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Rationale
7 Dimensions of Wellness that contribute to health and quality of life:
1. Physical
2. Psychological
3. Social
4. Spiritual
5. Intellectual
6. Career (Occupational)
7. Environmental
Nursing's View of Humanity (7 Dimensions of Wellness)
The essential core of nursing is to deliver holistic patient-centered
care. Describes the services that a qualified health professional is
deemed competent to perform and permitted to undertake.
- More education and experience can prepare nurses for advanced
practice. An advanced practice registered nurse (APRN) is a nurse
educated at the master's or doctoral level.
Scope of Nursing Practice
,The American Nurses Association (ANA) defines Standards of
Professional Nursing Practice to guide nurses in how to perform
professionally.
- 2 Parts:
- Standards of Practice: describes a competent level of nursing care
based on the nursing process (ADPIE).
- Standards of Professional Performance: describes behavioral
competencies expected of a nurse.
Standards of Professional Nursing Practice
Addresses the challenge to prepare nurses with the competencies
needed to continuously improve the quality of care in their work
environments.
- Defines specific competencies nurses need to possess to practice
safely and effectively
Quality and Safety Education for Nurses (QSEN)
Defines the scope and limitations of professional nursing practice;
vary from state to state
- Defines the nursing scope of practice in addition to delegating
patient care.
Nurse Practice Act (NPA)
The ability to make decisions and solve problems by making sense of
information in a situation (the observed outcome of critical thinking
and decision-making).
Clinical Judgement
,Assessment
Diagnosis
Planning
Implementation
Evaluation
Nursing Process
Patient-Centered Care: Provide holistic, compassionate, and
coordinated care based on respect for patient's preferences.
Interprofessional Partnerships: Function effectively within nursing and
interprofessional teams
Safety: Minimize risk of harm to patients and providers.
Quality Improvement: Use data to monitor the outcomes of care and
to improve the quality and safety of health care systems.
Informatics and Health Care Technology: Use information and
technology to communicate, manage knowledge, reduce errors, and
support decision making.
Evidence-Based Practice: Integrate best current evidence with clinical
expertise and the patient/caregiver preferences and values for
delivery of optimal health care.
Core Nursing Competencies (QSEN)
As a nurse, you (1) offer skilled care to those recovering from illness or
injury, (2) advocate for patients' rights, (3) teach patients to manage
their health, (4) support patients and their caregivers at critical times,
and (5) help them navigate the complex health care system.
Professional Nursing (Chapter 1: Harding Textbook)
, Nursing is described as both an art and a science; a heart and a mind.
- Nursing is putting the patient in the best condition for nature to act
(Florence Nightingale).
- The nurse's 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 (Henderson).
- 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 (American Nursing Association).
Definition of Nursing
The comprehensive nursing care plan is the central source of
information needed to guide holistic, goal-oriented care, and address
each client's unique needs
- Guides for routine care
Nursing Care Plans
Effective communication is key to fostering teamwork and
coordinating care. To provide safe, effective care, team members must
exchange information clearly and accurately among team members.
- Situation-Background-Assessment-Recommendation (SBAR): Offers a
structured way to discuss a patient's condition between team
members. It allows you to attention and action.