Nursing Fundamental
Nursing Process Steps
1. Assessing
2. Diagnosing
3. Planning
4. Implementing
5. Evaluating
Assessing Steps
1. Initial Assessment (Admission assessment)
2. Problem-Focused Assessment (Pain)
3. Shift Assessment
4. Emergency Assessment (Shortness of Breath)
5. Time-Lapsed Reassessment (Home Health)
What is Nursing?
1. Caring
2. Art
3. Science
4. Client Centered
5. Holistic
6. Adaptive
7. Helping Profession
Nursing Concerns
1. Health Promotion
2. Health Maintenance
3. Health Restoration
Roles and Functions of the Nurse
1. Caregiver
2. Communicator
3. Teacher
4. Client Advocate
5. Counselor
6. Change Agent
7. Leader
8. Manager
9. Case Manager
10. Research Consumer
,Classification of Nurses
Stage I: Novice
Stage II: Advanced Beginner
Stage III: Competent
Stage IV: Proficient
Stage V: Expert
Quality and Safety Education for Nurses (QSEN)
Framework provides quality, safe, and patient-centered care.
Evidence-based care & teamwork from all members of the healthcare team.
Informatics are integrated into various ways to provide care.
QSEN Components
1. Knowledge
2. Skills
3. Attitude
= Competence
6 competencies of QSEN
1. Quality Improvement (QI)
2. Teamwork and Collaboration (TC)
3. Client-Centered Care (PCC)
4. Informatics (I)
5. Evidence-Based Practice (EBP)
6. Safety (S)
Quality Improvement (QI)
Use data to monitor outcome of care process & use improvement methods to design & test
changes to continuously improve the quality & safety of health care system.
Client-Centered Care (PCC)
Recognizes client as source of control & full partner in providing compassionate & coord.
care based on respect for client's prefs., values, & needs.
Informatics (I)
Found in all areas of client care; some simple & complex.
Evidence-Based Practice (ESP)
Integrating current evidence with clinical expertise & client/family values & prefs.
, Safety (S)
System Safeties: Avoid Workarounds.
Use Barcode Medication Verification (BMV)
Recognize standardization: Equipment & supplies.
Report Error: Open Comms.
Consumer
Individual, group of people, or community that uses a service or commodity.
Patient
Person waiting for an undergoing medical treatment/care.
Client
Person engages advice/services of another qualified to provide this service.
Caregiver
Role that has traditionally included those activities that assist the client physically and
psychologically while preserving the client's dignity.
Communicator
Nurses id. client problems & communicate them with the healthcare team.
Counseling
Helping client to recognize & cope with stressful psychological or social problems, develop
improved interpersonal relationships, & promote personal growth.
Change Agent
Assist clients to make modifications in behavior.
Manager
Delegates nursing activities to ancillary workers & other nurses; supervises & evaluates their
performance.
Case Manager
works with primary or staff nurses to oversee the care of a specific caseload.
Governance
Nursing Process Steps
1. Assessing
2. Diagnosing
3. Planning
4. Implementing
5. Evaluating
Assessing Steps
1. Initial Assessment (Admission assessment)
2. Problem-Focused Assessment (Pain)
3. Shift Assessment
4. Emergency Assessment (Shortness of Breath)
5. Time-Lapsed Reassessment (Home Health)
What is Nursing?
1. Caring
2. Art
3. Science
4. Client Centered
5. Holistic
6. Adaptive
7. Helping Profession
Nursing Concerns
1. Health Promotion
2. Health Maintenance
3. Health Restoration
Roles and Functions of the Nurse
1. Caregiver
2. Communicator
3. Teacher
4. Client Advocate
5. Counselor
6. Change Agent
7. Leader
8. Manager
9. Case Manager
10. Research Consumer
,Classification of Nurses
Stage I: Novice
Stage II: Advanced Beginner
Stage III: Competent
Stage IV: Proficient
Stage V: Expert
Quality and Safety Education for Nurses (QSEN)
Framework provides quality, safe, and patient-centered care.
Evidence-based care & teamwork from all members of the healthcare team.
Informatics are integrated into various ways to provide care.
QSEN Components
1. Knowledge
2. Skills
3. Attitude
= Competence
6 competencies of QSEN
1. Quality Improvement (QI)
2. Teamwork and Collaboration (TC)
3. Client-Centered Care (PCC)
4. Informatics (I)
5. Evidence-Based Practice (EBP)
6. Safety (S)
Quality Improvement (QI)
Use data to monitor outcome of care process & use improvement methods to design & test
changes to continuously improve the quality & safety of health care system.
Client-Centered Care (PCC)
Recognizes client as source of control & full partner in providing compassionate & coord.
care based on respect for client's prefs., values, & needs.
Informatics (I)
Found in all areas of client care; some simple & complex.
Evidence-Based Practice (ESP)
Integrating current evidence with clinical expertise & client/family values & prefs.
, Safety (S)
System Safeties: Avoid Workarounds.
Use Barcode Medication Verification (BMV)
Recognize standardization: Equipment & supplies.
Report Error: Open Comms.
Consumer
Individual, group of people, or community that uses a service or commodity.
Patient
Person waiting for an undergoing medical treatment/care.
Client
Person engages advice/services of another qualified to provide this service.
Caregiver
Role that has traditionally included those activities that assist the client physically and
psychologically while preserving the client's dignity.
Communicator
Nurses id. client problems & communicate them with the healthcare team.
Counseling
Helping client to recognize & cope with stressful psychological or social problems, develop
improved interpersonal relationships, & promote personal growth.
Change Agent
Assist clients to make modifications in behavior.
Manager
Delegates nursing activities to ancillary workers & other nurses; supervises & evaluates their
performance.
Case Manager
works with primary or staff nurses to oversee the care of a specific caseload.
Governance
