voted most trusted profession based on honesty and ethics for over 20 years
What is the nursing profession?
skill of using logic and reasoning to identify the strengths and weaknesses of alternative health solutions
What is critical thinking?
observed outcome of critical thinking and decision making that uses nursing knowledge to observe and assess presenting situations, identify a prioritized patient concern, and generate solutions to deliver safe patient care
What is clinical judgment?
most recognizable form of care provided and usually point of entry into the health care system
What is primary care?
nurse's individual actions and awareness can influence and shape the greater health care system
What is systems thinking?
requires a kind heart, an elaborate body of knowledge used systematically, in a patient-centered and personalized manner
What is holistic caring?
Without critical thinking, these occur
What are safety lapses and errors resulting in harm or death?
a nurse develops these as there are more encounters with patients exhibiting the same or similar symptomology or medical diagnoses
What are "sets"?
involves overnight care of 24 hours or more in a health care facility such as a hospital
What is inpatient care?
to encourage the nurse to develop awareness of the interrelationships that exist between individual care and the overall context of HC safety and quality improvement
What is the goal of systems thinking?
determinants of health, population health management, policy and health care reform, technologies, interprofessional practice, and systems thinking
What are factors influencing patient outcomes?
Critical thinking is informed by information that is directed by these
What are nursing standards and practice as well as national competencies?
An information processing framework developed to include context surrounding nursing care decisions
What is the NCSBN Clinical Judgment Measurement Model (CJMM)?
free clinics, outpatient services, retail clinics, home health care, hospice care, freestanding points of care
What are examples of community-based care?
a new practice competency being suggested by QSEN
What is systems-based practice?
what health means to each person within the context of his or her culture, and what actions one is willing to take to achieve or maintain it
What is behavioral and social determinants of health?
Nursing process steps
What is ADPIE?
environment, time pressure, availability or content of electronic health records, resources,individual nursing knowledge
What is the contextual layer of the CJMM?
serves to decrease fragmentation of care for patients with ongoing health needs
What are medical homes?
systems can exist in these loations
What is locally, nationally, and globally?
the tip of the iceberg
What is individual patient care?
process by which nurses collect cues, process the information, plan and implement interventions and evaluate outcomes and reflect on and learn from the process
What is clinical reasoning?
elements of assessment and data that provide important information that may be relevant or irrelevant to patient outcomes or priority of care decisions
What are cues?
a complex system that exists within a large system that provides partial or total care for a period of time
What is long-term care?
These can affect individual patient care but also system wide initiatives
What is quality improvement?