NSG3 Lecture Notes - Lecture 18: Medical Record, Organizational Culture
8 Feb 2018
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Document Summary
Knowing the patient cannot occur by careful scrutiny of the medical record or observation of objective data. Knowing the patient is an engaged, connected stance with the intent to promote the holistic well-being and health. Forming a judgment propels nurse toward determining a course of action. Requires consideration of what should be done and how that should occur. The ordering of nursing diagnoses or client problems. Use of principles (eg. urgency or importance) Establishes a preferential order for nursing actions. Determines health problems within the domain of nursing. Process of diagnosing is the result of your analysis and data and your resultant identification of specific client responses to health care problems. Integrating patient preferences into evidence based practice (ebp) Triple organization aim: improved patient experience, improved health, reduced costs. Expected outcomes specific to client"s behavior/physiological responses. Set to achieve through nursing diagnosis/collaborative problem resolution. Provide a clear focus for type of intervention necessary to care for client.
