102 Exam 3

• Subjective Data


  data obtained from patients as they describe their needs, feeling, strengths, and perceptions of the problem
• Objective Data


  the types of data the nurse will collect from observation, examination, or consultation with other healthcare providers
• What is nursing research?

  testing and refining the knowledge base of nursing
• Active Listening


  focusing solely on a person and acknowledging feeling in a nonjudgemental manner
• Inductive Reasoning


  process starts with a certain experience and proceeds to generalizations
• Deductive Reasoning


  a process where conclusions are drawn by logical inference from given premises
• I? (ISBARR)


  introduce yourself
• S? (ISBARR)


  situation
• B? (ISBARR)


  background
• A? (ISBARR)


  assessment
• R? (ISBA


  RR)reccomendation
• R? (ISBAR


  R)read-back
• Critical thinking process


  proce to asess a situation
• Why do we need the critical thinking process in nursing?

  it helps caregivers make decisions that lead to optimal patient care
• Situational Awareness


  knowing what is going on, why it is occurring, and what is likely to happen next
• Effective Communication


  requires each interaction to include a sender of the message, a clear and concise message, and a receiver who can decode and interpret that message
• Ineffective Communication


  most commonly occur during shift changes, when care of a patient is handed over to a different caregiver
• Interprofessional Collaboration


  implies interdependency, rather than autonomy, and roles among providers are understood as complementary and require mutual respect and power sharing

  (contributes to excellent patient outcomes)
• Components of Interprofessional Collaboration

  1. Values/ethics for interprofessional practice

  2. Roles/responsibilities

  3. Interprofessional communication

  4. Teams and teamwork
• Conflict Resolution


  process requires construction conflict negotiation skills that can be developed
• Examples of Conflict Resolution

  • Acknowledge the conflict.

  • Recognize and affirm that positive outcomes can result from conflict.
• Teachback technique


  asking patients to explain in their own words what a health provider has just told them
• Why do nurses need nursing concepts?

  helps nurses articulate evidence that justifies the methodologies behind their practice
• Nursing Concepts


  Infection.

  Inflammation.

  Clinical judgment.

  Professionalism.

  Leadership.

  Nutrition.

  Elimination.

  Safety
• Tanner's Model


  Notice, Interpret, Respond, Reflect
• Tanner's Model (Notice)


  perceptual grasp of the situation
• Tanner's Model (Interperet)


  A practitioner who notices deviation from the expected scenario must decide whether further action is merited
• Tanner's Model (Respond)


  Taking action, or choosing to take

  no immediate action, on the basis of the practitioner's interpretation of the situation constitutes a response
• Tanner's Model (Reflect)


  reflection-in-action and reflection-on-action.
• Reflection


  inAction (Tanner)n involves observing a patient's

  reactions to the intervention and adapting the intervention accordingly
• Reflection


  onAction (Tanner)the critical process of

  examining an event in retrospect and considering

  the way it should affect the practitioner's

  expectations of a similar situation that emerges in the future
• Charting


  Written communication about a patient's condition, care, and reactions to treatments; found in the patient record/chart..
• Transition to Practice Challenges

  fast pace, lack of mentors, generational differences, bullying, anxiety
• Results of Practice Challenges

  burnout & attrition
• Attrition


  a wearing down over time
• Solutions to Burnout and Attrition

  self regulation + reflective
• Patterns of Knowing


  science, art, personal experiences, ethical, self-awareness, and intuition