Chapter13 Fun.

Chapter Overview

  • Chapter 13: Blended Competencies, Clinical Reasoning, and Processes of Person-Centered Care

ANA Definitions of Nursing

  • Provision of caring relationship for health and healing.

  • Attention to human experiences in health and illness.

  • Integration of assessment data with knowledge from patient experiences.

  • Application of scientific knowledge in diagnosis and treatment through judgment and critical thinking.

  • Advancement of nursing knowledge through inquiry.

  • Influence social and public policy for social justice.

  • Ensure safe, quality, and evidence-based practice.

Thoughtful Person-Centered Practice

  • Involves the person, professional nurse, reflective practice, clinical reasoning, judgment, and response to clinical needs.

Components of Thoughtful Practice

  • Personal attributes: Open-mindedness, self-awareness, responsibility, motivation, leadership, bravery.

  • Knowledge base: Foundation in nursing knowledge and evidence.

  • Blended competencies: QSEN competencies.

    • Patient-centered Nursing Process: Assessing, Diagnosing, Planning, Implementing, Evaluating.

10 Guiding Principles of Person-Centered Care

  1. All team members are caregivers.

  2. Care is based on continuous relationships.

  3. Care reflects patient needs and values.

  4. Knowledge is freely shared among all caregivers.

  5. Care is provided in a healing environment.

  6. Families/friends are essential to the care team.

  7. Patient safety is prioritized.

  8. Transparency in patient care.

  9. Caregivers cooperate for patient interests.

  10. Patients control their care.

Attributes of the Professional Nurse

  • Personal attributes: Value of the person, self-awareness, leadership, responsibility.

  • Knowledge base: Evidence-based nursing knowledge.

Blended Competencies

  • Cognitive: Critical thinking, judgment/decision making, knowledge adequacy, potential problem identification.

  • Technical: Skills to use equipment appropriately.

  • Interpersonal: Establishing relationships, respecting dignity.

  • Ethical/legal: Understanding practice boundaries and personal strengths/weaknesses.

Clinical Reasoning & Decision Making

  • Process used for thinking about patient issues and leads to clinical judgment.

  • Outcome-focused, guided by standards, patient needs, and nursing principles.

Nursing Process

  • Phases include: Assessing, Diagnosing, Planning, Implementing, Evaluating.

  • Each phase is dynamic, identified through patient relationship and interaction.

Benefits of the Nursing Process

  • Ensures holistic, individualized patient care, continuity of care, and collaboration in healthcare.

Concept Mapping Steps

  1. Collect patient concerns.

  2. Analyze relationships.

  3. Create a diagram.

  4. Integrate key concepts.

Reflective Practice

  • Reflection in action: Thinking during an activity.

  • Reflection on action: Thinking about past situations.

  • Reflection for action: Planning for future actions based on reflections.

Flashcards: A study tool used to aid memorization by presenting questions or prompts on one side and answers or definitions on the other. Commonly used in learning contexts to reinforce knowledge and improve recall. Effective for various subjects including language vocabulary, historical dates, scientific concepts, and more. Key features include:

  • Simple and clear format

  • Portability for on-the-go learning

  • Facilitates active recall, which enhances memory retention

  • Can be personalized to fit individual learning preferences.