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Core Concepts in Nursing: Ensuring Patient Safety and Quality Care, Exams of Nursing

Key concepts in nursing practice, including communication, assessment, documentation, critical thinking, and the core competencies of nursing. It delves into the importance of patient-centered care, quality improvement, evidence-based practice, teamwork, and safety. The document also addresses specific safety concerns, such as falls, healthcare-associated infections, medication errors, and home safety. It provides insights into the role of nurses in promoting patient safety and delivering high-quality care. The comprehensive coverage of these core nursing concepts makes this document a valuable resource for nursing students and professionals seeking to enhance their knowledge and skills in providing safe and effective patient care.

Typology: Exams

2023/2024

Available from 07/03/2024

dennistutor
dennistutor 🇺🇸

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Core Concepts 3 Answers 2024
Communication -
-Refers to the exchange of information, feelings, thoughts and ideas
-With other healthcare professionals, family, patients, doctor
Assessment -
-We do continual assessment every time we enter the room
-Assessment is assessment regardless of the age group, however it is different when
you go about doing that assessment
-Assessment of infants and children requires a different assessment approach that
requires extra steps to gain trust and understanding
-Assessment of older adults requires a comprehensive understanding of the factors
aging plays in physical, social, mental, and emotional health
Holistic assessment includes -
-AIDET
-Gain trust/ report
-Complete Health history
-Cultural assessment
-Comprehensive Physical assessment
-Comprehensive psychosocial assessment
Four important things that need to be assessed for each time -
Nutrition, developmental milestones, caregiver issues, well visits (that include
health screens)
Documentation -
Is done all on electronic health records
Critical Thinking -
Always be thinking and examining and questioning
AIDET -
-Acknowledge
-Introduce
-Duration
-Explanation
-Thank you
Patient and Safety Education for Nurses -
-Knowledge, Skills, Attitudes (KSAs)
-Better quality of patient care
-Improved safety in healthcare settings
Patient Centered-Care -
-First competency of nursing
-Clients are partners in their care, and thus their perspectives, beliefs, and culture
need to be taken into account during their care
Quality Improvement -
-Second competency of nursing
-Adverse events must be monitored and reported so they can be tools for learning in
similar situations in the future and catalysts for improvements in quality and safety
Evidence-Based Practice -
-Third competency of nursing
-Medicine is evolving and changing everyday, and thus current medical findings must
be monitored for possibility of improved care
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Core Concepts 3 Answers 2024

Communication - ✔-Refers to the exchange of information, feelings, thoughts and ideas -With other healthcare professionals, family, patients, doctor Assessment - ✔-We do continual assessment every time we enter the room -Assessment is assessment regardless of the age group, however it is different when you go about doing that assessment -Assessment of infants and children requires a different assessment approach that requires extra steps to gain trust and understanding -Assessment of older adults requires a comprehensive understanding of the factors aging plays in physical, social, mental, and emotional health Holistic assessment includes - ✔-AIDET -Gain trust/ report -Complete Health history -Cultural assessment -Comprehensive Physical assessment -Comprehensive psychosocial assessment Four important things that need to be assessed for each time - ✔Nutrition, developmental milestones, caregiver issues, well visits (that include health screens) Documentation - ✔Is done all on electronic health records Critical Thinking - ✔Always be thinking and examining and questioning AIDET - ✔-Acknowledge -Introduce -Duration -Explanation -Thank you Patient and Safety Education for Nurses - ✔-Knowledge, Skills, Attitudes (KSAs) -Better quality of patient care -Improved safety in healthcare settings Patient Centered-Care - ✔-First competency of nursing -Clients are partners in their care, and thus their perspectives, beliefs, and culture need to be taken into account during their care Quality Improvement - ✔-Second competency of nursing -Adverse events must be monitored and reported so they can be tools for learning in similar situations in the future and catalysts for improvements in quality and safety Evidence-Based Practice - ✔-Third competency of nursing -Medicine is evolving and changing everyday, and thus current medical findings must be monitored for possibility of improved care

Teamwork and Collaboration - ✔-Fourth competency of nursing -Sometimes treatment involves multiple departments and 24-hour care, teamwork across departments and shifts is necessary for optimal care Safety - ✔-Fifth competency of nursing -Activities such as knowledge sharing and error reporting must be taken seriously to help improve safety Informatics - ✔-Sixth competency of nursing -As information technology becomes further integrated into medicine, nurse's input is an essential part of the design process The Joint Commission program - ✔-Panel of healthcare professionals with expertise in patient safety -Safety concerns evaluated -Look for maximum impact and usefulness with minimal cost -See NPSG (National Patient Safety Goals) Prevention of injury - ✔-Major nursing responsibility!! What factors can alter ability of patient to protect him/herself? - ✔-Age -Mobility -Disease processes -Language barriers -Cognitive abilities -Emotional state: (Depression: suicide; anger: harming others or oneself) -Lifestyle and safety awareness: (drug use; unprotected sex) Common Adverse Events - ✔-Falls -Improper use of restraints -Health-care associated infections (HAIs): Acquired in the hospital -Wrong-site surgery: Surgery performed on the wrong client, correct client but wrong body part, or correct client but wrong surgery -Medication errors: Wrong med or dosage -Seizures -Fire Home Safety - ✔-Collaborate with patient, family, Interprofessional team members -Complete nursing history: What is the cognitive level, previous falls, do they need assisted devices -Physical examination -Home hazard appraisal: Asking questions (interview), on oxygen or smoker, pets (tripping over them) -Community in which patient lives: Family members doing drugs -Emergency preparedness (CPR, Basic First Aid Fire Home Safety Plan - ✔-Exit plans -Practice the exit plan -Making sure smoke alarms work -Fire extinguishers