QSEN
ADPIE (description)
ADPIE (purpose)
Illness Behaviors
Ethical Conduct
100
The traditional concept involves listening to the patient and demonstrating respect and compassion. The QSEN competency emphasizes recognition of the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs. (F of N. p.210)
What is Patient-Centered Care?
100
Collection, validation, and communication of patient data. (F of N, p.216)
What is Assessment?
100
Make a judgment about the patient’s health status, ability to manage his or her own health care, and need for nursing. Plan individualized holistic care that draws on patient strengths and is responsive to changes in the patient’s conditions. (F of N, p. 216)
What is assessment?
100
How do people define themselves as “sick”? The first indication of an illness usually is recognizing one or more symptoms that are incompatible with one’s personal definition of health. Although pain is the most common symptom indicating illness, other common symptoms include a rash, fever, bleeding, or a cough. If the symptoms last for a short time or are relieved by self-care, the person usually takes no further action. If the symptoms continue, however, the person enters the next stage. (F of N, p. 47)
What is experiencing symptoms? (Stage One) .
100
It is a succinct statement of the ethical obligations and duties of every individual who enters the nursing profession. It is the profession’s nonnegotiable ethical standard. It is an expression of nursing’s own understanding of its commitment to society. (F of N, p.99)
What is The Code of Ethics for Nurses?
200
Traditionally, documentation consists of timely and accurate charting. However, the QSEN updated definition is expanded and calls for using information and technology to communicate, manage knowledge, mitigate error, and support decision making. (F of N, p.210)
What is Informatics?
200
Measuring 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. (f of N, p.216)
What is Evaluation?
200
Assist patients to achieve desired outcomes—promote wellness, prevent disease and illness, restore health, and facilitate coping with altered functioning. (F of N, p. 216)
What is implementation?
200
This stage is characterized by the patient’s decision to accept the diagnosis and follow the prescribed treatment plan. The person may initially have difficulty conforming to the recommendations of the health care provider and may decide to seek a second opinion or deny the diagnosis. The lack of independence is more troubling for some people who, based on their diagnosis, often require assistance in carrying out activities of daily living, and need emotional support through acceptance, approval, physical closeness, and protection. (F of N, p.47) .
What is Assuming a Dependent Role? (Stage 3) (F of N, p.47)
200
This code of Ethics for Nurses has four principal elements that outline the standards of ethical conduct. 1. Nurses and People 2. Nurses and Practice 3. Nurses and the Profession 4. Nurses and Co-Workers (F of N, p.99)
What is The international council of nurses Code of Ethics for Nurses (ICN).
300
K—Recognition that nursing and other health professions students are parts of systems of care and care processes that affect outcomes for patients and families. S—The delphi ratings did not identify a beginning skill in _______ ___________ but rather recommended introduction and emphasis in intermediate or advanced experiences. A—Appreciate continuous _______ ___________ as essential in the daily work of all healthcare professionals. (F of N, p.210)
What are the KSAs for Quality Improvement?
300
Analysis of patient data to identify patient strengths and health problems that independent nursing intervention can prevent or resolve.
What is Diagnosing?
300
Analysis of patient data to identify patient strengths and health problems that independent nursing intervention can prevent or resolve. (F of N, p. 216)
What is diagnosing?
300
Recovery and rehabilitation might begin in the hospital and conclude at home, or may be totally concluded at a rehabilitation center or at home. Most patients complete this final stage of illness behavior at home. In this stage, the person gives up the dependent role and resumes normal activities and responsibilities. If the plan of care includes health education, the person may return to health at a higher level of functioning and health than before the illness. (F of N, p.47)
What is Achieving Recovery and Rehabilitation? (Stage 4)
300
This code includes 9 statements in its definition: 1. The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems. 2. The nurse’s primary commitment is to the patient, whether an individual, family, group, or community. 3. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient. 4. The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum patient care. 5. The nurse owes the same duties to self as to others, including the responsibility to preserve integrity, to maintain competence, and to continue personal and professional growth. 6. The nurse participates in establishing, maintaining, and improving health care environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action. 7. The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development. 8. The nurse collaborates with other health professionals and with the public in promoting community, national, and international efforts to meet health needs. 9. The profession of nursing, as represented by associations and their members, is responsible for the articulating of nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy. (F of N, p.99)
What is the American Nurses Association Code for Nurses?
400
Traditional practices involve adhering to internal policies to standardize skills execution. The QSEN definition specifies the integration of best current evidence with clinical expertise and patient and family preferences and values for delivery of optimal healthcare. (F of N, p.210)
What is evidence based practice (EAB)?
400
Specification of (1) patient outcomes to prevent, reduce, or resolve the problems identified in the nursing diagnoses; and (2) related nursing interventions. (F of N, p. 216)
What is outcome Identification and Planning?
400
Develop an individualized plan of nursing care. Identify patient strengths that can be tapped to facilitate achievement of desired outcomes. (F of N, p.216)
What is outcome identification and planning?
400
The person now self-defines as being sick, seeks validation of this experience from others, gives up normal activities, and assumes a “sick role.” At this stage, most people focus on their symptoms and bodily functions. Depending on individual health beliefs and practices, the person may choose to do nothing, may research symptoms on Internet sources, may buy over-the-counter medications, may try alternative remedies to relieve symptoms, or may seek out a health care provider for diagnosis and treatment. In our society, an illness becomes “legitimate” when a health care provider diagnoses it and prescribes treatment. After seeking help from the health care provider, the person becomes a patient and enters the next stage. (F of N, p. 47)
What is Assuming the Sick Role? (Stage 2)
400
The seven basic tenets: 1. Nurses have the right to practice in a manner that fulfills their obligations to society and to those who receive nursing care. 2. Nurses have the right to practice in environments that allow them to act in accordance with professional standards and legally authorized scopes of practice. 3. Nurses have the right to a work environment that supports and facilitates ethical practice, in accordance with the Code of Ethics for Nurses and its interpretive statements. 4. Nurses have the right to freely and openly advocate for themselves and their patients, without fear of retribution. 5. Nurses have the right to fair compensation for their work, consistent with their knowledge, experience, and professional responsibilities. 6. Nurses have the right to a work environment that is safe for themselves and their patients. 7. Nurses have the right to negotiate the conditions of their employment, either as individuals or collectively, in all practice settings. (F of N, p.100)
What is the Bill of Rights for Registered Nurses?
500
The traditional concept involves listening to the patient and demonstrating respect and compassion. The QSEN competency emphasizes recognition of the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs. (F of N, p.210)
What is Patient-Centered Care
500
Carrying out the plan of care. (F of N, p.216)
What is Implementing?
500
Continue, modify, or terminate nursing care. (F of N, p. 216)
What is evaluation?
500
This classification of illness is a broad term that encompasses many different physical and mental alterations in health, with one or more of the following characteristics: It is a permanent change. It causes, or is caused by, irreversible alterations in normal anatomy and physiology. It requires special patient education for rehabilitation. It requires a long period of care or support. (F of N, p.46)
What is chronic illness?
500
The registered nurse: - UsesCode of Ethics for Nurses with Interpretive Statements (ANA, 2001) to guide practice. - Delivers care in a manner that preserves and protects health care consumer autonomy, dignity, rights, values, and beliefs. - Recognizes the centrality of the health care consumer and family as core members of the health care team. - Upholds health care consumer confidentiality within legal and regulatory parameters. - Assists health care consumers in self-determination and informed decision making. - Maintains a therapeutic and professional health care consumer–nurse relationship within appropriate professional role boundaries. - Contributes to resolving ethical issues involving health care consumers, colleagues, community groups, systems, and other stakeholders. - Takes appropriate action regarding instances of illegal, unethical, or inappropriate behavior that can endanger or jeopardize the best interests of the health care consumer or situation. - Speaks up when appropriate to question practice when necessary for safety and quality improvement. - Advocates for equitable health care consumer care. (F of N, p.99)
What is Nursing Standards of Practice? Measurement Criteria for Standard 7 (American Nurses Association, 2010, p. 47) follow.
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