Funda

• Frameworks for care/Nursing models can?

  Desirable outcome

  Organized

  Responsabilities defined
• Managed care


  Provide cost-effective care

  Healthcare providers and agencies collaborate

  Used with primary, team, functional and alternative nursing care delivery system
• Case management 


  Multidisciplinary teams

  Planning, assessing needs, coordinating, implementing, and evaluating

  Tract pt. progress
• Differentiated practice


  Educational preparation and skill sets

  Specific job

  BSN / RN
• Functional method 


  Task-oriented

  Less preparation

  Less complex care requirements

  Head nurse
• Team Nursing


  Delivery of care to individual clients by a group of providers led by a professional nurse
• Primary Nursing


  Overseeing the total care of a number of hospitalized clients

  24 hours a day 7 days a week

  Can not deliver all care personally
• Information technology


  Assistance of computers for medical records
• Health care information system


  Group of systems

  Support and enhance health care
• Two major types of Health Care Information system

  Administrive information Systems, Clinical information system (CIS)
• What does administrive information system do

  Operate to make entry communication of data and information more efficient
• Nursing informatics


  A specialty that integrates nursing, computer, infomation science
• Health care delivery system


  used to describe how a national, regional, or local health care system is organized ,administered, provided, and paid for
• Health care delivery system can be

  Complex and constantly changing

  broad variety of services
• Access to the services of HCDS is difficult because of

  High health care cost

  limited financial resources

  limited/no health insurance
• Types of health care services

  Primary prevention

  secondary prevention

  tertiary prevention
• What is primary prevention

  • The true prevention
  • for healthy clients
  • health promotion
  • collaboration among health professionals health care leaders community members
  • Schools, physician’s offices/clinics community health centers
• Secondary prevention

  • Pt with health problems
  • hospital emergency
  • highest quality of care possible so pt can discharge early
• Discharge planning


  begins when pt is admitted to a health care facility
• Continuity of care

  • Critical thinking
  • using NPS
• Continuity of care

  • Critical thinking
  • using NPS
• Restorative care

  • Recover acute/chronic illnesses
  • requires additional services
• Rehabilitation

  • restores pt to the fullest
  • required after physical or mental illness, injury, addiction
• Rehab services

  • Physical
  • occupational
  • speech therapy
  • social services
• HOSPICE

  • Family centered care
  • remain at home
  • easing pain
  • palliative care not curable
  • relives
• Effective nursing information

  Providing flexibility to use the systems to view data collect information provide pt care and document

  enhances practice through improved access information and clinical decision making tools
• Electronic Health Recorder (EHR)


  Provide’s access to pt health record anytime

  integrates all pertinent pt information into one record
• Electronic medical records (EMR)


  pt gathered data

  Setting is at specific time and place
• Health wellness & Illness contains

  • Health
  • wellness
  • illness
  • health promotion
• Health


  Absence of disease

  a state of complete physical mental and social well being not merely the absence of disease or infirmity

  individuals adapt to their internal and external environments
• Health belief

  Personal belief of wellness to gain motivation

  selecting care options
• Wellness


  Achieves optimum balance between internal and external environment
• Illness


  Abnormal process

  pt functioning is diminished or impaired
• Health promotion

  Improve health to reach optimal state of physical mental snd social well-being
• Clinical judgement

  Essential skill , interpretation of pt’s needs, concerns, or health problems

  make decision to take action or not
• Clinical decision


  Accurate and appropriate

  Nurses must learn to question, wonder, and explore different perspectives and interpretations to find solution that benefits clients

  Separates nurses from technical personnel
• Application of decision making (components of CT)

  • Knowledge
  • attitude
  • clinical experiences professional standards
• Critical


  Careful judgement

  judicious evaluation

  objective analysis and evaluation of an issue in order to form a judgement
• Critical thinking


  Ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process

  Recognizing than an issue exist, analyzing information, evaluating information, and drawing conclusions
• Levels of CT

  • Basic critical thinking
  • complex critical thinking
  • commitment thinking