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61 Cards in this Set
- Front
- Back
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Patient ______ is an imp indicator of quality of care. Caring facilitates care. Interaction betwn pt and ____ important and contributes to care
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satisfaction
RN |
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Setting specific time to meet one to one with pt during shift encourages pt to be ______ partner
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active
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Caring encourages a ______ approach.
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holistic
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SWANSON's THEORY OF CARING - KNOWING-
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Striving to understand as it has meaning in the life of another
EX: AVOIDING ASSUMPTIONS, ASSESS THOROUGHLY, CENTERING ON THE ONE CARED FOR, SEEKING CUES, ENGAGING THE SELF OR BOTH |
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SWANSON's THEORY OF CARING - BEING WITH
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BEING EMOTIONALLY PRESENT TO THE OTHER
EX: BEING THERE; CONVEYING ABILITY; SHARING FEELINGS; NOT BURDENING |
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SWANSON's THEORY OF CARING- DOING FOR
DOING FOR THE OTHER AS WOULD DO FOR SELF IF POSSIBLE |
EX: COMFORTING; ANTICIPATING; PERFORMING SKILLFULLY; PROTECTING; PRESERVING DIGNITY
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SWANSON's THEORY OF CARING- MAINTAINING BELIEF
FAITH IN THE OTHERS CAPACITY TO GET THRU AN EVENT OR TRANSITION AND FACE WITH MEANING |
EX: BELIEVING IN/HOLDING IN ESTEEM
HOPEFILLED ATTTITUDE REALISTIC OPTIMISM GOING THE DISTANCE |
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NO CULTURAL BIAS WHEN RN_______
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CARING
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ETHIC OF CARE
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CARING AT THE CENTER OF DECISION MAKING
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ETHIC OF CARE- REL between people and a RN CHARCTER and attitude toward _______
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others
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CARING A Product of culture, values, exp, and relationships with others. Can't be _____
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taught
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Providing ______ is a person to person encounter conveying a closeness and sense of caring
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presence
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using ______ when identifying risk factors assoc with falling
using ______ to identify patient centered factors assoc with risk of fall |
compassion
presence |
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RUSH- communicating ________ between RN and pt fam assoc with pt falls
Incorporating pts and fam into the solution in ____ |
effectively
falls |
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OSTERMAN- Presence and Oncology
Compassion trust Maintaining presence is a way to provide support Morning care and _______ |
presence
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CROCKER AND SCHOLES- importance of knowing pt and weaning from mechanical ventilation. Presence contributes to _____ pt. Inexperienced RN more likely to be away or hurried manner. Trust
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knowing
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AONE AMER ASSOC OF NURSE EXEC Core of nursing is knowledge and _____. Care is user based and knowledge is _____ based. Knowledge is synthesized. Rel of care presence- ______ Managing the journey
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caring
access virtual |
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Presence closeness and sense of caring. Being there and ______ with.
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Being
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Being with - eye contact and in _____
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crisis
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Touch is a ______ approach that communicates concern and support. Use with discretion
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comforting
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Listening a critical component of ______ care
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nursing
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Knowing the pt facilitated by continuity of care and clinical _______
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expertise
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Factors that contribute to knowing include time, continuity of care, team work, relationship, and _________
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experience
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not knowing assoc with falls, med _____
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errors
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Watson spiritual caring
mobilizing hope finding an interpretation of illness ______ to pt Assist pt in using soc, emot, or spiritual resources Rel connect us human to human spirt to spirt |
acceptable
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Nurse Caring Behav as Percieved by Fam- Brown
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Being honest
Avocacy Clear explanations Keeping family informed Asking permission before doing to pt Providing comfort Reading from rel texts Providing to and maint privacy Assuring nursing ser will be avail Helping pts do as much for themselves as poss Teach fam how to keep pt phys comf |
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PROVIDING PRESENCE IS A PERSON TO PERSON ENCOUNTER CONVEYING A CLOSENESS AND SENSE OF _-------- BEING PRESENT WITH PTS AT MOMENT OF CRISIS AND NEED
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CARING
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_______ Nightingale studied caring.
In the 1980s, Patricia Benner and Benner with Judith Wrubel offered another definition of caring. |
Florence
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Madeleine Leininger studied caring
from a transc_____ perspective. |
transcultural
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Caring is an essential human ne_____.
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need
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Implications for nursing practice:
Know the patient’s cultural norms for caring practices. Know the patient’s cultural practices regarding end-of-life care. In some cultures, it is considered insensitive to tell the patient that he or she is dy____. |
dying
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Jean Watson’s theory of caring (1988, 1979) TRANSP_____ CARING
Promotes healing and wholeness Rejects the disease orientation to health care Places care before cure Emphasizes the nurse-patient relationship |
TRANSPERSONAL CARING
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A composite of three studies in a perinatal unit
Defines caring as a nur______ way of relating to a valued other, toward whom one feels a personal sense of commitment and responsibility- SWANSON's theory of caring |
nurturing
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Patients value the affective dimension of nursing care.
Pt's pers______ on caring Reassuring presence Recognizing an individual as unique Keeping a close and attentive eye on the situation |
persective
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Ethic of Care Concerned with the relationship between the patient and the nurse and the attitude of each toward the other
Places the nurse as the patient’s advo____ who solves ethical dilemmas by creating a relationship Gives priority to each patient as a unique being |
advocate
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CARING in PRACTICE
Behaviors include being present, providing a caring touch, and listening. Caring is a product of cul____, values, experiences, and relationships with others |
culture
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KNOWING THE PT
Develops over time The core process of clinical dec_____ making Aspects of knowing include: Responses to therapy, routines, and habits Coping resources Physical capacities and endurance |
decision
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Spiritual health is achieved when a person can find a balance between his life val____, goals, and belief symptoms and those of others.
Spirituality offers a sense of interpersonal and transpersonal connectedness. |
values
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CULTURE IS :Culture affects how people value, evaluate, and categorize life exp______.
The members of a cultural group share values and ways of thinking and acting. These values and ways of thinking and acting are different from those of people who are outside the group. |
experiences
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ETHNICITY DEFINED:Members of an ethnic group feel a common sense of identity.
Ethnic identity is based on the lang_____, geographic area, racial characteristics, and values of the group’s heritage. |
language
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CULTURALLY CONGRUENT CARE
Culturally congruent care Fits the person’s valued life patterns and set of meanings Requires specific knowledge, skills, and attitudes in the delivery of care Culturally comp_____ care Is the process of acquiring specific knowledge, skills, and attitudes to provide culturally congruent care |
competent
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CULTURAL CONTEXT In every culture:
Health, illness, and caring have meanings that are unique. Groups interpret and define exp+++++ relevant to birth, illness, and death through a certain context. |
experiences
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CULTURAL HEALINGChinese and Southeast Asians
Herbalist, acupuncturist, fortune teller, Shaman Asian Ind_____ Herbalist, acupuncturist, fortune teller, Shaman American Indians Shaman |
Indians
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CULTURAL ASSESSMENT systematic and comprehensive exam+++++ of the cultural care values, beliefs, and practices of individuals, families, and communities
Gathers information that will enable the nurse to provide culturally competent care |
examination
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Transcultural communication requires:
Linguistic skills Culturally cong+++++ interpretation of behaviors of others Listening Observation skills Impression management facilitates: Culturally congruent communication Intercultural relationships |
congruent
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TYPES OF NURSING ASSESSMENT QUESTIONSTypes of questions and question topics:
Open-ended or focused Contrast Ethno______ Social organization Socioeconomic status Bicultural ecology and health risks Language and communication Caring beliefs and practices |
history
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AIDS TO COMMUNICATION
Language access services All health care organizations are required to offer free language assistance, including bilingual staff or interpreter services to each patient with limited English proficiency. These services must be offered in a ti____ manner at all hours of operation at all points of contact. Patients must be informed, in their preferred language, of their right to receive language assistance services both verbally and in written form. |
timely
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CULTURALLY CONGRUENT CARECultural care preservation or maintenance—Retain and/or preserve relevant care values so patients maintain their well-being, recover from illness, or face handicaps and/or death.
Cultural care accom______ or negotiation—Adapt or negotiate with others for a beneficial or satisfying health outcome. Cultural care repatterning or restructuring—Reorder, change, or greatly modify patients’ lifestyles for a new, different, and beneficial health care pattern. |
accomodation
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AONE GUIDING PRINCIPLES: Core of Nursing is knowledge and caring; Care is user-biased; Knowledge is access-based; Knowledge is synthe_____; Relationships of care presence-virtual; and Managing the Journey.
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synthesized
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Nursing Care theories have common themes. Communication; Mutuality; and appreciating the Uniq____ of individuals; Enabling; Understanding
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uniqueness
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PICO QUESTION CARE AND NURSING: Setting a specific one to one time during shift helps pt be act____ partner in care and understand pt.
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active
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PICO QUESTION CARE AND NURSING: Caring leads to knowing and hol___ approach. Contributes to Nurse/Pt relationship and Pt-centered care
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holistic
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An ethic of care is concerned with relationships between people and with nurse's character and attit____ toward others.
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attitude
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SWANSON: knowing, being with, doing for, enabling, and maintaining be___
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belief
Swanson theory of Caring |
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PROVIDING PRESENCE is a person to ______ encounter conveying closeness and sense of caring. At the moment of crisis or need; eye contact body lang
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person
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TOUCH is a comforting appr____ that reaches out to pts to communicate care and support. Use with discretion. Protective touch (avoiding fall) and caring touch, a form of nonverbal communication
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approach
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LISTENING is a critical component of nursing care and nece_____ for meaning interactions with pts. Listen with openess to pt's story of illness. Active listening leads to knowing.
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necessary
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KNOWING THE PT- One of 5 caring processes of Swan____ FACTORS THAT CONTRIBUTE TO KNOWING: mobilizing hope; finding an interpretation or understanding of illness; assisting pt in using social, emot, or spiritual resources; and recognizing the caring relationships that connect us human to human and spirit to ____
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Swanson
spirt |
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KNOWING includes nurse's understanding of pt and subsequent selection of inter_____
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intervention
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HELPING A NEW MOTHER THROUGH BIRTHING IS CALLED ENAB------
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ENABLING
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RN CARE BEHAVIORS AS PERCEIVED BY FAMILIES; RN FACILITATOR BEING HONEST; ADVOCATING FOR PT'S CARE PREF_______; GIVING CLEAR EXPLANATIONS; KEEPING FAMILY MEMBERS INFORMED; ASKING PERMISSION FOR DOING SOMETHING FOR A PT; PROVIDING COM____ READING; PROVIDING FOR PT PRIVACY; ASSURING PT THAT NURSING SERVICES WILL BE AVAIL___; HELPING PTS DO AS MUCH FOR THEMSELVES AS POSS; AND TEACHING FAM
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PREFERENCES
COMFORT AVAILABLE |
