NSG 117: Blended Competencies, Clinical Reasoning, and Processes of Person-Centered Care

ANA Definitions of Nursing

• Caring relationship that facilitates health and healing

• Human experiences and responses to health and illness within the patient’s physical and social environments

• Integration of assessment data with knowledge gained from patient’s or group’s subjective experience
  

• Application of scientific knowledge to the processes of diagnosis and treatment applying judgment and critical thinking

• Advancement of professional nursing knowledge through scholarly inquiry

• Influence on social and public policy to promote social justice

• Safe, quality, and evidence-based practice  

Thoughtful Person-Centered Practice

• The nurse’s action in response to individual clinical need

• were caregivers, e perform skills, leadership, give education, we advocate for our patients, & were clinical managers (nursing unit & patient care)

Guiding Principles of Person-Centered Care

• All team members are considered caregivers

• Continuous healing relationships

•  Reflects patient needs, values, and choices 

• Knowledge freely shared between and among patients, care partners, physicians, and other caregivers  

• Healing environment of comfort, peace, and support

• Families and friends of the patient are essential part of care team

• Patient safety is priority  

• Transparency in the care of the patient 

• All caregivers cooperate with one another through a best interests and personal goals of the patient   

• The patient is the source of control for their care  

Watson’s Theory of Caring

• We can teach people to care

Components of Thoughtful Practice

Swanson’s Theory of Caring

• Knowing: Strive to Understand

• Being with: Emotionally Present

• Doing For: Others as they would do for Themselves

• Enabling: Life Transitions

• Maintaining Belief: Sustaining Faith

Personal Attributes of a Professional Nurse

• Open-mindedness

• sense of the value of the person

• self-awareness

• personal responsibility

• motivation to do the best leadership

• bravery to question the system

QSEN Competencies

• Patient-Centered Care

• Teamwork & Collaboration

• Evidenced Based Practices

• Quality Improvement

• Safety

• Informatics

Informatics

• documentation

  • we need to make sure that we follow best practice when doing this

Nursing Process vs Tanner/Lasater

Clinical Reasoning Cycle