RNSG 1125 Midterm Review Summary

Clinical Judgement

  • Definition: Interpretation or conclusion about a patient’s needs, concerns, health issues, and the decision to take action.
  • Attributes:
    • Appropriate response
    • Holistic view of the patient
    • Process orientation
    • Reasoning and interpretation
  • Antecedents:
    • Sound judgment and reasoning skills
    • Awareness of patient and self
    • Creativity and sound knowledge
    • Persistence
  • Nursing Process: ADPIE
    1. Assessment
    2. Diagnosis
    3. Planning
    4. Implementation
    5. Evaluation

Evidence-Based Practice (EBP)

  • Definition: Integrates current evidence with clinical expertise and patient preferences.
  • Attributes:
    • Replicability
    • Reliability
    • Validity
    • Individualized care
  • PICOT: Framework for formulating clinical questions.
    • P: Patient/Population
    • I: Intervention
    • C: Comparison
    • O: Outcome
    • T: Time

Professionalism

  • Definition: Integration of nursing skills with dignity and respect for human beings.
  • Antecedents: Self-awareness, communication, ethics, and high integrity.
  • Attributes: Competence, accountability, critical thinking, lifelong learning.

Patient-Centered Care

  • Definition: Recognition of the patient as a full partner in care based on respect for preferences and values.
  • Attributes: Non-judgmental, empathetic, culturally competent, and empowering.
  • 6 Cs of Nursing: Compassion, Competence, Confidence, Conscious, Commitment, Comportment.

Safety

  • Definition: Protection from harm through system effectiveness and individual performance.
  • Types of Safety Errors:
    • Diagnostic errors
    • Treatment errors
    • Preventive errors
    • Communication failures
  • National Patient Safety Goals: Ensure accurate patient identification, improve staff communication, and prevent infections.

Key Terms

  • Sentinel Event: Unexpected occurrence leading to serious injury or risk.
  • Adverse Event: Unintended harm caused by an act rather than an underlying condition.
  • Near Miss: An event that could have caused harm but did not.
  • Never Event: Serious mistakes in medical care that should never happen.