–Active, organized, cognitive process used to examine a situation, form a conclusion, make decisions and draw inferences
Critical thinking
–Information that a nurse acquires through the use of the 5 senses
•A cue is…
–The process of drawing conclusions from related pieces of information
Inference
–Provides a systematic approach for gathering data, analyzing the data, identifying the client’s response to a health, determining priorities, establishing goals, incorporating a plan of action and evaluating the effectiveness of the action.
The Nursing Process
are written to describe patient problems that nurses can treat independently.
Nursing diagnosis
are clinical judgments that an individual, family, or community is more vulnerable to develop the problem than others in the same or similar situation. They do not denote a particular link to medical diagnoses nor do they require independent confirmation.
Risk nursing diagnose
- Ask a clinical question
- Collect relevant and best evidence
- Critique the evidence
- Integrate evidence in the clinical arena
- Evaluate the practice
Evidence based practice
–Problem -solving approach to clinical practice that integrates best practice with the clinician’s expertise and client preference and values into decisions about client care.
Evidence based practice
- Investigation of nursing phenomena that lends themselves to precise measurement and quantification
- Focuses on numerical data, statistical analyses
–Quantitative Research
•Data in the form of written transcripts, “lived experience of…” •Inductive reasoning –Ethnography »Description of cultural behavior –Phenomenology »Focuses on experiences –Grounded Theory »Focuses on real-world observation
–Qualitative Research
•Describes human responses to health conditions that exist
–“Activity intolerance”
–“Decreased cardiac output”
–“Dysfunctional family processes”
Actual Diagnosis
•Describes human responses to health conditions that may develop in a vulnerable client
–“Risk for constipation”
–“Risk for fluid deficit”
–“Risk for suicide”
Risk Diagnosis
•Describes human responses to a level of wellness
–“Readiness for enhanced family coping’
–“Readiness for enhanced spiritual well-being”
Wellness Diagnosis
- Ask a clinical question
- Collect relevant and best evidence
- Critique the evidence
- Integrate evidence in the clinical arena
- Evaluate the practice
Evidence based practice
–Problem -solving approach to clinical practice that integrates best practice with the clinician’s expertise and client preference and values into decisions about client care.
Evidence based practice
- Investigation of nursing phenomena that lends themselves to precise measurement and quantification
- Focuses on numerical data, statistical analyses
–Quantitative Research
•Data in the form of written transcripts, “lived experience of…” •Inductive reasoning –Ethnography »Description of cultural behavior –Phenomenology »Focuses on experiences –Grounded Theory »Focuses on real-world observation
–Qualitative Research
•Describes human responses to health conditions that exist
–“Activity intolerance”
–“Decreased cardiac output”
–“Dysfunctional family processes”
Actual Diagnosis
•Describes human responses to health conditions that may develop in a vulnerable client
–“Risk for constipation”
–“Risk for fluid deficit”
–“Risk for suicide”
Risk Diagnosis
•Describes human responses to a level of wellness
–“Readiness for enhanced family coping’
–“Readiness for enhanced spiritual well-being”
Wellness Diagnosis
Interventions that require an order/prescription by healthcare provider -administering meds, - IV's -NG tube They all require a legal order
Dependent interventions
Nurse prescribed
Nurse is legally permitted to implements with no direction or supervision
Independent interventions
Actions implemented in partnership with other appropriate professionals.
-standing orders or protocol
Interdependent interventions
- eating
- dressing
- hygiene
- grooming
- toileting
- transfer
- locomotion
ADL’s
