Reference no: EM133250172

Answer the following questions using the Potter, P., Duggleby, W., Stockert, P., Astle, B., Perry, A., & Hall, A. (2019). Canadian

Fundamentals of Nursing (6th ed.). Elsevier. (book)

Question 1. Identify and describe the components/phases of the nursing process as a framework in developing and coordinating client care plans.

Question 2. Collects, assess and analyze data in developing nursing diagnoses guided by evidence-based research and BPG, validated by the client/family and members of the interprofessional team.

Question 3. Recognizes potential client health issues and develop actual and potential nursing diagnoses in collaboration with the client to promote client safety and improve health outcomes.

Question 4. Define clinical reasoning and critical thinking and how these skills apply to the nursing process.

Question 5. Demonstrate knowledge of principles of critical thinking, nursing theories, professional ways of knowing, and critical inquiry in the clinical care decision-making process.

Question 6. Explain the purposes of documentation and the nurses' legal and ethical requirements to ensure client confidentiality and safety. Adhere to practice and organizational policies and standards to report breach of patient privacy and confidentiality.

Question 7. Discuss the client's privacy and confidentiality as it relates to the "Circle of Care" and CNO documentation practice standards

Question 8. compare and contrast different documentation methods: • Source-oriented and problem-oriented medical records • Focus charting (DAR); APIE Model, and Charting by exception. • Electronic health record

Question 9. Compare and contrast documentation required in acute care, long-term care, and home care.

Question 10. Discuss the role of and the key components of a change of shift (SBAR) report in promoting client safety and care continuity.

Question 11. Discuss the purposes of incident reporting and the nursing responsibility in promoting a culture of safety, accountability and quality client care.

Question 12. explore key aspects of team development related to group dynamics and team building, collaboration, and conflict management.

Question 13. Describe the characteristics of effective/ineffective teams.

Question 14. Review and discuss:

• Conflict resolution process among team members.

• Team communication and collaboration

15. Explore the role of effective communication skills in conflict management and resolution strategies to promote and maintain team cohesiveness and optimal client health outcomes.

16. Demonstrates accountability by taking responsibility for own decisions/actions, identifies own practice/knowledge limitations, and collaborates/consults with other members of the team to ensure safe, and ethical client care.

17. Construct a team contract as a basis for effective collaboration/group work.

What is the Nursing Process and 11-Needs Assessment Guide?
* Review your PNUR104 notes and references.

Define Clinical Reasoning.
* What do you think this means?

* What does textbooks state?

Sources of Knowledge:
Knowing the profession
Knowing self
Knowing the case
Knowing the patient
Knowing the person

Variety of Thinking Strategies:
Deductive reasoning
Inductive reasoning
Dialectic reasoning
Divergent thinking
Reflective thinking (reflecting in action; reflecting on action)
Systematic thinking
Creative thinking

What to use as you practice clinical reasoning?
* Reflect on experiences in class, labs, and virtual clinical while gaining knowledge and experience.

Distinguish clinical reasoning from clinical judgment and critical thinking.
* How are these terms similar and related?

Describe role of critical thinking and clinical reasoning in the nursing process.
* Assess yourself.

* On a scale of 0 to 10, with 0 being not developed and 10 being fully developed, how would you rate your:

Critical thinking skills?

Clinical reasoning skills?

Application of the nursing process?

Why did you give yourself that rating? Give examples.

What are the principles of documentation?
Factual
*Review guidelines for quality documentation and reporting.

Accurate
Complete
Current
Organized
Compliant with Standards

9. Methods of Documentation

* Compare and contract different documentation methods:

source-oriented and problem-oriented medical records
Assessment-Problem-Intervention-Evaluation (APIE) model
focus charting (DAR)
computerized documentation
charting by exception
* What are purpose of charting or documentation?

* Give example of a.) Narrative, b.) SOAP (Subjective-Objective-Assessment-Plan), c.) PIE (Problem-Intervention-Evaluation) and d.) Focus Charting DAR (Data-Action-Response) notes.

* What must be included in your charting entries?

*Apply terminology and appropriate abbreviations commonly used for documenting and reporting.

* NOTE

Definitely review and know the abbreviations used in your textbooks, but also always remember to review your specific clinical agency policies, which will provide a list of approved abbreviations for that agency.

Discuss confidentiality, the Circle of Care and principles of effective documentation relating to CNO practice standards.

How to maintain confidentiality of information?
* Review Personal Information Protection and Electronic Documentations Act (PIPEDA).

* As a student, what are you doing in clinical setting to comply with PIPEDA

What does the Transfer of Accountability (TOA) practice guideline involve?

Identify two (2) benefits of TOA.