what is the nursing process?
a systematic process of thinking used to delivering patient centred care
- organizing framework used by nurses
- guides nurses in making clinical judgement/decisions
what does the ISoN nursing process use?
the clinical reasoning cycle (CRC) - its guided by evidence based practice
incorporates SBN and uses interprofessional communication
what are 8 steps of CRC?
consider patient situation
collect cues/info
process info
identify problems/issues
establish goals
take action
evaluate outcomes
reflect on process + new learning
what are 3 competencies that facilitate a nurse's clinical reasoning skills?
knowledge
skills: observation, health assessment
attitudes: curiosity, engaged in learning, self-awareness
what are the 7 steps evidence based practice?
0 - cultivating curiosity
1 - asking answerable questions
2 - searching evidence
3 - appraising the evidence
4 - integrating evidence into practice
5 - evaluating practice change
6 - disseminating results of evaluation
what are the 4 steps in the spiralling process in SBN?
exploring: uncovering info, uncovering strengths
zeroing in: concerns are prioritized, goals set
working out: explore ways of dealing, make a plan
reviewing: follow up
what are the 4 steps of the inter professional communication?
assessment
nursing analysis
interventions
outcomes + follow up
explain the assessment phase
gathering info (objective + subjective)
establishing understanding of client situation
curiosity - discovery
considering pt context + life experiences
explain the nursing analysis phase
include identified health problem
include evidence/contributing factors linked to problem
include problem may be related to ...
identify goals related to health concern
explain the intervention phase
establishing care + clinical follow up
descriptions of interventions (health promotion, prevention, rehab)
interventions implemented
explain the outcomes + follow up phase
description of how pt responded to interventions
were they effective
what follow up is required