The practice of evidence based nursing means

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judicious use of current best evidence in making decisions about the care of individuals. The practice of evidence-based nursing means integrating individual clinical expertise with the best available external clinical evidence from systematic research
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Chapter 6: Healthy People 2020 (2011) objectives address these primary prevention areas for individuals are presented in Box 6-1: Healthy People 2020. Gordon’s framework, which uses a functional health patterns assessment, provides the foundation for the construction of the NANDA-I nursing diagnosis nomenclature (Boldt et al., 2010; Gordon, 2011). As NANDA-I continues to develop diagnoses for health promotion, Gordon’s framework will most likely continue to provide the foundation for these diagnoses. PATTERN DESCRIPTION Health perception-health management pattern Individual’s perceived health and well-being and how health is managed Nutritional-metabolic pattern Food and fluid consumption relative to metabolic needs and indicators of local nutrient supply Elimination pattern Excretory function (bowel, bladder, and skin) Activity-exercise pattern Exercise, activity, leisure, and recreation Sleep-rest pattern Sleep, rest, and relaxation Cognitive-perceptual pattern Sensory, perceptual, and cognitive patterns Self-perception–self- concept pattern Self-concept pattern and perceptions of self (body comfort, body image, and feeling state); self-conception and self- esteem
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PATTERN DESCRIPTION Roles-relationships pattern Role engagements and relationships Sexuality-reproductive pattern Person’s satisfaction and dissatisfaction with sexuality and reproduction Coping-stress tolerance pattern General coping pattern and effectiveness in stress tolerance Values-beliefs pattern Values, beliefs (including spiritual), or goals that guide choices or decisions Modified from Gordon, M. (2011). Manual of nursing diagnosis (12th ed.). Sudbury, MA: Jones & Bartlett. Pattern focus implies that the nurse explores patterns or sequences of behavior over time. The health perception–health management pattern involves individuals’ health status and health practices used to reach the current level of health or wellness with a focus on perceived health status and meaning of health (Gordon, 2011). When eliciting this information, nurses discover areas for further exploration under other functional health patterns. For example, if the individual reports shortness of breath when mowing the lawn, the nurse stores this information to retrieve later when assessing activity and exercise patterns or cognitive-perceptual patterns Assessment objectives for health perception–health management consist of obtaining data about perceptions, management, and preventive health practices (Gordon, 2011). Exploring values identifies potential health hazards, such as lack of adherance to a prescribed medical or nursing regimen or ability to manage health effectively. In addition to these kinds of assessment cues, nurses identify unrealistic health and illness perceptions and expectations. The Transtheoretical Model (TTM) consists of five stages that can be useful in assessing an individual’s readiness to change (see Chapter 10). These stages—
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