evidence based practice and clinical judgment

50問 • 2年前

ユーザ名非公開

通報

問題一覧

The nursing process: AD(O)PIE

assessment, diagnosis/ analysis, outcome identification, planning, implementation, evaluation

collect and analyze subjective and objective data about the patients health problem

Assessment

state the health problem

diagnosis/analysis (nursing diagnosis)

identify expected outcomes

outcome identification

writing a plan that includes the nursing interventions designed to achieve expected out comes (with a time that we can evaluate)

(care) planning

putting the care plan into action, document the actions taken and their results

implementation

examine the results achieved review and revise the care plan as needed

evaluation

clinical judgment

recognize cues, analyze cues, prioritize hypothesis, generate solutions, take action, evaluate out comes

the equivalent of assessment (from nursing process) in the clinical judgement model

recognize cues

the equivalent of diagnosis/analysis (nursing process) in the clinical judgement model

analyze cues

the equivalent of outcome identification (nursing process) in the clinical judgement model

prioritize hypothesis

the equivalent of planning (nursing process) in the clinical judgement model

generate solutions

the equivalent of implementation (nursing process) in the clinical judgement model

take action

the equivalent of evaluation (nursing process) in the clinical judgement model

evaluate outcomes

identify relevant and important information from different sources. What is relevant? what information is most important? what is of immediate concern?

recognizing cues

Organizing and linking the recognized cues to the clients clinical presentation. What client conditions are consistent with the cues? Are there cues that support or contraindicate a particular condition?Why is a particular cue or subset of cues of concern?

Analyze cues

Evaluating and ranking hypotheses according to priority (urgency, likelihood, risk, difficulty, time etc. Which explanations are most likely? Which possible explanations are the most serious?

Prioritize Hypothesis

Identifying expected outcomes and using hypotheses to define a set of interventions for the expected outcomes. What are the desirable outcomes? What interventions can achieve those outcomes? What should be avoided?

Generate solutions

Implementing the solutions that addresses the highest priorities. Which intervention or combination of interventions is most appropriate? How should the interventions be accomplished (performed, requested, administered,etc.)?

Take action

Comparing observed outcomes against expected out comes. What’s signs point to improving/declining/unchanged status? Were interventions effective? Would other interventions have been more effective?

Evaluate Outcomes

3 components of developing your nursing diagnosis

Use assessment data to develop a problem list, Then prioritize the problems, Then develop the working nursing diagnosis

How many parts does the actual nursing diagnoses have? and what are they?

3, Problem, Related (R/T), As evidenced by (AEB)

How many parts does the risk nursing diagnoses have? What are they?

2 (starts with risk for…), Problem, Related to

How many parts does the wellness diagnoses have? What are they?

1 (readiness for…), statement of ability to transition to a higher level of wellness

ABCs

Airways, Breathing, Circulation

Life threatening, immediate attention, patient priority?

High priority

Unhealthy consequences, but unlikely to threaten life?

Medium priority

Resolve easily with minimal intervention, little dysfunction potential

Low priority

Don’t state a need instead of a problem. WHich statement is correct?

Deficient fluid volume R/T fever.

Don’t reverse two parts of the statement. Which statement is correct?

Noncompliance with diabetic diet R/T lack of understanding.

Don’t identify an untreatable condition instead if the problem it indicates (which can be treated). Which statement is correct?

Social isolation R/T inability to speak AEB laryngectomy.

Don’t write a legally inadvisable statement. Which statement is correct?

Impaired skin integrity R/T immobility

Don’t identify as unhealthful, a respond that would be inappropriate. Which statement is correct?

Ineffective therapeutic regimen management R/T anger over terminal illness.

Don’t make a statement where both parts say the same thing in different words. Which statement is correct?

Acute pain R/T post op abdominal dissension.

Don’t identify a nursing problem instead of a patient problem. Which statement is correct?

Ineffective airway clearance R/T thick tracheal secretions.

Writing expected outcome statements. Using SMART.

Specific, Measurable, Appropriate, Realistic, Timely

Below are the parts of the hierarchy of evidence select them from weakest to strongest:

Expert opinion, Case reports, Cohort studies, Randomized controlled trials, Systematic reviews

randomized controlled trials brought together and analyzed included in systematic reviews

met analysis

PICOT is used for evaluating evidence what is it?

population, intervention, comparison, outcome, time

Quality and safety education for nurses

QSEN

P of picot

population

I of picot

intervention

c picot

comparison

o of picot

outcome

t of picot

time

S of smart

specific

m of smart

measurable

r of smart

realistic

t of smart

timely

a smart

appropriate

Health assessment questions

ユーザ名非公開 · 15問 · 2年前

Health assessment questions

thorax questions

thorax questions

breast questions

breast questions

infection control

infection control

cardiovascular

cardiovascular

lab values

lab values

gi, rectum, prostate, urinary

ユーザ名非公開 · 23問 · 2年前

gi, rectum, prostate, urinary

labs and diagnostics

labs and diagnostics

musculoskeletal

musculoskeletal

Neuro Assessment

Neuro Assessment

Skin, hair, nails

Skin, hair, nails

Assessment

Assessment

Male and female

Male and female

HEENT

HEENT

Assessment and Health History

ユーザ名非公開 · 27問 · 2年前

Assessment and Health History

Communication

Communication

Phramocology

Phramocology

Principles of med administration

ユーザ名非公開 · 17問 · 2年前

Principles of med administration

Diabetes

Diabetes

Insulin

Insulin

Fluid and Electrolytes

ユーザ名非公開 · 100問 · 2年前

Fluid and Electrolytes

100問 • 2年前

ユーザ名非公開

Fluid and Electrolytes part two

ユーザ名非公開 · 44問 · 2年前

Fluid and Electrolytes part two

Older adult

Older adult

Ears and Eyes

Ears and Eyes

Immobility

Immobility

Sleep

Sleep

Oncology

Oncology

End of life

End of life

Care of patients with oral cavity disorders

ユーザ名非公開 · 43問 · 2年前

Care of patients with oral cavity disorders

43問 • 2年前

ユーザ名非公開

Nutriton/ undernutrition

ユーザ名非公開 · 46問 · 2年前

Nutriton/ undernutrition

Peri-op meds

Peri-op meds

Intestinal

Intestinal

liver

liver

Neurotransmitters

Neurotransmitters

Depression

Depression

Last part of meds

Last part of meds

Schizophrenia

Schizophrenia

Treatment modalities for schizophrenia

ユーザ名非公開 · 20問 · 2年前

Treatment modalities for schizophrenia

Neurocognitive

Neurocognitive

Substance use starting with opioid use disorder

ユーザ名非公開 · 49問 · 2年前

Substance use starting with opioid use disorder

49問 • 2年前

ユーザ名非公開

Substance second part

ユーザ名非公開 · 14問 · 2年前

Substance second part

Sexual assault

Sexual assault

Apgar and CCHD questions

ユーザ名非公開 · 9問 · 1年前

Apgar and CCHD questions

9問 • 1年前

ユーザ名非公開

Labor and Deliver Nursing Care

ユーザ名非公開 · 60問 · 1年前

Labor and Deliver Nursing Care

Extra shit

Extra shit

OB math

OB math

EFM

EFM

Cultural disparities

Cultural disparities

Complications of Pregnancy Part 1 Hemorrhagic Conditons

ユーザ名非公開 · 27問 · 1年前

Complications of Pregnancy Part 1 Hemorrhagic Conditons

27問 • 1年前

ユーザ名非公開

Complcations of Pregnancy Part 2 Hypertensive Disorders of Pregnancy

ユーザ名非公開 · 35問 · 1年前

Complcations of Pregnancy Part 2 Hypertensive Disorders of Pregnancy

35問 • 1年前

ユーザ名非公開

Complications of pregnancy Part 3 Diabetes

ユーザ名非公開 · 23問 · 1年前

Complications of pregnancy Part 3 Diabetes

23問 • 1年前

ユーザ名非公開

Hereditary & Environmental

ユーザ名非公開 · 70問 · 1年前

Hereditary & Environmental

Infertility

Infertility

Medication rights

Medication rights

Cardiovascular assessment and diagnostics Part 1

ユーザ名非公開 · 44問 · 1年前

Cardiovascular assessment and diagnostics Part 1

44問 • 1年前

ユーザ名非公開

Cardiovascular assessment and diagnostics Part 2

ユーザ名非公開 · 46問 · 1年前

Cardiovascular assessment and diagnostics Part 2

coronary arteries

coronary arteries

ACS part 2

ACS part 2

Shock

Shock

Vascular problems part 1

ユーザ名非公開 · 33問 · 1年前

Vascular problems part 1

33問 • 1年前

ユーザ名非公開

Urinary disorders Part 1

ユーザ名非公開 · 66問 · 1年前

Urinary disorders Part 1

Renal failure part 1

Renal failure part 1

Endocrine Disorders Part 2: Endocrine assessment Part 1

ユーザ名非公開 · 51問 · 1年前

Endocrine Disorders Part 2: Endocrine assessment Part 1

51問 • 1年前

ユーザ名非公開

Endocrine Disorders Part 2: Endocrine assessment Part 2

ユーザ名非公開 · 52問 · 1年前

Endocrine Disorders Part 2: Endocrine assessment Part 2

52問 • 1年前

ユーザ名非公開

Endocrine disorders chart

ユーザ名非公開 · 17問 · 1年前

Endocrine disorders chart

Conversions

Conversions

Care of the school aged child

ユーザ名非公開 · 34問 · 1年前

Care of the school aged child

34問 • 1年前

ユーザ名非公開

Caring for patients with alterations in the genitourinary system

ユーザ名非公開 · 45問 · 1年前

Caring for patients with alterations in the genitourinary system

45問 • 1年前

ユーザ名非公開

問題一覧

The nursing process: AD(O)PIE

assessment, diagnosis/ analysis, outcome identification, planning, implementation, evaluation

collect and analyze subjective and objective data about the patients health problem

Assessment

state the health problem

diagnosis/analysis (nursing diagnosis)

identify expected outcomes

outcome identification

writing a plan that includes the nursing interventions designed to achieve expected out comes (with a time that we can evaluate)

(care) planning

putting the care plan into action, document the actions taken and their results

implementation

examine the results achieved review and revise the care plan as needed

evaluation

clinical judgment

recognize cues, analyze cues, prioritize hypothesis, generate solutions, take action, evaluate out comes

the equivalent of assessment (from nursing process) in the clinical judgement model

recognize cues

the equivalent of diagnosis/analysis (nursing process) in the clinical judgement model

analyze cues

the equivalent of outcome identification (nursing process) in the clinical judgement model

prioritize hypothesis

the equivalent of planning (nursing process) in the clinical judgement model

generate solutions

the equivalent of implementation (nursing process) in the clinical judgement model

take action

the equivalent of evaluation (nursing process) in the clinical judgement model

evaluate outcomes

identify relevant and important information from different sources. What is relevant? what information is most important? what is of immediate concern?

recognizing cues

Analyze cues

Evaluating and ranking hypotheses according to priority (urgency, likelihood, risk, difficulty, time etc. Which explanations are most likely? Which possible explanations are the most serious?

Prioritize Hypothesis

Generate solutions

Take action

Comparing observed outcomes against expected out comes. What’s signs point to improving/declining/unchanged status? Were interventions effective? Would other interventions have been more effective?

Evaluate Outcomes

3 components of developing your nursing diagnosis

Use assessment data to develop a problem list, Then prioritize the problems, Then develop the working nursing diagnosis

How many parts does the actual nursing diagnoses have? and what are they?

3, Problem, Related (R/T), As evidenced by (AEB)

How many parts does the risk nursing diagnoses have? What are they?

2 (starts with risk for…), Problem, Related to

How many parts does the wellness diagnoses have? What are they?

1 (readiness for…), statement of ability to transition to a higher level of wellness

ABCs

Airways, Breathing, Circulation

Life threatening, immediate attention, patient priority?

High priority

Unhealthy consequences, but unlikely to threaten life?

Medium priority

Resolve easily with minimal intervention, little dysfunction potential

Low priority

Don’t state a need instead of a problem. WHich statement is correct?

Deficient fluid volume R/T fever.

Don’t reverse two parts of the statement. Which statement is correct?

Noncompliance with diabetic diet R/T lack of understanding.

Don’t identify an untreatable condition instead if the problem it indicates (which can be treated). Which statement is correct?

Social isolation R/T inability to speak AEB laryngectomy.

Don’t write a legally inadvisable statement. Which statement is correct?

Impaired skin integrity R/T immobility

Don’t identify as unhealthful, a respond that would be inappropriate. Which statement is correct?

Ineffective therapeutic regimen management R/T anger over terminal illness.

Don’t make a statement where both parts say the same thing in different words. Which statement is correct?

Acute pain R/T post op abdominal dissension.

Don’t identify a nursing problem instead of a patient problem. Which statement is correct?

Ineffective airway clearance R/T thick tracheal secretions.

Writing expected outcome statements. Using SMART.

Specific, Measurable, Appropriate, Realistic, Timely

Below are the parts of the hierarchy of evidence select them from weakest to strongest:

Expert opinion, Case reports, Cohort studies, Randomized controlled trials, Systematic reviews

randomized controlled trials brought together and analyzed included in systematic reviews

met analysis

PICOT is used for evaluating evidence what is it?

population, intervention, comparison, outcome, time

Quality and safety education for nurses

QSEN

P of picot

population

I of picot

intervention

c picot

comparison

o of picot

outcome

t of picot

time

S of smart

specific

m of smart

measurable

r of smart

realistic

t of smart

timely

a smart

appropriate