self-care deficit theory (dorothea orem)
pts do better with independence over self-care
attributes:
- self-care: purposeful action performed in sequence w/ a pattern
learner assessment
assessment of pts individual needs
attributes:
- education level
- literacy level
- social support
- resources
- developmental level
- culture
pedagogy vs. andragogy
pedagogy: children reliant on educator
andragogy: adults learn for their benefit
does the nurse meet the pts lower-level or high-level needs first?
lower-level because of maslows hierarchy of needs
communication can _____ pt outcomes
improve
,what can effect communication?
relationships, relational roles, power & status
communication competence
communication by nurse is effective & appropriate
attributes:
- skills for communicating clearly & accurately
- evolves w/ experience & professional development
electronic health record (EHR)
legal document w/ evidence of providers actions
attributes:
- accurate & timely documentation in pt record
- important source of info
- major means of communication between members
- improve quality of pt care
- decrease costs
- improve data accuracy
quality
health care services increase likelihood of desired health
outcomes & consistent w/ current knowledge
HCAHPS
Hospital Consumer Assessment of Healthcare Providers and
Systems
, attributes:
- measures pts experience
- typed of quality assessment
who accredits hospital & other health care facilities based on
safety performance, policy, procedures, practices & outcomes?
TCJ
NPSG
1. ID pts correctly
2. improve staff communication
3. use meds safely
4. use alarms safely
5. prevent infection
6. ID pt safety risks
7. improve healthcare equity
8. prevent mistakes in surgery
four key principles of quality improvement (QI)
1. understand systems & processes
2. focus on pts
3. build teams
4. use data to drive decision making
purposes of medical record
communication, reimbursement, research, legal documentation,
education, auditing/monitoring
EHR vs. EMR