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Chapter 10: Blended Competencies, Clinical Reasoning, and Processes of Person-Centered Care Vocabulary
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- 1assessto systematically and continuously collect, validate, and communicate patient data
- 2blended competenciesthe set of intellectual, interpersonal, technical, and ethical/legal capacities needed to practice professional nursing
- 3clinical judgementrefers to the result (outcome) of critical thinking or clinical reasoning; the conclusion, decision, or opinion a nurse makes
- 4clinical reasoninga specific term usually referring to ways of thinking about patient care issues (determining, preventing, and managing patient problems); for reasoning about other clinical issues (e.g., teamwork, collaboration, and streamlining work flow); nurses usually use critical thinking
- 5critical thinkingthought that is disciplined, comprehensive, based on intellectual standards, and, as a result, well-reasoned; a systematic way to form and shape one's thinking that functions purposefully and exactingly
- 6critical thinking indicatorsevidence-based descriptions of behaviors that demonstrate the knowledge, characteristics, and skills that promote critical thinking in clinical practice
- 7standards for critical thinkingclear, precise, specific, accurate, relevant, plausible, consistent, logical, deep, broad, complete, significant, adequate for the purpose, and fair
- 8method of critical thinking1. identify goal of thinking
2. assess adequacy of knowledge
3. address potential problems
4. consult helpful resources
5. critique judgment/decision - 9QSENThe overall goal of the Quality and Safety Education for Nurses (QSEN) project is to meet the challenge of preparing future nurses who will have the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the quality and safety of the health care systems w/in which they work
- 105 rights of clinical reasoning1. Ability to collect the right cues
2. and take the right action
3. for the right patient
4. at the right time
5. and for the right reason - 11Trial-and-error problem solvinginvolves testing any number of solutions until one is found that works for that particular problem. This method isn't efficient for the nurse and can be dangerous to the patient
- 12Scientific problem solvingA systematic, 7 step process that involves: 1: problem identification, 2: data collection 3: hypothesis formulation, 4: plan of action, 5: hypothesis testing, 6: interpretation of results, 7: evaluation, resulting in conclusion or revision of hypothesis
- 13Intuitive problem solvinga direct understanding of a situation based on a background of experience, knowledge, and skill that makes expert decision making possible
- 14creative thinkinginvolves imagination, intuition, and spontaneity, factors that underpin the art of nursing
- 15steps of nursing process1. assessment
2. diagnosis
3. outcome identification / planning
4. implementation
5. evaluation - 16nursing process: assessingcollection, validation, and communication of patient data
- 17nursing process: diagnosinganalysis of patient data to identify patient strengths and health problems that independent nursing intervention can prevent or resolve
- 18nursing process: outcome identification and planningspecification of (1) patient outcomes to prevent, reduce, or resolve the problems identified in the nursing diagnoses; and (2) related nursing intervention
- 19nursing process: implementingcarrying out the plan of care
- 20nursing process: evaluatingmeasuring the extent to which the patient has achieved the outcomes specified in the plan of care; identifying factors that positively or negatively influenced outcome achievement; revising the plan of care if necessary
- 21NANDANorth American Nursing Diagnosis Association: focus on diagnoses
- 22NICNursing Interventions Classification: focus on interventions
- 23NOCNursing-Sensitive Outcomes Classification: focus on outcomes
- 24Characteristics of the Nursing ProcessSystematic, Dynamic, Interpersonal, Outcome Oriented, Universally Applicable in Nursing Situations
- 25concept mappingis an instructional strategy in which learners identify, graphically display, and link key concepts
- 26reflective practicelooking at an event, understanding it, and learning from it
- 27reflection in actionhappens in the here and now of the activity and is also known as "thinking on your feet"
- 28reflection on actionoccurs after the fact and involves thinking through a situation that has occurred in the past
- 29reflection for actionthe desired outcome of the first two types of reflection, and helps the person to think about who future actions might change as a result of the reflection
- 30Steps in concept map care planning1. Develop a basic skeleton diagram
2. Analyze and categorize data
3. Analyze nursing diagnoses relationships
4. Identify goals, outcomes, and interventions
5. Evaluate patient responses
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- UNIT III: Person-Centered Care and the Nursing Process Chapter 10: Blended Competencies, Clinical Reasoning, and Processes of Person-Centered Care
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- Alexandra Bozan
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