Documente Academic
Documente Profesional
Documente Cultură
KEY POINTS
PATIENT-CENTERED CARE
Health and nursing care are delivered by a variety of models. The nurses role in
most cases is one of interdependence and co-participation with the patient and other
health care team members.
Complex health care environments require that you use critical thinking to make
decisions that lead to the best patient outcomes. These include applying the cognitive
skills of analyzing, applying standards, discriminating, information seeking, logical
reasoning, predicting, and transforming knowledge.
The five elements of the nursing process are assessment, diagnosis, planning,
implementation, and evaluation. Three standardized nursing languages are used to
document the nursing process. Using these languages facilitates professional nursing
practice and provides the nurse with a consistent way to communicate nursing
knowledge.
SAFETY
By implementing various procedures and systems to improve communication and
health care delivery to meet safety goals, health care systems create a culture of safety
that minimizes the risk of harm to the patient.
Nurses are a vital part of promoting this culture of safety by providing care in a
manner that reduces errors and actively promotes patient safety.
QUALITY IMPROVEMENT
The nurses role in quality improvement is to coordinate the complex aspects of
patient care, including the care delivered by others, and identify and correct issues
associated with poor quality and unsafe care.
The National Database of Nursing Quality Indicators provides data on nursing
sensitive- measures. Patient outcomes are nursing sensitive if they improve with a greater
quantity or quality of nursing care.
INFORMATICS
All nurses use informatics every day in practice. Information technology has
changed how you obtain and review diagnostic information, make clinical decisions,
communicate with patients and health care team members, document, and provide care.
As a nurse, you must be able to help patients access and use appropriate health
information and to evaluate information as it relates to your own practice.
EVIDENCE-BASED PRACTICE
Evidence-based practice (EBP) is a problem-solving approach to clinical decision
making that involves the use of the best available evidence in combination with clinician
expertise and patient preferences and values to achieve desired patient outcomes.
EBP is a process that involves finding, examining, and using research conducted
by others in efforts to answer a specific clinical question.