INTRO TO NURSING

APRN (Advanced Practice Registered Nurse)

Most independently functioning nurse. Had a Master's degree in Nursing. Includes these specialities: CNS, CNP, CNM, AND CRNA

NIC

Nursing Interventions Classification

NOC

Nursing Outcomes Classification

Purpose of taxonomies and classification systems in nursing?

Promote continuity of patient care and give data showing nursing's impact of patient outcomes.

programs that involve systematic actions that monitor, assess, and improve health care quality

Quality Improvement (QI)

QSEN stands for?

Quality and Safety Education for Nurses

Most important health care legislation since the creation of Medicare in 1965. The main goal was to increase access to health care, and it created new health care delivery and payment models that emphasized teamwork, care coordination, and quality care.

ACA (Affordable Care Act)

states that the authority for nursing practice is based on a contract with society that acknowledges professional rights and responsibilities, as well as mechanisms for public accountability

ANA (American Nurses Association)

Who defines/describes nursing as ''the diagnosis and treatment of human responses to actual and potential health problems''? What year was this definition drawn?

ANA, 1980

nursing process

Assessment Diagnosis Planning Implementation Evaluation

critical thinking vs clinical reasoning

Critical thinking is your ability to get the results you need in various situations, has been described as knowing how to learn, be creative, generate ideas, make decisions, and solve problems. Vs. Clinical Reasoning is using critical thinking to examine and analyze patient care issues.

Another term for psychologic?

Emotional

Who issues National Patient Safety Goals (NPSG)?

TJC

What is the TJC agency and what is their purpose?

TJC is The Joint Commission. It is an accrediting agency for health care organizations, gathers and reports data on serious errors they call sentinel events.

Which program bases reimbursement to health care providers on their performance on certain quality measures?

Value-based purchasing programs

''allows a care provider to perform a specific nursing activity, skill, or procedure that is beyond their usual role''

delegation

''a problem-solving approach to clinical decision making. Using the best available evidence (e.g., research findings, QI data), combined with your expertise and the pt's unique circumstances and preferences, leads to better clinical decisions and improved pt outcomes.''

evidence-based practice (EBP)

a term for the group of people ''made up of providers from various disciplines, working together and sharing their expertise to provide customized care.''

interprofessional team

Term for definition: ''a patient safety event not related to the patient's illness or underlying condition that reaches a pt and results in death, permanent harm, or severe temporary harm. They signal the need for immediate investigation and response.''

sentinel event

Code of Ethics

the philosophical ideals of right and wrong that define the principles you will use to provide care to your patients

OBJECTIVES

- Describe professional nursing practice in terms of domain, definitions, and recipients of care. - Compare the different scopes of practice available to professional nurses. - Describe the role of critical thinking skills and using the nursing process to provide patient-centered care. - Apply the SBAR procedure and effective communication techniques in the clinical setting. - Explore the role of the professional nurse in delegating care to licensed practical/vocational nurses and unlicensed assistive personnel. - Discuss the role of integrating safety and quality improvement processes into nursing practice. - Evaluate the role of informatics and technology in nursing practice. - Apply concepts of evidence-based practice to nursing practice.

Who defines/describes nursing as putting the patient in the best condition for nature to act?

- Nightingale

Quality measures of value-based purchasing programs include:

- clinical outcomes -patient safety - patient satisfaction - provider's adherence to evidence-based practice

What steps need to be taken before an SBAR can be developed?

-assess patient yourself -read the most recent physician progress and nursing notes - have the patient's chart available

What are the 6 steps of Evidence-Based Practice (EBP) Process?

1. Ask the clinical question using the PICOT format. 2. Search for the best evidence based on the clinical question. 3. Critically appraise and synthesize the evidence 4. Implement the evidence in practice 5. Evaluate the practice decision or change 6. Share the outcomes of the decision or change

What are 7 of the TJC National Patient Safety Goals?

1. Identify patients correctly 2. Improve communication among the health care team 3. Use medicines safely 4. Use alarm systems safely. 5. Prevent care-associated infections 6. Identify pt safety risks. 7. Prevent mistakes in surgery.

What are the 5 rights of delegation?

1. Right task- can it be delegated 2. Right Circumstance- Should it be delegated 3. Right person- can this person do the task 4. Right direction/ communication- is the task being conveyed in a clear manner 5. Right supervision and evaluation- Is there appropriate monitoring, evaluation, intervention, and feedback?

What are the main 4 key concepts that are part of competent nursing practice?

1. Safety 2. Quality 3. Informatics 4. Collaboration

Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. Where did this definition come from and when?

2010- ANA's Nursing: A Social Policy Statement

What's another term for physiologic?

Biophysical

Taxonomies

Classification systems of standard terminologies that nursing uses to define and evaluate nursing care

CCC

Clinical Care Classification

''interprofessional care plans that outline the care and desired outcomes for a specific time period for patients with a specific diagnosis''

Clinical pathways or care maps

Which system is when Charges are negotiated before the delivery of care using fixed reimbursement rates or capitation fees for medical care, hospitalization, and other health care services?

HMOs (Health maintenance Organizations) or Preferred provider organizations (PPOs)

Who defines/describes the nurses unique function is to aid patients, sick or well, in performing those activities contributing to health or its recovery (or to peaceful death) that they would perform unaided if they had the necessary strength, will, or knowledge- and to do this in such a way as to help them gain independence as rapidly as possible?

Henderson

ICNP

International Classification for Nursing Practice

NANDA

International Nursing Diagnosis, Definitions, and Classification

Another term for sociocultural?

Interpersonal

QSEN competencies

Patient-Centered Care Teamwork and Collaboration Evidence-Based Practice Quality Improvement Safety Informatics

What is the PICOT format?

Patients/population Intervention Comparison or comparison group Outcome(s) Time (as applicable)

a model for effective transfer of information by providing a standard structure for concise factual communications from nurse-to-nurse, nurse-to-physician, or nurse-to-other health professionals

SBAR (Situation-background-assessment-recommendations)

''the delivery of health care and information through telecommunication technologies, including high-speed internet, wireless, satellite, and video communications.''

Telehealth nursing

What is a serious reportable event (SRE)? Which organization uses this term?

The National Quality Forum (NQF) uses the term SRE, also called a ''never event'', is used to describe serious, largely preventable, and harmful clinical events.

American Nurses Association (ANA)

The national professional membership association of nurses that works for the improvement of health standards and the availability of healthcare services, fosters high professional standards for the nursing profession, and advances the economic and general welfare of nurses

What is the purpose of the NPSG?

To promote patient safety by offering evidence-based solutions to common safety problems.

Which of the following are telehealth nurses able to do? (Select all that apply) a) delivery interventions b) evaluate outcomes of nursing care while separated geographically from the patient c) increase access to care d) assess patient health status

a) delivery interventions b) evaluare outcomes of nursing while separated geographically from the patient d) assess patient health status Rationale: Increasing access to care is a benefit of telehealth, but does not rely on nursing capabilities within the Telehealth system.

Clinical Nurse Specialist (CNS)

an APRN who is an expert clinician in a specialized area of practice

''a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's able resources to promote quality, cost-effective outcomes. ''

case management