NSG 119 Exam 1 Grid Fall 2022
Week 1 Professionalism
1 Evidence-based practice 1
● Integration of the best current evidence and practices to make
decisions about patient care.
● Consider patient preferences and values.
● Considers one’s own clinical expertise to deliver optimal health care
care.
● To provide safe quality care.
● Patient safety and health initiatives are built on the evidence.
2 Evidence-based practice 1
● Steps of evidence-based practice
● 1. Ask a question. ...
● 2. Find information/evidence to answer the question. ...
● 3. Critically appraise the information/evidence. ...
● 4. Integrate appraised evidence with clinical expertise and patient
preferences. ...
● 5. Evaluate.
3 Communication 3
● SBAR, situation background assessment recommendation
● Formal method, standardizes communication
● TeamStepps- a communication that is designed for safety and quality
4 Ethical and legal 2
● The code of ethics outline standards and expectations of
professionals' behavior (ANA)
● Standards of care
● HIPAA
● ADA
● PPACA
● Autonomy- commitment to include patient in the decision
● Beneficence- taking positive actions to help others
● Nonmaleficence- avoidance of harm and hurt
● Justice- being fair
● Fidelity- agreement to keep promises it also refers to the unwillingness to
abandon patients regardless of the circumstances , even when personal
beliefs may differ i.e. patients that are drug dealers, members of the gay
community, women who receive an abortion or prisoners
● veracity - truth
5 Clinical judgment 1
● Critical thinking, your ability to focus your thinking to get the results you
need in various situations, has been described as knowing how to learn, be
, creative, generate ideas, make decisions, and solve problems.
● Clinical reasoning is using critical thinking to examine and analyze patient
care issues. It involves understanding the medical and nursing implications
of a patient’s situation when making decisions regarding patient care.
● Clinical judgment is demonstrated when a nurse develops the ability to
analyze collected data via critical thinking, apply reasoning to that data
(which reflects clinical reasoning), and make an appropriate decision based
on the context of the specific situation
● NCSBN CJMM 6 step process:
➔ Recognize cues (similar to assessment)
➔ Analyze cues (similar to assessment)
➔ Prioritize hypotheses (similar to Diagnosis)
➔ Generate solutions (Similar to Planning)
➔ Take action (similar to Interventions)
➔ Evaluate outcome (similar to Evaluation)
● Critical thinking - QSEN competencies - SIT PEQ
❖ Patient-centered care
❖ Safety
❖ EBP
❖ Informatics
❖ Teamwork and collaboration
❖ Quality improvement
6 Safety and quality improvement 1
● Quality improvement (QI) programs involve systematic actions that
monitor, assess, and improve health care quality.
● The joint commission - sentinel events
● Quality safety education: knowledge, skills, attitudes
● Models
● PDSA
● FOCUS-PDCA
● DMAIC
7 Delegation 3
● Process of transferring a selected nursing task or activity to a
competent UAP (unlicensed assistive personnel)
● The nurse is always accountable for the task/activity delegated!
● 5 rights of delegation:
● Task
● Circumstance
● Person
● Communication
● Supervision
● Supervision is very important
Week 1 Professionalism
1 Evidence-based practice 1
● Integration of the best current evidence and practices to make
decisions about patient care.
● Consider patient preferences and values.
● Considers one’s own clinical expertise to deliver optimal health care
care.
● To provide safe quality care.
● Patient safety and health initiatives are built on the evidence.
2 Evidence-based practice 1
● Steps of evidence-based practice
● 1. Ask a question. ...
● 2. Find information/evidence to answer the question. ...
● 3. Critically appraise the information/evidence. ...
● 4. Integrate appraised evidence with clinical expertise and patient
preferences. ...
● 5. Evaluate.
3 Communication 3
● SBAR, situation background assessment recommendation
● Formal method, standardizes communication
● TeamStepps- a communication that is designed for safety and quality
4 Ethical and legal 2
● The code of ethics outline standards and expectations of
professionals' behavior (ANA)
● Standards of care
● HIPAA
● ADA
● PPACA
● Autonomy- commitment to include patient in the decision
● Beneficence- taking positive actions to help others
● Nonmaleficence- avoidance of harm and hurt
● Justice- being fair
● Fidelity- agreement to keep promises it also refers to the unwillingness to
abandon patients regardless of the circumstances , even when personal
beliefs may differ i.e. patients that are drug dealers, members of the gay
community, women who receive an abortion or prisoners
● veracity - truth
5 Clinical judgment 1
● Critical thinking, your ability to focus your thinking to get the results you
need in various situations, has been described as knowing how to learn, be
, creative, generate ideas, make decisions, and solve problems.
● Clinical reasoning is using critical thinking to examine and analyze patient
care issues. It involves understanding the medical and nursing implications
of a patient’s situation when making decisions regarding patient care.
● Clinical judgment is demonstrated when a nurse develops the ability to
analyze collected data via critical thinking, apply reasoning to that data
(which reflects clinical reasoning), and make an appropriate decision based
on the context of the specific situation
● NCSBN CJMM 6 step process:
➔ Recognize cues (similar to assessment)
➔ Analyze cues (similar to assessment)
➔ Prioritize hypotheses (similar to Diagnosis)
➔ Generate solutions (Similar to Planning)
➔ Take action (similar to Interventions)
➔ Evaluate outcome (similar to Evaluation)
● Critical thinking - QSEN competencies - SIT PEQ
❖ Patient-centered care
❖ Safety
❖ EBP
❖ Informatics
❖ Teamwork and collaboration
❖ Quality improvement
6 Safety and quality improvement 1
● Quality improvement (QI) programs involve systematic actions that
monitor, assess, and improve health care quality.
● The joint commission - sentinel events
● Quality safety education: knowledge, skills, attitudes
● Models
● PDSA
● FOCUS-PDCA
● DMAIC
7 Delegation 3
● Process of transferring a selected nursing task or activity to a
competent UAP (unlicensed assistive personnel)
● The nurse is always accountable for the task/activity delegated!
● 5 rights of delegation:
● Task
● Circumstance
● Person
● Communication
● Supervision
● Supervision is very important
