1/12/21 lecture Flashcards

basis of all other nursing areas

med-surg focuses on the

what is the orders of steps for evidence-based practice?

what is level 1 of the levels of evidence?

includes assessment, diagnosis, planning, implementation, and evaluation and ultimately guides patient care

foundation of professional nursing practice

what are the parts of patient-centered care

focuses on treating patients and families with dignity and respect and engaging patients and families in decision making about care decisions

a survey that provides a standardized approach to collecting data from patients about their experiences in hospitals

independent, not-for-profit organization that accredits and certifies approximately 77% of hospitals in the U.S., accreditation and certification from this organization are recognized as the standard of patient care, effectiveness, and safety and foster continuous process improvements

organization that fosters patient-centered care through the "patient experience" that is influenced by all the interactions and experiences encountered, based on the organization's culture and practices

goals aimed at improving patient safety through goals that focus on potential problems in the healthcare setting

helps to decrease communication barriers, enhance communication with healthcare providers, & report changes in patient conditions

what are the 4 parts of the SBAR?

what does the situation consist of?

what does the background consist of?

what does the assessment consist of?

what does the recommendation consist of?

when might a "hand-off" be necessary?

requires all personnel involved in the procedure to stop to make sure that the pt is identified, the correct anatomical site is identified, and all equipment is in working order

designed to prepare nurses with the required knowledge, skills, and attitudes to foster continuous improvement of quality and safety in healthcare settings

What does QSEN consist of?

Institute of Medicine's Competencies for Health Professionals:

nurse-led multidisciplinary program that was developed by Mary Naylor, an APRN @ the University of Pennsylvania

manage patients as they transition across the care continuum from inpatient setting to other settings, including skilled nursing facilities and home

two or more coexisting medical conditions or disease processes

employs nurses as "transition coaches" to manage chronically ill or seriously ill patients as they transition between healthcare settings

are national programs that also seek to improve care as patients transition from acute care settings to post-acute care settings by improving the discharge processes

an enhanced model of primary care that engages ICTs to address and care for patients with multiple comorbidities

an example of a PCMH that has improved pt outcomes and quality and reduced costs through nursing interventions

project implemented in 2003 to address the recommendations related to improving the quality and safety or patient care on medical-surgical units

the development of ________ also grew as a result of TCAB efforts

are in acute care settings and are composed of clinicians who provide critical care expertise at the patient's bedside or point of care and typically include a critical care provider or intensivist, critical care registered nurse, pharmacist and respiratory therapist

an essential component of IC and all care models striving for effective in-hospital and transitional care is

patient education strategy that involves imparting knowledge and then asking for the information to be restated to ensure patient understanding; this teaching should be accompanied by written material for the patient to use as an ongoing resource

occurs when two or more professionals work together to solve problems or coordinate care

was developed by the American Academy of Ambulatory Care Nursing (AACN) to standardize the practice of ambulatory nurses as well as acute, subacute, and home health nurses in care-coordination and transition-management roles

what are the 5 rights of delegation?

professional who utilizes the nursing process to care for the patient: to assess, plan, implement, and evaluate

where is the Nurse Practice Act found at?

nurses serve as patients':

ethical principles guide the

Code of Ethics for Nurses provides a

both a concept and a movement that considers our past missteps as well as the breadth and consequences of our technological advances; just because we can, should we?

The Belmont Report describes three basic ethical principles to be applied to any research involving human subjects:

to "do good"

to do no harm

individual right to choose for oneself

reflects the social contract that nursing has with the public, encompassing the moral traditions, values, and trust that the public has come to associate with nursing

• generic level of competency common to all practicing nurses
• uses nursing process as framework

• promotes ethical nursing practice throughout the world
• descries nurses' accountability to core values

ethical principles:

requires fair and equal treatment for everyone regardless of race, religion, or gender

involves the individual's personal right to make decisions concerning him- or herself

concerns people acting positively on behalf of the perceived well-being of others

expects the nurse to be accountable for commitments made to others, to the self, and to the profwession, bsed on the virtue of caring

examines issues related to who may be harmed by actions and how any harm can be minimized or averted

the requirement to tell the truth and to refrain from intentionally misleading or deceiving a pt to influence decisions

requires that information is not shared beyond those who have a need to know

the inappropriate intention to protect individuals from their own involuntary actions or choices in the name of beneficence, which actually violates their right to self-determination (autonomy)

ethical theories to support nurses in decision making:

considers what decision will be most beneficial for the greatest number of people and relates to the theory of utilitarianism

what are some examples that can be ethical dilemmas?

document that is designed to communicate the final wishes of patients in the event they cannot speak for themselves and is created when the pt is competent and in open communication with the provider

legal document created by a competent person that provides the person's desires for medical care in the event the person is unable to independently make decisions regarding care

what is one of the most challenging ethical dilemmas that a nurse may confront?

ethical issues in professional practice:

civil or personal wrong, compared with a crime, which is a public wrong

what are the types of torts?

failure of a person to exercise the degree of care that an ordinary prudent person would have exercised under similar circumstances

failure of a professional person to act as other prudent professionals with the same knowledge and education would have acted under similar circumstances

wrongful act that was intended to cause harm

examples of intentional torts:

tort liability imposed when the defendant acted neither negligently nor with intent to cause harm; may be applied in cases involving dangerously defective products-medical devices, use of unlicensed medicines

if a party to a contract does not perform as promised, the other party can sue for money damages or seek the remedy of specific performance

one party assumes the liability of another party for damage in situations in which the first party would not otherwise be liable

to establish legal liability-malpractice-the injured client must prove the following 4 elements:

nurse managers have a duty to:

healthcare organizations have a duty to:

how do you know how to delegate correctly?

4 principles forming the cornerstone of biomedical ethical decision making:

the client's right of self-determination and freedom of decision making

doing good for clients and providing benefit balanced against risk

doing no harm to clients

the norm of being fair to all and giving equal treatment, including distributing benefits, risks, and costs equally

provide guidance in dealing with ethical dilemmas:

standards of nursing practice & provides autonomy

fundamental aspect of a nurse's role; the process for a nurse to direct another person to perform nursing tasks and activities

________________ viewed delegation as a critical skill

delegation issues have become connected to issues of:

process of delegation:

5 factors to assess when making a decision about delegating nursing tasks:

what are the 5 rights of delegation?

what is the #1 factor to consider when delegating?

what are the 8 principles for RN delegation?

what are the steps of the nursing process?

what are the sources of data collection and assessment?

what is primary subjective data?

what is primary objective data?

what is secondary subjective data?

what is secondary objective data?

use of critical thinking skills to identify client's health statuses or problem(s), recognition of patterns or trends, compare data w/ expected standards or reference ranges, & arrive @ conclusions to guide nursing care

the nurse establishes priorities and optimal outcomes of care they can readily measure and evaluate, work w/ clients to identify goals & outcomes, & identify actions & interventions that help achieve optimal outcomes

the nurse bases the care they provide on assessment data, analyses, and the plan of care in the previous steps and use problem solving, clinical judgement, and critical thinking

the nurse uses evidence-based rationale for selection and implementation of therapeutic interventions and perform nursing actions, delegate tasks, supervise other health care stuff, and document care and clients' responses

the nurse evaluates clients' responses to nursing interventions and form a clinical judgement about extent to which clients have met goals and outcomes