0014-ch0001-0002-0019-9781926648705.pdf - CHAPTER 1...

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Introduction to Medical-Surgical Nursing Practice in Canada CHAPTER 1 Written by Donna Goodridge Based on the original chapter by Patricia Graber O’Brien 1. Describe key challenges facing the current Canadian health care system. 2. Situate the practice of professional nursing as a key player on the health care team. 3. Explain the contribution of interprofessional collaboration to high-quality patient outcomes. 4. Describe key attributes of the practice of medical-surgical nursing. 5. Describe the characteristics of evidence-informed practice. 6. Describe the key elements of providing nursing care. 7. Describe the process of preparing and selecting patient outcome statements. 8. Identify the criteria for selecting nursing interventions. 9. Identify the role of evaluation in nursing practice. 10. Describe the importance of documentation to nursing practice and improving patient care. LEARNING OBJECTIVES KEY TERMS advanced nursing practice An advanced level of clinical nursing practice that maximizes the application of graduate-level education, in-depth nursing knowledge, and expertise in meeting needs of individuals, families, groups, communities, and populations, p. 9 adverse event An event that results in unintended harm to the patient and is related to the care and/or services provided to the patient rather than to the patient’s underlying medical condition, p. 4 assessment The collection of subjective and objective information about the patient, p. 10 clinical expertise Ability to use clinical skills and past experience to identify the health states of patients or populations, their risks, their preferences and actions, and the potential benefits of intervention, p. 7 clinical judgement The ways in which nurses come to understand the problems, issues, or concerns of patients; to attend to salient knowledge; and to respond in concerned and involved ways, p. 7 clinical (critical) pathway Includes a nursing care plan, specific interventions for each day of hospitalization, and a documentation tool, p. 15 collaborative problems Potential or actual complications of disease or of treatment that nurses manage together with other health care professionals, p. 13 continuing competence The ongoing ability to integrate and apply the knowledge, skills, judgement, and personal attributes required to practise safely and ethically in a designated role and setting, p. 5 critical thinking The art of analyzing and evaluating thinking with a view to improving it, p. 6 eHealth The use of communication and information technologies in order to support the delivery and integration of clinical care within and across settings, p. 10 evaluation Process of determining if identified outcomes have been met, p. 10 evidence-informed nursing A continuous interactive process involving the explicit, conscientious, and judicious consideration of the best available evidence to provide care, p. 6 expected patient outcomes Goals that articulate what is desired or expected as a result of care, p. 13 implementation

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