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ppt notes

Manda R McIntyre

Running head: PPT NOTES

PPT NOTES

ppt notes

#1 This practicum experience will involve teaching novice-nursing students beginning their first semester of the nursing program. It is at this time that students are introduced to the nursing process and critical thinking skills. According to the American Nurses Association Standard the nursing process is the foundation for critical thinking skills. I chose a nursing educational curriculum to provide a thorough understanding of the nursing process and critical thinking skills and enhance the nursing students to knowledge of critical decision making, problem solving, passing of the HESJ test and the NCLEX-RN examination. The nursing process is a tool used by nurses worldwide to promote quality evidence based practice care.

#3 The nursing process was introduced in 1955 by Hall and Johnson (1959). It is essential core of practice for the nurse to provide holistic, patient-centered care. The Nursing process provides critical thinking competencies that should be taught through out their nursing curriculum. It is a systematic approach to identifying patient’s actual problem or potential problems and assist the nursing students in establishing a plan of care to meet the identified needs. It is a process that can be implemented in all areas of nursing and a framework that nursing students and nurses should use consistently and methodically use throughout their career to enable them to organize data, performance comprehensive nursing assessement and construct a plan of care the is appropriate to meet patient identified needs.,

4. Cont of the introduction

#5 problem objectives

The nursing process and critical thinking is the essential core of practice for nursing students to deliver holistic, patient, patient-centered care. It is important that novice-nursing student learn what the nursing process is and how it will be used throughout their nursing career. According (1998) to Ferguson objectives are statements of desired behaviors, observable, teachable, and learnable that exhibit evidence of learning. The objectives are written to assist the students to focus on what is the important to learn. The students chosen for this program are first year novice nursing students.

#6 Program Agenda

This is an ongoing program that will be taught every Monday from 10.00 am to 11:30am. Their will be two instructor teaching this program, and will have a total of fifteen students each. The class will be held on the first floor, room 128 and 130. At the beginning of class I introduced myself and give a short summary of my nursing experience. Overview of what is expected from the students for them to succeed in learning the nursing process and critical thinking skills. At the end of class time will be allowed for answers and questions and the students given a folder which included the syllabus, handouts ,and how to excess webinars and tutorials.

ICebreakers

An icebreaker exercise will be implemented as a means of showing a caring attitude toward the new nursing students. This is a time when they are afraid and have many mixed emotions. It extremley important for the instructor to demonstrate a behaviors of caring because it make it easier for the student and instructor to form a professional relationship early in the semester . The BINGO game will be used in a non-traditional method. The students will be asked to interview each other to obtain the information and write the name of the individual in the square and when they achieved “BINGO” call it out! Prizes of penlight, pens, bookmarks, and note pads will be handed out. Icebreaker provide the students a chance to interact with each other and begin to build a professional nursing relationship and reduce anxiety. The students will spent 15 minutes talking and interacting with each other to get acquaint, ask and answers the question, and learn of their history and medical experience. Icebreaker will be used in the classroom to make the student feel comfortable and become more engaging.

#8 content teaching strategies

Teaching strategies that will be implemented are to promote active learning process and critical thinking skills in the students. The flipped classroom is one of the method used which provide the student with instruction that is delivered online, and outside of class. Students in a flipped classroom, materials delivery may take a variety of forms such as such video lectures on line or may be provided on a DVD or a jump drive. The “value of a flipped class is in the repurposing of class time into a workshop where students can inquire about lecture content, test their skills in applying knowledge, and interact with one another in hands-on activities. During class sessions, instructors function as coaches or advisors, encouraging students to use their skills.” The another method is the Traditional method in which the primary instructor is teaching the class. The nursing process is a educational tool integrated in nursing schools to assist novice nursing students and nurses to provide best practice care. It offers the nursing students nursing a organizal framework that promote their critical thinking process. It is a process that is flexible and steps are develop upon each other and each phase overlap the previous phase. The importance of the nursing process is that it provide holistic, patient-focused, evidence –based practice care. The five steps of the nursing process start with Assessment, Diagnosis, Planning, Intervention, and end with Evaluation. These steps are taught to assist the the students to explore patients health status, identify problems, interpret results, and develop a collaborative care plan to meet the need of the patients

#9Define nursing process

The nursing process is a educational tool integrated in nursing schools to assist novice nursing students and nurses that work with the high demand of complexes patient. It offers the nursing student a chance to ask questions and research which is the best practice for a patient… The process that is flexible and steps are develop upon each other. Each phase overlap the previous phase. The importance of the nursing process is that it provide holistic, patient-focused, and effective care. The five steps of the nursing process start with Assessment, Diagnosis, Planning, Intervention, and end with Evaluation. These steps are taught to assist the students to explore patients health status, identify problems, interpret results, and develop a collaborative care plan to meet the need of the patients.

#10Teaching Step of nursing process

The nursing process consist of five steps. The acronym ADPIE is use to discuss each steps of the nursing process. Assessment is the collection of data. Nursing Diagnosis specific problem is identify. Planning: when nurses collaborative with patient to set goals. Implementation: phase when intervention are carried out. Evaluation: this phase the patient is assess to the response of the nursing interventions. Nursing process is an excellent tool for novice nursing students, it present a problem-solving approach that enables the student to recognize patient’s problems and potential problems and facilitate a plan of to meet the patient’s need. Nursing process framework is a template for care that connect the dot to the critical thinking process.

The nursing process is a educational tool integrated in nursing schools to assist novice nursing students and nurses to provide best practice care. It offers nursing a organized framework for the critical thinking process. It is a process that is flexible and steps are develop upon each other. Each phase overlap the previous phase. The importance of the nursing process is that it provide holistic, patient-focused, and effective care. The five steps of the nursing process start with Assessment, Diagnosis, Planning, Intervention, and end with Evaluation. These steps are taught to assist the the students to explore patients health status, identify problems, interpret results, and develop a collaborative care plan to meet the need of the patients.

# 11Assessment

#12 blank

#13Assessment

Assessment is the first step of the nursing process. Assessment is a continuous process carried out during each steps of the nursing process. Assessment is the initial phase of the nursing process. There are four steps in collecting information from the patient. The four steps enable the nurse to gather information about the overall health status and establish a plan of care according to the needs identify. Connecting the dots are part of the assessment and critical thinking skills

#14Assessment continue

To collect comprehensive data the nurses use a variety of skills to complete thorough assessment. When the nurse first meet the patient assessment start immediately. The patient is the primary source of information. The data can be subjective or objective data. Subjective date is the verbal statement communicate by the patient. This data is not measurable and obtained verbally from the patient. For example “I have sharp pain in my stomach after I eat.” Objective data is obtain by observation, measureable , and tested. Objective information is obtain by using the senses other diagnostic tests for example an abdominal x-ray.

#15Assessment cont

The assessment is a critical steps of the nursing process and is essential to provide best practice care. The four activities of the assessment phase is collecting data, organizing data, validating data, documenting data. The steps enable the nurse to gather information about the patient and family that can be implemented in diagnosis, planning, goals, and evaluation. SOAP notes are usually related to primary health issues.

S-stand for subjective data and symptoms,

O- objective finding the nurses are using their senses and relevant laboratory data, vital signs, and diagnostic procedures

A- stands for assessment, condition change

P-stands for plan, nursing intervention that deal with the specific problem

P-stand for problem

I-stand for interventions

E-evaluations

PIE notes include nursing progress note, goals and reviewed daily to prevent less redundary

Focus DAR notes

D-data

A-action

R-response

Dar focus notes are used on broader scale. The nurse can focus on the patient’s strengths

#16

Nursing Diagnosis is a tool used by nurse educators, nursing colleges, and health care organization. Nursing diagnosis is not a medical diagnosis, it a problem present during the nursing assessment which is caused by the disease. NANDA enables the nurses to use a common language to describe the patients health relate to illness. A total of 206 nursing diagnosis labels are currently approved by NANDA. Nursing diagnosis is the foundation for establishing a patient’s nursing care plan

#17 Nursing Dx

The nurses use the nursing diagnoses as a way to communicate nursing requirements for patient care to other nurses and medical care team. It is important for the patients to have a have accurate nursing diagnosis to ensure patient receive quality nursing care.

#18 Blank

#19Third step

Third step of the nursing process includes the construction of guidelines that establish the proposed direction of nursing practices in the resolution of nursing diagnoses and the development of the patient’s plan of care. Prior to this step is the collection of assessment data and the development the of nursing diagnoses. A plan of action is formulated with specific goals to resolve the nursing diagnoses or health issues of the patient . S- specific to the patient, M-measurable, A-action oriented, R-realistic, and T- time specific.

#20Blank

#21 Goals

Goals derived from the nursing diagnosis are broad statement about what the patient will be after the nursing interventions has been implemented.

A goal or expected outcome statement describes patient behaviors that would demonstrate a reduction, resolution, or prevention of a particular problem identified in the nursing diagnosis. Short term goals- is an objective behavior or response that expects the patient to achieve in a short period of time, usually less than a week, a few hours or days.

Long-term-goals-Is an objective behavior or response that expects the patient to achieve over a longer period of time, several hours, weeks and or months.

Expected outcomes: is an objective behavior that expects the patient to achieve.

Goals/expected outcomes must be congruent with the response component of the nursing diagnosis statement.

#23Invention/implementation

Nursing intervention are based on the nursing diagnoses and identified goals/expected outcomes. interventions are prioritized according to the order in which they will be implemented. Interventions should be individualized to meet biopsychosocial needs of the patient.

All phases of the nursing process, it is important to include the patient and family or significant others in the process of planning and implementing appropriate nursing actions. Nursing interventions assist patient to maximize her capabilities. Nurse must understand the rational, technique, and possible effects of each intervention action.

Finally the nurse must document care given to patient. “the old saying, “if it is not charted it has not been done”

Accurate and completed documentation of patient care is a legal requirement in all health care settings.

#23Invention/implementation cont

Patients with multifaceted it takes a team of nurses and other health professionals to provide the best quality care. The patient is the most important part of the team, and through a collaborative team based approach, patients can receive the highest quality of care. Independent- nurse initiates intervention and act independently without doctor orders. Dependent- Nurse requires a doctor to implement intervention. Collaborative-requires a multiple team of nurses and health care professional with skills and knowledge. Implementation this phase is the “doing and documenting of the process. Intervention that was identified in the original planning is implemented.

#24 Blank

#25Evaluation

The patient’s role in the nursing process is never more important than in the evaluation process.

The nurse can assess through objective data whether or not the nursing actions were effective.

The patient provides necessary subjective data regarding the effectiveness of the plan of care.

Goals should be sign by RN and indicate whether the goal was resolved, partially resolved, or not resolved at all.

#26

Critical Thinking

Nursing students need for critical thinking in nursing has been accentuated in response to the rapidly changing health care organization. Nurses must think critically to provide effective evidence based practice care whilst coping with the expansion in role associated with the complexities of current health care systems.” According to Simpson & Courtney (2008) It is important that nurse educator assist nursing students in gaining competences in critical thinking skills by using a varies of teaching strategies that include case studies, role play small group discussion and questioning. Critical thinking and the nursing process are connected by the problem solving method.

#27 Learning agreement

The learning agreement is a process used to transfer the responsibility of learning from the instructor to the nursing student (Barrington & Street,2009). This process enables the student to move from passive learning to active learning process. This higher level of thinking enables the nursing students to grow and achieve their career goals. The objectives are clearly stated and by the end of the program the students will be able to define, and implement the nurse process and critical thinking skills.

Missing slide

Accomplishing the outcomes that the novice nursing students gain a understanding of the nursing process and critical thinking skill will provide a solid foundation to provide holistic patient centered care. My goals for the future include becoming a nursing professor at the university I graduate from. As nurse educator I will be able to prepare novice nursing students to face challenges of life –threatening situations. Nursing students will be provide hand on experience that helps to develop personal philosophies and values that will inevitably follow them into their own practice

#28 Professional help

To implement this program required the support of the Dean of the Nursing Department, Program Director current nursing instructors, and mentor. The effects of the program focus will be immediately, seen pass taking the course. The students will be given a questionnaire evaluation upon completing the course. The Dean of the Nursing allowed me to attend faculty meetings to observe the interactions between the different faculty of the department. Meeting new students each semester and welcoming them to the school was highlight of relationship

#29

Nurse educators should provide students with information on available resources to help deal with potential problems. Novice nursing students explore their support systems and begin to formulate a record of available sources to help them to be successful. The school’s web page will be opened and the students were shown how they could access the information needed to contact the different resources for students. Faculty information was provided for each students and office hours.

#30

Fast pace changes in the health care system have put a large demands on nurse educators to educate novice nursing students on the nursing process and critical thinking skills. Nurses must be able to make quit accurate decision in the time of emergency situation. The nursing process will enables nurses to identify health care needs, determine priorities, establish goals, outcomes, implement intervention, and evaluate provide evidence based practice care.