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1.9: Key Terms

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anonymity
state of being unknown; refers to a participant in a study whose identity is not disclosed
autonomy
right to make one’s own decisions related to treatment and care
beneficence
responsibility to act in the patient’s best interest
clinical decision-making
application of both critical thinking and clinical judgment to make decisions about nursing care
clinical judgment
process by which nurses make decisions about patient care on the basis of observations, assessments, and interpretations of relevant information
collaborative care model
approach to health care in which a team of providers works together to manage patient care more effectively and improve patient outcomes
critical thinking
multidimensional, systematic, and organized way of reasoning
data
pieces of information that help researchers answer questions and draw relevant conclusions
electronic health record (EHR)
digital version of a patient’s medical history; enables providers to immediately access information about a patient’s health, including conditions, medications, and test results
empirical evidence
objective data gathered by the senses from observations or experiments
ethics
study of right and wrong actions
evidence-based practice
process of making clinical decisions on the basis of the best available evidence from the most up-to-date research
full disclosure
process of providing a complete description of a study or medical procedure, including the risks and possible benefits
health equity
condition in which everyone has the same fair opportunities to attain the highest level of health outcomes
health inequities
disparities created by socioeconomic systems and the status of different populations
Health Insurance Portability and Accountability Act (HIPAA)
federal law to protect sensitive patient health information from being disclosed without the patient’s consent or knowledge
health policy
laws and regulations that define the actions and decisions that promote a society’s health goals
health-care delivery system
individuals and organizations collectively responsible for providing and overseeing health care in an area
informed consent
legal document an individual signs to indicate a thorough understanding of a study, medical treatment, or procedure and to agree to participate
intercollaborative care
team-based approach that uses shared responsibilities, interactive planning, and collaborative decision-making to promote person-centered care and improve patient and health system outcomes
ISBAR
acronym that stands for Introduction, Safety, Background, Assessment, and Recommendation. The ISBAR format provides a structure of written communication that can be replicated by each team member to keep communication on track, create a workflow for the intercollaborative team, and promote patient safety
justice
principle that all patients should be treated fairly
macrosystem
culture or society that surrounds smaller systems and gives them structure
microsystem
relatively simple, localized system, such as the one in which a health-care provider directly works
nonmaleficence
responsibility to do no harm
Nurse Practice Act
law passed by a state’s legislature regulating nurses’ scope of practice
nursing informatics
specialty that uses information and technology to improve the efficiency of health care and its delivery
nursing research
inquiry that is systematically designed to provide knowledge for important issues relevant to the nursing profession
patient-centered care (PCC)
model of care that requires listening to patients to understand what they value most, then using the information as the catalyst for health-care decisions
PICOT
acronym based on the elements of a clinical research question: population or problem, intervention, comparison, outcome, time frame
primary prevention
health care intended to prevent disease before it occurs
qualitative research
inquiry that focuses on personal experiences obtained through observation and interaction with patients
Quality and Safety Education for Nurses (QSEN)
project focusing on the preparation of future nurses to promote the quality and safety of health-care systems
quality improvement (QI)
framework to improve patient care and outcomes systematically
quantitative research
inquiry that uses deduction and generalization from empirical evidence to draw conclusions
scope of practice
range of activities a licensed person is permitted to perform as part of their work
secondary prevention
health care that promotes early diagnosis and treatment to slow the progression of a disease or injury
social determinants of health (SDOH)
nonmedical factors that have an influence on health outcomes
systems-based practice
health care that considers the multiple systems involved in a patient’s condition and uses evidence about their interactions to develop a treatment plan that incorporates all the entities involved in the patient’s care
telehealth
use of digital communications technology to remotely provide health-care services
tertiary prevention
health care intended to decrease the impact of an ongoing illness or injury
The Joint Commission
independent, not-for-profit organization that sets standards for quality care, quality improvement, and patient safety for organizations and workers in the health-care industry
theory–practice gap
divide between theoretical knowledge acquired in academic settings and the practical application of that knowledge in real-world clinical settings
whole-person care
holistic care that focuses on all of a patient’s needs

This page titled 1.9: Key Terms is shared under a CC BY 4.0 license and was authored, remixed, and/or curated by OpenStax.

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