used by health care professionals Intuitive Problem Solvingunderstanding of a situation based on background, knowledge and skill Developing Cognitive Skills Critical thinking: a systematic way to form and shape one’s thinking. Describe the purpose of nursing observation, interview, and physical assessment. Determine patient’s current responses (physical and emotional) 2.
Diagnosis (According to Gebbie and Lavin later on) The Nursing Process TODAY (ANA Congress for Nursing Practice) 1. Diagnosis (actual and potential health problems) 3. NOT RECOMMENDED can harm patient Scientific Problem Solvinghypothesis etc…
Initiating actions and referrals in a timely way to ensure qualified treatment is given 4.
Describe the four steps involved in data interpretation and analysis. Recognize Patterns or Clusters o Nursing diagnoses should always be derived from clusters of significant data rather than from a single cue 2. Identifying Potential Complications o Prevent potential complications or make sure they’re detected early and managed 4.
Unlike nursing diagnoses, with collaborative problems, the prescription for treatment comes from nursing, medicine, and other disciplines. Identify how an individual, group, or community responds to actual or potential health and life processes. Identify factors that contribute to, or cause, health problems (etiologies). Identify resources or strengths upon which the individual, group, or community can draw to prevent or resolve problems. Predicting problems in patients at risk and preventing complications 3.
Basically managed by using physician prescribed and nursing prescribed interventions.. When the nurse writes patient outcomes that require delegated medical orders for goal achievement, the situation is not a nursing diagnosis, but a collaborative problem. Identifying human responses and promoting optimal function, independence and quality of life 4.
Evaluation (results) Characteristics of Nursing process -systematic -dynamic -interpersonal -outcome oriented -universally applicable in nursing situations Problem Solving and the Nursing Process Trial and Error Problem Solvingtesting diff stuff until finding something that works..
Determine the larger environment (hospital and community) o Interview o Physical Assessment 7. Explain when data need to be validated and several ways to accomplish this. Describe the importance of knowing when to report significant patient data and of proper documentation. Obtain and document purposeful, complete, accurate, factual, and relevant patient data.
o Set priorities o Individualize care that maximizes outcome achievenment o Facilitate communication among nurse team o Promote continuity o Coordination o Evaluate patients response to care o Create a record that can be used for evaluation, research etc o Promote nurses professional development o Which problems require my immediate attention or that of the team?
Which problems are my responsibility, and which should I refer to someone else? o Makes more sense to deal w medical problems first bc if they can be resolved than human response problems will go to…