NUR 380- Exam 2 Prep: Critical Thinking,
Documentation, etc.
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Terms in this set (62)
Process to sift through information to find what is
relevant and decide on care using EVIDENCE-
based practice.
Critical thinking
Used in the nursing process and developing a care
plan
Uses critical thinking and decision making when
Clinical Reasoning caring for a client. Think about a situation as it is
happening and apply nursing principles.
use information and technology to
1) communicate
2) manage knowledge
Informatics 3) mitigate errors
4) support decision making
Example: MAR
What is our CSP ATI
computer assisted
instruction?
What does HIPAA stand Health Insurance Portability and Accountability Act
for?
, Computer-assisted instruction (CAI) is an interactive
instructional technique whereby a computer is used
to present the instructional material and monitor the
Computer assisted learning that takes place. CAI uses a combination of
instruction text, graphics, sound and video in enhancing the
learning process.
Example: ATI for our nursing program.
Computerized Provider Order Entry
CPOE
For medication orders, lab services, imaging studies,
and other services.
An independent, non-profit organization that
evaluates and accredits healthcare organizations
The Joint Commission Provides up-to-date guidance about acceptable
medical abbreviations and symbols. You can go to
The Joint Commission's Fact Sheets database and
search for the Do Not Use List.
Interpretation
Analysis
Inference
Evaluation
Critical thinking skills
Explanation
Self-Regulation
IAIEES
, An Apple PIE!
Assessment (and data collection)- collecting
information about a client's present health status to
identify NEEDS; differentiating between relevant
data not just everything said by patient.
ORGANIZING data, categorizing, and finally
reaching a conclusion/DIAGNOSIS. The nurse must
VALIDATE data as well.
Analysis- Interpreting or monitoring the collected
data. Reaching nursing judgment. Detect inferences,
identify clusters and cues, but avoid making snap
judgments. recognizing the actual problem or risk.
AAPIE
Planning- establishing PRIORITIES and optimal
outcomes of care. Selecting nursing interventions in
the plan of care to promote, maintain, or restore
health. determining the appropriate strategies and
interventions for inclusion in plan, will you need a
teaching plan?
Implementation- Providing that care. using your
knowledge base, skills, teaching strategies. TESTING
your theories. communicating well.
Evaluation- examining client's response. determine
accuracy of theories used. determine understanding
of teaching.
A conclusion reached on the basis of evidence and
Inferences reasoning. Determining the RELATIONSHIP
between data
Documentation, etc.
Save
Terms in this set (62)
Process to sift through information to find what is
relevant and decide on care using EVIDENCE-
based practice.
Critical thinking
Used in the nursing process and developing a care
plan
Uses critical thinking and decision making when
Clinical Reasoning caring for a client. Think about a situation as it is
happening and apply nursing principles.
use information and technology to
1) communicate
2) manage knowledge
Informatics 3) mitigate errors
4) support decision making
Example: MAR
What is our CSP ATI
computer assisted
instruction?
What does HIPAA stand Health Insurance Portability and Accountability Act
for?
, Computer-assisted instruction (CAI) is an interactive
instructional technique whereby a computer is used
to present the instructional material and monitor the
Computer assisted learning that takes place. CAI uses a combination of
instruction text, graphics, sound and video in enhancing the
learning process.
Example: ATI for our nursing program.
Computerized Provider Order Entry
CPOE
For medication orders, lab services, imaging studies,
and other services.
An independent, non-profit organization that
evaluates and accredits healthcare organizations
The Joint Commission Provides up-to-date guidance about acceptable
medical abbreviations and symbols. You can go to
The Joint Commission's Fact Sheets database and
search for the Do Not Use List.
Interpretation
Analysis
Inference
Evaluation
Critical thinking skills
Explanation
Self-Regulation
IAIEES
, An Apple PIE!
Assessment (and data collection)- collecting
information about a client's present health status to
identify NEEDS; differentiating between relevant
data not just everything said by patient.
ORGANIZING data, categorizing, and finally
reaching a conclusion/DIAGNOSIS. The nurse must
VALIDATE data as well.
Analysis- Interpreting or monitoring the collected
data. Reaching nursing judgment. Detect inferences,
identify clusters and cues, but avoid making snap
judgments. recognizing the actual problem or risk.
AAPIE
Planning- establishing PRIORITIES and optimal
outcomes of care. Selecting nursing interventions in
the plan of care to promote, maintain, or restore
health. determining the appropriate strategies and
interventions for inclusion in plan, will you need a
teaching plan?
Implementation- Providing that care. using your
knowledge base, skills, teaching strategies. TESTING
your theories. communicating well.
Evaluation- examining client's response. determine
accuracy of theories used. determine understanding
of teaching.
A conclusion reached on the basis of evidence and
Inferences reasoning. Determining the RELATIONSHIP
between data
