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Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 1
Contemporary Nursing Practice
Chapter 1 Overview
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 2
Current Nursing Practice
Domain of Nursing Practice
Definitions of NursingNursing’s View of Humanity
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 3
Current Nursing Practice
Scope of Nursing PracticeDelivery of Nursing Care
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 4
Contemporary Nursing Practice
Fig. 1-1. Nurses are frontline professionals of health care.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 5
Influences on Future Nursing Practice
Complex Health Care EnvironmentsExpanding knowledge and technology
Changing populationsCritical thinking and clinical decision making
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 6
Influences on Future Nursing Practice
National Patient Safety Goals
Table 1-1. National Patient Safety Goals*.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 7
Influences on Future Nursing Practice
National Patient Safety Goals, continuedSBAR
Table 1-2. Guidelines for Communicating Using the Sbar.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 8
Influences on Future Nursing Practice
QSEN
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 9
Influences on Future Nursing Practice
Healthy People Initiative
Table 1-3. Healthy People 2020.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 10
Influences on Future Nursing Practice
Evidence-Based Practice
Fig. 1-2. Process of evidence-based practice.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 11
Influences on Future Nursing Practice
Evidence-Based Practice, continued
Table 1-4. Five Steps of Evidence-Based Practice (EBP) Process.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 12
Influences on Future Nursing Practice
Evidence-Based Practice, continuedSteps of EBP process Step 1 Step 2 Step 3 Step 4 Step 5
Implementation of EBP
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 13
Influences on Future Nursing Practice
Fig. 1-2. Process of evidence-based practice.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 14
Influences on Future Nursing Practice
Standardized Nursing Terminologies
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 15
Influences on Future Nursing Practice
Health Care InformaticsNursing informatics
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 16
Nursing Process in Nursing Practice
Phases of the Nursing Process
Independent and Collaborative Nursing Functions
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 17
Nursing Process in Nursing Practice
Fig. 1-3. Nursing process.
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Nursing Process in Nursing Practice
Assessment PhaseData collection
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Nursing Process in Nursing Practice
Diagnosis PhaseData analysis and problem identification
Nursing diagnoses NANDA nursing
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 20
Nursing Process in Nursing Practice
Diagnosis Phase, continuedDiagnostic statements Identifying the problem Etiology Signs and symptoms
Collaborative problems
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 21
Nursing Process in Nursing Practice
Diagnostic Statements Identifying the problem EtiologySigns and symptoms
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 22
Nursing Process in Nursing Practice
Collaborative Diagnostic Statements Identifying the problem EtiologySigns and symptoms
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 23
Nursing Process in Nursing Practice
Planning PhasePriority setting Identifying outcomes Nursing Outcomes Classification (NOC)
Determining interventions Nursing Interventions Classification (NIC)
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 24
Nursing Process in Nursing Practice
Fig. 1-6. Integration of NANDA, NIC, and NOC into the nursing process.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 25
Nursing Process in Nursing Practice
Table 1-10. Example of Nanda-Noc-Nic Linkage.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 26
Nursing Process in Nursing Practice
Implementation PhaseDelegation and assignment
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 27
Nursing Process in Nursing Practice
Table 1-11. The Five Rights of Nursing Delegation.
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Nursing Process in Nursing Practice
Evaluation Phase
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Nursing Process in Nursing Practice
DocumentationNursing care plansConcept mapsClinical (critical) pathways