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Applying Nursing Process A Tool for Critical Thinking,9780781753784

Applying Nursing Process A Tool for Critical Thinking

by
Edition:
6th
ISBN13:

9780781753784

ISBN10:
0781753783
Format:
Paperback
Pub. Date:
2/1/2005
Publisher(s):
LIPPINCOTT WILLIAMS & WILKINS
List Price: $49.01

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Summary

Rosalinda Alfaro-LeFevre's Sigma Theta Tau Best Pick and AJN Book of the Year award-winning text is now in its Sixth Edition, with a new focus on using the nursing process as a tool for critical thinking. The greatly expanded critical thinking content equips nurses with crucial decision-making skills and reflects current ANA standards. This edition presents evidence-based Critical Thinking Indicators(TM)--behaviors that promote critical thinking--for each phase of the nursing process, plus tools to help nurses prioritize their approach at each phase. Other new features include expanded coverage of delegation, collaborative practice, and documentation, and key regulations for error prevention. A new design helps readers focus on what's most important.

Table of Contents

Nursing Process Overview
2(40)
What Is the Nursing Process and Why Learn About It?
4(2)
What Is it?
4(1)
Nursing Process Characteristics That Promote Critical Thinking
4(1)
Why Learn About It?
5(1)
Steps of the Nursing Process
6(1)
Relationships Among the Steps of the Nursing Process
7(4)
Assessment and Diagnosis
8(1)
Diagnosis and Planning
8(1)
Planning and Implementation
9(1)
Implementation and Evaluation
10(1)
Evaluation and the Other Steps in the Nursing Process
10(1)
What Are the Benefits of Using the Nursing Process?
11(1)
Nursing Process in Context of Today's Changing World
12(12)
Today's Health Care Reality
14(10)
Patient Safety Is Top Priority
24(1)
Ethics: Advocating for Patients' Rights
25(2)
Seven Ethical Principles
26(1)
Including Patient Partners While Following HIPAA Rules
27(3)
Critical Thinking Exercise I: Using the Nursing Process in a Changing World
28(2)
What's the Difference Between Nursing Process and Critical Thinking?
30(4)
How to Become a Critical Thinker
30(1)
Critical Thinking: Get the Picture?
31(3)
Willingness and Ability to Care
34(7)
Willingness to Care
35(1)
Being Able to Care
35(1)
Understanding Ourselves
35(1)
Understanding Others
36(3)
Critical Thinking Exercise II: Critical Thinking and Willingness and Ability to Care
39(2)
Summary
41(1)
Assessment
42(46)
Assessment: The First Step to Determining Health Status
45(2)
Characteristics of an Assessment That Promotes Critical Thinking
45(1)
Six Activities of Assessment
45(2)
Collecting Data
47(3)
What Resources Do You Use?
48(1)
How to Ensure Comprehensive Data Collection
48(1)
Data Base (Start of Care) Versus Focus Assessment
49(1)
Data Base (Start of Care) Assessment
49(1)
Focus Assessment
49(1)
Health Promotion: Screening for Prevention and Early Diagnosis
50(1)
Helping Patients Make Informed, Joint Decisions
51(1)
The Nursing Interview and Physical Assessment
51(2)
Ethical, Cultural, and Spiritual Concerns
52(1)
The Nursing Interview
53(1)
Guidelines: Promoting a Caring Interview
53(5)
How to Establish Rapport
53(1)
How to Listen
54(1)
How to Ask Questions
55(1)
How to Observe
55(2)
How to Terminate the Interview and Assessment
57(1)
Physical Assessment
58(4)
Guidelines: Performing a Physical Assessment
58(2)
Checking Diagnostic Studies
60(1)
Critical Thinking Exercise III: The Nursing Interview and Physical Assessment
60(2)
Identifying Subjective and Objective Data
62(1)
Identifying Cues and Making Inferences
63(1)
Validating (Verifying) Data
64(2)
Guidelines: Validating (Verifying) Data
65(1)
Critical Thinking Exercise IV: Subjective and Objective Data; Cues and Inferences; Validating Data
65(1)
Organizing (Clustering) Data
66(6)
Clustering Data According to Purpose
67(2)
Critical Thinking Exercise V: Organizing (Clustering) Data
69(3)
Identifying Patterns/Testing First Impressions
72(1)
Reporting and Recording
73(1)
Deciding What to Report
73(1)
Deciding What's Abnormal
74(1)
Guidelines: Reporting Significant Findings
74(2)
General Guidelines
74(2)
Guidelines for Phone Reports
76(1)
Deciding What to Record
76(1)
Guidelines: Recording the Nursing Data Base
77(3)
Critical Thinking Exercise VI: Recognizing Abnormal Data; Deciding What's Relevant
79(1)
Summary
80(8)
Diagnosis
88(62)
From Assessment to Diagnosis: A Pivotal Point
91(1)
New ANA Standard Related to Diagnosis
92(1)
Nurses' Growing Responsibilities as Diagnosticians
93(1)
Diagnose and Treat (DT) Versus Predict, Prevent, Manage, and Promote (PPMP)
94(1)
Multidisciplinary Practice
95(1)
Disease Management
95(1)
Point-of-Care Testing
95(1)
Critical Pathways (Clinical Pathways, CareMaps™)
96(1)
Advantages of Critical Paths
96(1)
Disadvantages of Critical Paths
96(1)
Informatics and Computer-Assisted Diagnosis
96(1)
Using Standard or Recognized Terminologies
97(4)
Changing Thinking About What Terms to Use
99(1)
How to Use Standard Languages
100(1)
Computer-Assisted Diagnosis
101(1)
Benefits of Computer-Assisted Diagnosis
102(1)
Limitations of Computer-Assisted Diagnosis
102(1)
Becoming a Competent Diagnostician
102(1)
Key Terms Related to Diagnosis
103(8)
Recognizing Risk Factors: The Key to Proactive Approaches
111(1)
Critical Thinking Indicators (CTIs) Related to Diagnosis
111(5)
Critical Thinking Exercise VII: Nurses' Responsibilities as Diagnosticians; Key Terms Related to Diagnosis; Differentiating Between Nursing Diagnoses and Other Problems
113(3)
Learning How to Make Definitive Diagnoses
116(1)
Fundamental Principles and Rules of Diagnostic Reasoning
117(3)
Becoming a Competent Diagnostician: Old Versus Current Thinking
120(4)
Patients as Partners in Diagnosis
124(1)
Clarifying Causes and Contributing (Risk) Factors
124(2)
Avoiding Diagnostic Errors
126(1)
Identifying Nursing Diagnoses
127(2)
Guidelines: Identifying Nursing Diagnoses
129(2)
Mapping Diagnoses
131(1)
Using the PES (or PRS) Method for Stating Nursing Diagnoses
132(1)
Guidelines: Avoiding Errors When Writing Diagnostic Statements
133(7)
Critical Thinking Exercise VIII: Recognizing, Mapping, and Stating Nursing Diagnoses
135(5)
Identifying Potential Complications
140(1)
Guidelines: Identifying Potential Complications
141(1)
Identifying Problems Requiring Multidisciplinary Approaches
142(3)
Critical Thinking Exercise IX: Predicting Potential Complications/Identifying Problems Requiring a Multidisciplinary Approach, Pulling It All Together
143(2)
Summary
145(5)
Planning
150(44)
Four Main Purposes of the Plan of Care
153(1)
Initial Versus Ongoing Planning
153(1)
Applying Standards
154(1)
Pain Management, Patient Safety, and Error-Prevention Standards
154(1)
Computers and Standard Plans
155(1)
Attending to Urgent Priorities
155(1)
Clarifying Expected Outcomes (Results)
156(4)
Outcomes Versus Indicators
157(3)
Principles of Patient-Centered Outcomes
160(2)
Guidelines: Determining Patient-Centered Outcomes
162(1)
Relationship of Outcomes to Accountability
163(1)
Clinical, Functional, and Quality of Life Outcomes
163(1)
Discharge Outcomes and Discharge Planning
164(1)
Case Management
164(2)
Deciding Which Problems Must Be Recorded
166(4)
Critical Thinking Exercise X: Applying Standards, Setting Priorities, and Clarifying Expected Outcomes
168(2)
Determining Nursing Interventions
170(1)
Assessment---Monitoring Health Status
171(1)
Teaching---The Key to Empowerment
171(1)
Guidelines: Planning Teaching
172(1)
Counseling---Helping People Make Informed Choices
172(2)
Consulting and Referring---The Cornerstone of Multidisciplinary Approaches
174(1)
Individualizing Interventions
174(1)
Evidence-Based Practice: Weigh Risks and Benefits; Be Proactive
175(1)
Guidelines: Individualizing Nursing Orders
176(2)
Making Sure the Plan Is Adequately Recorded
178(1)
Guidelines: Computerized Charting
178(2)
Multidisciplinary Plans
180(4)
Critical Thinking Exercise XI: Determining Interventions and Making Sure the Plan Is Adequately Recorded
181(3)
Summary
184(10)
Implementation
194(32)
Implementation: Putting the Plan Into Action
197(1)
Critical Thinking Indicators (CTIs) Related to Implementation
198(1)
Preparing for Report and Getting Report
198(1)
Preparing for Report
198(1)
Getting Report
198(1)
Setting Daily Priorities
199(1)
Strategies: Prioritizing Care for Several Patients
199(1)
Delegating Care, Not Accountability
200(3)
Coordinating Care
203(1)
Monitoring Responses: Assessing and Reassessing
204(1)
Performing Nursing Interventions
204(1)
Be Proactive---Promote Safety, Comfort, and Efficiency
205(1)
Implementation and Evidence-Based Practice
205(1)
Guidelines: Preparing to Act
205(1)
Thinking Critically: What to Do If Things Go Wrong
206(1)
Case Management: Critical Paths and Care Variances
207(1)
Ethical/Legal Concerns
208(1)
Critical Thinking Exercise XII: Delegating, Case Management, Critical Paths, and Care Variances
209(1)
Charting
209(3)
Five Purposes of Charting
210(1)
Different Ways of Charting
210(1)
Principles of Effective Charting
211(1)
Avoiding Dumping Syndrome With Computerized Charting
211(1)
Learning to Chart Effectively
212(1)
Guidelines: Charting During Implementation
212(3)
Memory-Jogs Used for Charting
213(1)
Critical Thinking Exercise XIII: Principles of Effective Charting
214(1)
Giving Change-of-Shift Report
215(1)
Guidelines: Giving Change-of-Shift Report
215(1)
Keeping the Plan Up to Date and Evaluating Your Day
216(2)
Summary
218(8)
Evaluation
226(15)
Critical Evaluation: Excellence in Health Care Delivery
228(1)
Evaluation and the Other Steps in the Nursing Process
228(1)
Evaluation an Individual Plan of Care
229(1)
Guidelines: Determining Outcome Achievement
229(1)
Identifying Variables (Factors) Affecting Outcome Achievement
229(1)
Deciding Whether to Discharge the Patient
230(2)
Critical Thinking Exercise XIV: Determining Outcome Achievement, Identifying Variables Affecting Achievement, and Deciding Whether to Discharge the Patient
231(1)
Quality Improvement (QI)
232(7)
Agency for Healthcare Research and Quality (AHRQ)
233(1)
Consumer Satisfaction: Maximizing Value
234(1)
Health Care Systems: Constantly Interacting and Affecting Outcomes
234(1)
Three Types of Evaluation: Outcome, Process, and Structure
235(1)
Staff Nurses' Role
236(1)
Preventing Mistakes and Infection Transmission
236(2)
Critical Thinking Exercise XV: Quality Improvement
238(1)
Summary
239(2)
Bibliography 241(8)
Quick Reference To Nursing Diagnoses 249(28)
Example Responses to Critical Thinking Exercises 277(8)
Appendix A American Nurses Association (ANA) Standards of Practice and Professional Performance Related to Registered Nurses 285(2)
Appendix B Dead On!! A Game to Promote Critical Thinking 287(2)
Appendix C Commonly Used NANDA Diagnoses Organized According to Gordon's Functional Health Patterns 289(2)
Appendix D Examples of NIC Interventions and NOC Outcomes 291(6)
Glossary 297(4)
Index 301


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