Chapter 13 - Blended Competencies Clinical Reasoning and Processes of Person-Centered Care

‭ANA Definitions of Nursing‬ ‭●‬ ‭Provision of a caring relationship that‬‭facilitates‬‭health and healing‬ ‭●‬ ‭Attention to the range of human experiences and responses to health and illness‬‭within‬ ‭the patient’s‬‭physical‬‭and‬‭social environments‬‭(holism)‬ ‭●‬ ‭Integration‬‭of assessment data with knowledge gained‬‭from an appreciation of the‬ ‭patient’s/group’s‬‭subjective‬‭experience‬ ‭●‬ ‭Application of‬‭scientific knowledge‬‭to the processes‬‭of‬‭diagnosis‬‭and‬‭treatment‬ ‭through the use of judgment and critical thinking‬ ‭●‬ ‭Advancement of professional nursing knowledge through‬‭scholarly inquiry‬ ‭●‬ ‭Assurance of safe, quality, and‬‭evidence-based practice‬ ‭●‬ ‭Influence on social and public‬‭policy‬‭to promote social‬‭justice‬ ‭Thoughtful Person-Centered Practice‬ ‭●‬ ‭Centering the patient/person‬ ‭●‬ ‭The professional nurse‬ ‭●‬ ‭Reflective practice leading to personal‬‭learning‬ ‭●‬ ‭Clinical reasoning‬‭, judgment, and decision-making‬ ‭●‬ ‭The nurse’s action in response to‬‭individual‬‭clinical‬‭need‬ ‭●‬ ‭Person-centered‬‭nursing‬‭process‬ ‭○‬ ‭Assessing‬ ‭○‬ ‭Diagnosing‬ ‭○‬ ‭Planning‬ ‭○‬ ‭Implementing‬ ‭○‬ ‭Evaluating‬ ‭Components of Thoughtful Practice‬ ‭10 Guiding Principles of Person-Centered Care‬ ‭●‬ ‭All team members are considered‬‭caregivers‬ ‭●‬ ‭Care is based on continuous healing‬‭relationships‬ ‭●‬ ‭Care is‬‭customized‬‭and reflects patient needs, values,‬‭and choices‬ ‭●‬ ‭Knowledge and information are freely‬‭shared‬‭between‬‭and among patients, care partners,‬ ‭physicians, and other caregivers‬ ‭●‬ ‭Care is provided in a healing environment of‬‭comfort‬‭,‬‭peace, and support‬ ‭●‬ ‭Families and friends‬‭of the patient are considered‬‭an essential part of the care team‬ ‭●‬ ‭Patient‬‭safety‬‭is a visible priority‬ ‭●‬ ‭Transparency‬‭is the rule in the care of the patient‬ ‭●‬ ‭All caregivers cooperate through a‬‭common focus‬‭on‬‭the‬‭best interests‬‭and personal‬ ‭goals of the patient‬ ‭●‬ ‭The patient is the source of‬‭control‬‭for their care‬ ‭The Professional Nurse‬ ‭●‬ ‭Personal attributes‬ ‭●‬ ‭Knowledge base‬ ‭●‬ ‭Clinical experience‬ ‭○‬ ‭Blended and QSEN competencies‬ ‭Personal Attributes‬ ‭●‬ ‭Open-mindedness‬ ‭●‬ ‭A profound sense of the value of the person‬ ‭●‬ ‭Self-awareness and knowledge of one’s own beliefs/values‬ ‭●‬ ‭A sense of personal responsibility for your actions‬ ‭●‬ ‭Motivations to do what you do to the best of your ability‬ ‭●‬ ‭Leadership skills‬ ‭●‬ ‭Bravery to question the system‬ ‭Blended Competencies‬ ‭●‬ ‭Developing‬‭cognitive‬‭competencies‬ ‭○‬ ‭Planning, communication,‬‭critical thinking‬ ‭●‬ ‭Developing‬‭technical‬‭competencies‬ ‭○‬ ‭Skills‬‭required to fulfill a specific role‬ ‭●‬ ‭Developing‬‭interpersonal‬‭competencies‬ ‭○‬ ‭Promoting human dignity and respect‬ ‭○‬ ‭Establishing caring‬‭relationships‬ ‭○‬ ‭Enjoying the rewards of mutual exchange‬ ‭●‬ ‭Developing‬‭ethical/legal‬‭competencies‬ ‭○‬ ‭Autonomy, beneficence, accountability, etc.‬ ‭ uestion:‬‭A nurse’s personal moral code is to assist‬‭all patients to the best of one’s ability. What‬ Q ‭blended skill would the nurse use when seeking out special services for a homeless patient with a‬ ‭diabetic foot ulcer?‬ ‭a.‬ ‭Cognitive‬ ‭b.‬ ‭Technical‬ ‭c.‬ ‭Interpersonal‬ ‭d.‬ ‭Ethical/legal‬ ‭Quality and Safety Education for Nurses (QSEN) Competencies‬ ‭●‬ ‭Knowledge, skills, and attitudes (KSAs):‬‭Cognitive,‬‭psychomotor, affective domains‬ ‭●‬ ‭Patient-centered care‬ ‭●‬ ‭Teamwork and collaboration‬ ‭●‬ ‭Evidence-based practice‬ ‭●‬ ‭Quality improvement‬ ‭●‬ ‭Safety‬ ‭Problem-Solving‬ ‭●‬ ‭Trial-and-error problem solving‬ ‭●‬ ‭Scientific problem solving‬ ‭●‬ ‭Intuitive problem solving‬ ‭●‬ ‭Critical thinking‬ ‭Five Steps of the Nursing Process‬ ‭●‬ ‭Assessing: Collecting‬‭, validating, and communicating‬‭patient data‬ ‭●‬ ‭Diagnosing: Analyzing‬‭patient data to identify patient‬‭strengths‬‭and problems‬ ‭●‬ ‭Planning:‬‭Specifying patient‬‭outcomes‬‭and related‬‭nursing interventions‬ ‭●‬ ‭Implementing:‬‭Carrying‬‭out‬‭the care plan‬ ‭●‬ ‭Evaluating:‬‭Measuring the extent to which patient‬‭achieved outcomes‬ ‭ uestion:‬‭Which step of the nursing process is a nurse‬‭using when analyzing patient data to‬ Q ‭determine a patient’s strengths following a CVA?‬ ‭a.‬ ‭Assessing‬ ‭b.‬ ‭Diagnosing‬ ‭c.‬ ‭Planning‬ ‭d.‬ ‭Implementing‬ ‭e.‬ ‭Evaluating‬ ‭ uestion:‬‭Which of the following characteristics of‬‭the nursing process describes the interaction‬ Q ‭and overlapping of steps within the process itself?‬ a‭ .‬ ‭b.‬ ‭c.‬ ‭d.‬ ‭ ystematic‬ S ‭Dynamic‬ ‭Interpersonal‬ ‭Universally applicable‬ ‭Characteristics of the Nursing Process‬ ‭●‬ ‭Systematic:‬‭Part of an‬‭ordered‬‭sequence of activities‬ ‭●‬ ‭Dynamic:‬‭Great interaction and‬‭overlapping‬‭among the‬‭five steps‬ ‭●‬ ‭Interpersonal: Human‬‭being is always at the heart‬‭of nursing‬ ‭●‬ ‭Outcome-oriented:‬‭Nurses and patients work together‬‭to‬‭identify‬‭outcomes‬ ‭●‬ ‭Universally applicable:‬‭A‬‭framework‬‭for all nursing‬‭activities‬ ‭The Steps of the Nursing Process are Dynamic and Interrelated‬ ‭●‬ ‭Nurses and patients work together as partners to:‬ ‭○‬ ‭Promote health‬ ‭○‬ ‭Prevent disease/illness‬ ‭○‬ ‭Restore health‬ ‭○‬ ‭Facilitate coping with altered functioning‬ ‭●‬ ‭At the end of the nursing process is termination of nursing care or revision of plan of care‬