Lewis Ch 1
influences on nursing practice - ANSWER-complex health care environments
-expanding knowledge and technology
-diverse populations
-consumerism- pts more active participants and expect higher quality care and are
better informed
-health care financing (medicare no longer reimbursted for all costs, based on flat fee
determined by illness)
-health maintainence organizations (HMOs)
-preferred provider organizations (PPOs)
-supporting professional practice
-main professional nursing org is ANA, then
professional specialty organizations like AACN. these promote professional nursing
practice and quality pt care
-Quality and Safety Education for Nurses (QSEN)
Quality and Safety Education for Nurses (QSEN) - ANSWERstudy done in 2003 to see
if graduate nurses were educated enough for reality of nursing. found that they werent.
needed to review curiculums and focus on compentencies:
1. pt centered care
2. informatics and technology
3. evidence based practice
4. quality improvement
5. safety
6. teamwork and collaboration
healthy people 2020 initiative - ANSWERgoals and objectives for promoting health and
health care delivery
-attain high quality, longer lives free of preventable disease, disability, injury, &
premature death
-achieve health equity, eliminate disparities, and improve health of all groups
-create social and physical environments that promote good health for all
-promote quality of life, healthy development, and healthy behaviors across all life
stages
patient centered care - ANSWERbased on individual pt needs and understanding pt
preference, values, and beliefs. collaboration w/ health care team. continuum of care: pt
moving among various health care settings depending on their status (community w/o
hospitalization).
team nursing - ANSWERuses a professional nurse as a team leader who organizes and
manages the care for a group of patients with other ancillary workers like LPN/LVNs
and UAP
total patient care - ANSWERyou assume accountability for the complete care of a
patient or group of patients during the assigned shift
, Lewis Ch 1
primary nursing care - ANSWERyou are responsible for a patient or caseload of
patients over a period of time. You coordinate and communicate all aspects of patient
care with other disciplines and those who provide care when you are absent.
Strengthens nurse-patient relationship, focuses on continuity of care and
interdisciplinary collaboration
critical thinking - ANSWERhow to learn, reason, think creatively, generate ideas, make
decisions, solve problems
clinical reasoning - ANSWERproblem solving activity where critical thinking is used to
address pt problems
nursing process - ANSWERproblem solving approach to identifying and treating
problems
assessment, diagnosis, planning, implementation, evaluation
assessment - ANSWERsubjective and objective data collected
diagnosis - ANSWERassessment data analyzed, judgement of problem is made
planning - ANSWERgoals, or pt outcomes, are developed for diagnosis and
interventions are identified to accomplish outcomes
implementation - ANSWERinterventions are performed
evaluation - ANSWERdetermine if outcomes were met as a result of the interventions
independent functions - ANSWERinterventions nurses can perform on their on due to
their judgement and knowledge
collaborative functions - ANSWERinterventions that require input from other health care
professionals, like the physician
standardized nursing terminologies - ANSWERpromotes continuity of care and
improves communication. NANDA-I, NIC, and NOC all recognized by ANA. can be
connected and used together when caring for pt (NNN linkage)
NANDA-I nursing diagnoses - ANSWERidentifying, defining, and classifying patients
actual or potential responses to health problems. purposes: to develop a diagnostic
classification system or taxonomy, identify and accept nursing diagnoses
Nursing Outcomes Classification (NOC) - ANSWERconcepts, definitions, and measures
that describe patient outcomes influenced by interventions. nursing sensitive patient
outcome is an individual, family, or community state, behavior, or perception that is
measured along a continuum in response to a nursing intervention. impact of patient
influences on nursing practice - ANSWER-complex health care environments
-expanding knowledge and technology
-diverse populations
-consumerism- pts more active participants and expect higher quality care and are
better informed
-health care financing (medicare no longer reimbursted for all costs, based on flat fee
determined by illness)
-health maintainence organizations (HMOs)
-preferred provider organizations (PPOs)
-supporting professional practice
-main professional nursing org is ANA, then
professional specialty organizations like AACN. these promote professional nursing
practice and quality pt care
-Quality and Safety Education for Nurses (QSEN)
Quality and Safety Education for Nurses (QSEN) - ANSWERstudy done in 2003 to see
if graduate nurses were educated enough for reality of nursing. found that they werent.
needed to review curiculums and focus on compentencies:
1. pt centered care
2. informatics and technology
3. evidence based practice
4. quality improvement
5. safety
6. teamwork and collaboration
healthy people 2020 initiative - ANSWERgoals and objectives for promoting health and
health care delivery
-attain high quality, longer lives free of preventable disease, disability, injury, &
premature death
-achieve health equity, eliminate disparities, and improve health of all groups
-create social and physical environments that promote good health for all
-promote quality of life, healthy development, and healthy behaviors across all life
stages
patient centered care - ANSWERbased on individual pt needs and understanding pt
preference, values, and beliefs. collaboration w/ health care team. continuum of care: pt
moving among various health care settings depending on their status (community w/o
hospitalization).
team nursing - ANSWERuses a professional nurse as a team leader who organizes and
manages the care for a group of patients with other ancillary workers like LPN/LVNs
and UAP
total patient care - ANSWERyou assume accountability for the complete care of a
patient or group of patients during the assigned shift
, Lewis Ch 1
primary nursing care - ANSWERyou are responsible for a patient or caseload of
patients over a period of time. You coordinate and communicate all aspects of patient
care with other disciplines and those who provide care when you are absent.
Strengthens nurse-patient relationship, focuses on continuity of care and
interdisciplinary collaboration
critical thinking - ANSWERhow to learn, reason, think creatively, generate ideas, make
decisions, solve problems
clinical reasoning - ANSWERproblem solving activity where critical thinking is used to
address pt problems
nursing process - ANSWERproblem solving approach to identifying and treating
problems
assessment, diagnosis, planning, implementation, evaluation
assessment - ANSWERsubjective and objective data collected
diagnosis - ANSWERassessment data analyzed, judgement of problem is made
planning - ANSWERgoals, or pt outcomes, are developed for diagnosis and
interventions are identified to accomplish outcomes
implementation - ANSWERinterventions are performed
evaluation - ANSWERdetermine if outcomes were met as a result of the interventions
independent functions - ANSWERinterventions nurses can perform on their on due to
their judgement and knowledge
collaborative functions - ANSWERinterventions that require input from other health care
professionals, like the physician
standardized nursing terminologies - ANSWERpromotes continuity of care and
improves communication. NANDA-I, NIC, and NOC all recognized by ANA. can be
connected and used together when caring for pt (NNN linkage)
NANDA-I nursing diagnoses - ANSWERidentifying, defining, and classifying patients
actual or potential responses to health problems. purposes: to develop a diagnostic
classification system or taxonomy, identify and accept nursing diagnoses
Nursing Outcomes Classification (NOC) - ANSWERconcepts, definitions, and measures
that describe patient outcomes influenced by interventions. nursing sensitive patient
outcome is an individual, family, or community state, behavior, or perception that is
measured along a continuum in response to a nursing intervention. impact of patient
