approach to problem solving that involves asking 'why' or 'what if' questions to think outside conventional boundaries.

Tanner Model

A clinical judgment framework consisting of four steps: Noticing (perceptual grasp), Interpreting (understanding the situation), Responding (deciding appropriate action), and Reflecting (attending to patient responses during action).

Nursing Process

A five-step framework for providing systematic care: Assessing (data collection), Diagnosing/Analyzing (identifying strengths and problems), Planning (setting goals and outcomes), Implementing (executing the care plan), and Evaluating (measuring outcome achievement).

Systematic (Nursing Process Characteristic)

The characteristic of the nursing process being an ordered sequence of activities.

Dynamic (Nursing Process Characteristic)

The characteristic of the nursing process involving significant interaction and overlapping among its five steps.

Interpersonal (Nursing Process Characteristic)

The characteristic of the nursing process where the human being is always at the center of care.

Outcome Oriented (Nursing Process Characteristic)

The characteristic of the nursing process where nurses and patients work together to establish and achieve specific goals.

Universally Applicable (Nursing Process Characteristic)

The characteristic of the nursing process serving as an overarching framework for all nursing activities across diverse settings.

Concept Mapping

An instructional and care planning technique involving four steps: collecting patient problems/concerns, connecting and analyzing relationships, creating a diagram, and keeping key concepts like the nursing process, holism, safety, and advocacy in mind.

Reflection in Action

Reflection happening in the present moment during an activity, often referred to as 'thinking on your feet'.

Reflection on Action

Reflection that takes place after an event, involving thinking through a past situation to analyze what occurred.

Reflection for Action

Reflection that helps an individual plan how future actions might change as a result of reflecting on experience.