Critical Thinking
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| Critical Thinking: The Foundation for Nursing Process | show 🗑
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| show | comes after years of practice, can indicate a problem before clinical signs are evident
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| show | Cognitive, Technical, Interpersonal, Ethical
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| Cognitive Skills | show 🗑
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| show | Allows Competent, comfortable use of technical equipment
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| Interpersonal Skills | show 🗑
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| show | allows for client centered practice which is accountable and consistent with standards of practice
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| Analysis | show 🗑
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| show | Involves self evaluation -- How you handle a situation, what you would change next time; Connection between theory and nursing practice; demonstrate through sharing in post conference and writing
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| Attributes of Critical Thinkers | show 🗑
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| Clinical Judgment | show 🗑
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| show | in nursing practice
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| Critical Thinking/Clinical Judgment | show 🗑
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| Nursing Process | show 🗑
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| show | Assessing; Diagnosing; Planning; Implementing; Evaluating
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| Assessment: Gathering data | show 🗑
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| Assessment: Sources of data | show 🗑
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| show | Human response to health problem; Cohort data/body systems
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| show | RR 32, accessory muscles, "I can't get enough air!" diminished breathing sounds bilaterally
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| show | Abdominal incision is red and has some bloody draining, T 100.8, P 92, BP 112/84
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| Analysis/Diagnosis Phase | show 🗑
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| show | ineffective breathing pattern; shortness of breath; elevated respiratory rate (34); Use of accessory muscles; Aleration of O2, CO2 ratio
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| Nursing Diagnosis | show 🗑
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| show | Human Response
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| show | Related factors
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| Part 3 of Nursing Diagnosis: | show 🗑
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| Types of Nursing Diagnosis | show 🗑
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| Actual Diagnosis | show 🗑
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| Risk Diagnosis | show 🗑
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| show | suspicion that there could be problem under the right circumstances but not enough data to confirm it
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| show | Transition to a higher level of functioning building on client's strengths
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| show | Assessment data: No stool in 5 days, low fiber diet; Human Response (NANDA) constipatiaon; Related to: r/t low fiber diet; As evidenced by: a.e.b. no stool in 5 days; Nursing Dx: Constipation r/t low fiber diet a.e.b. no stool in 5 days
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| Example of Risk Diagnosis | show 🗑
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| show | Assesment data: Post-operaive patient with mild SOB; Hman response/nursing diagnosis: Possible ineffective airway clearance; Possible alteration in gas exchange
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| Nursing Diagnosis is: | show 🗑
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| show | Human Response (NANDA), etilogy, and supporting data
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| show | Human Response (NANDA) and etiology
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| Possible Nursing Diagnosis | show 🗑
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| show | Write in Terms of the client response, not the nursing need; Avoid use of value judgments; Two parts of the diagnosis should not mean the same thing; Avoid reversing the parts; Write the problem and related factors in terms that can be changed; State the
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| show | Establish client goals to prevent, reduce or resolve the problems identified in the nursing diagnosis; Identify nursing interventions/actions that will assist the client to achieve their goals
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| Elements of the Planning Phase | show 🗑
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| What Determines the Priority Setting? | show 🗑
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| Priority Setting | show 🗑
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| show | Outcome Interventions Evaluation: 1. Problem; 2. Related to (r/t); 3. Defining characteristic
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| Mutual Goals | show 🗑
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| show | realistic, measrable and able to achieve
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| show | Later e.g. end of shift or by discharge
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| Is there a relationship between Long and Short Term Goals? | show 🗑
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| Purpose of Goals | show 🗑
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| show | Be measurable, not general or vague; Be objective, not subjective; be realistic, be attainable; Complement the nursing diagnosis; Have a time frame
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| show | Subject, Verb, Criteria, Common verbs
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| Subject of Goals/Outcomes | show 🗑
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| Verb of Goals/Outcomes | show 🗑
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| Criteria for Writing Goals/Outcomes | show 🗑
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| Common Verbs for Goals/Outcomes | show 🗑
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| show | Activities performed to meet the client's needs and reach teh client's goals; Nursing interventions are identified in the planning stage; Nursing interventions are performed in the implementation stage of the nursing process; Consist of nursing orders
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| Nursing orders | show 🗑
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| Difference between Expected Outcome and Nursing Order | show 🗑
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| show | Positioning, Vital signs monitoring, fluids, moniiring I & O, Assisting/providing in Self Cre, Assuring rest/sleep, Nutritional monitoring, Health education, Reassurance/support
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| show | Actions are performed to carry out the plan of care; includes all aspects of care, assist patients to achieve health goals, promote wellness, prevention of disease and restoration of health, facilitate coping with altered functioning
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| show | Implement the independent, dependent and collaborative nursing orders; Continual assessment; Accountable for: evidence based practice, standards of care: HCC, agency and professional
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| show | Nursing interventions; Patient responses
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| Evaluation | show 🗑
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| Document Evaluative Statement | show 🗑
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| show | Collect evaluative data; Compare expected outcomes to actual
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| Human Response | show 🗑
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| Related factors | show 🗑
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| Defining characteristics: evidence that supports the conslusion of a problem | show 🗑
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Created by:
howardccnurs
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