Nursing Process Workbook Part a
Nursing process
The core for nurses to provide holistic and patient orientated care
Assessment
Assessment includes not only physiological data, but also psychological, sociocultural, spiritual, economic, and life-style factors as well
Holistic health
Evidence-based practice
Practice that is delivered which incorporates the most up to date research and information to provide appropriate care
Critical thinking
An essential nursing skill that is involved in practice. This includes purposeful thinking with use of cognitive reasoning.
Critical reasoning
Reflective practice
Being about to draw back onto thoughts, feelings and processes in regards to practice and being able to critically comment on performance whilst keeping in mind expectations.
Subjective data
Data that is opinion and feeling based which is often hard to determine the intensity.
Objective data
Data that is collected through controlled processes and produce a result that can be easily record and analysed
Clinical application:
> subjective data:
- has a cold
- felt unwell
- shortness of breath
- doesn't smoke
> objective data
- vital signs
- shivering
HEALTH INTERVIEW
> open ended questions:
When you want to acquire a more detailed answer from the patient where it falls unto the direction for follow up questions
> close ended questions: when asking only very direct and specific questions
15y/o girl
> how to provide a clear explanation prior to undertaking health assessment interview
- buy clearly stating why you are doing the interview and what it is for and briefly what its components are made up of.
factors that may affect the health assessment interview: tone posture speed SAMPLE
- Does the abdominal pain feel stabbing, burning, throbbing, stinging? etc
- Are you allergic to anything?
- Are you currently on any medication?
- Have you been admitted to hospital for anything before?
- When did you last go to the bathroom?
- What were you doing
The core for nurses to provide holistic and patient orientated care
Assessment
Assessment includes not only physiological data, but also psychological, sociocultural, spiritual, economic, and life-style factors as well
Holistic health
Evidence-based practice
Practice that is delivered which incorporates the most up to date research and information to provide appropriate care
Critical thinking
An essential nursing skill that is involved in practice. This includes purposeful thinking with use of cognitive reasoning.
Critical reasoning
Reflective practice
Being about to draw back onto thoughts, feelings and processes in regards to practice and being able to critically comment on performance whilst keeping in mind expectations.
Subjective data
Data that is opinion and feeling based which is often hard to determine the intensity.
Objective data
Data that is collected through controlled processes and produce a result that can be easily record and analysed
Clinical application:
> subjective data:
- has a cold
- felt unwell
- shortness of breath
- doesn't smoke
> objective data
- vital signs
- shivering
HEALTH INTERVIEW
> open ended questions:
When you want to acquire a more detailed answer from the patient where it falls unto the direction for follow up questions
> close ended questions: when asking only very direct and specific questions
15y/o girl
> how to provide a clear explanation prior to undertaking health assessment interview
- buy clearly stating why you are doing the interview and what it is for and briefly what its components are made up of.
factors that may affect the health assessment interview: tone posture speed SAMPLE
- Does the abdominal pain feel stabbing, burning, throbbing, stinging? etc
- Are you allergic to anything?
- Are you currently on any medication?
- Have you been admitted to hospital for anything before?
- When did you last go to the bathroom?
- What were you doing