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Related Concept Videos

Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis01:24

Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis

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The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
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Documentation of Nursing Diagnosis01:10

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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
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Guidelines and Strategies for Safe Computer Charting01:18

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The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
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Healthcare Associated Infections II: Preventive Measures01:22

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Obedience01:08

Obedience

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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
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Methods of Documentation III: PIE01:21

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Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
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Related Experiment Video

Updated: Mar 7, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Deference to Expertise: Making Care Safer.

Gwendolyn Cherese Godlock, Rebecca Suzie Miltner, Dori Taylor Sullivan

    Creative Nursing
    |February 16, 2017
    PubMed
    Summary

    High-reliability organizations (HROs) enhance patient safety by fostering a culture where all healthcare staff feel empowered to voice concerns. This promotes quality improvement and safer patient care delivery.

    Area of Science:

    • Healthcare Quality Improvement
    • Patient Safety Research
    • Organizational Psychology in Healthcare

    Background:

    • The Institute of Medicine's 1999 report, 'To Err Is Human,' highlighted critical patient safety issues.
    • Healthcare organizations have since focused on improving patient care safety and quality.
    • High-reliability organizations (HROs) represent a key strategy to enhance safety initiatives.

    Purpose of the Study:

    • To explore the concept of deference to expertise within HROs.
    • To describe structural elements that empower healthcare personnel to speak up.
    • To provide practical, evidence-based tools for encouraging open communication in healthcare teams.

    Main Methods:

    • Literature review on high-reliability organizations and patient safety.

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  • Analysis of organizational structures supporting staff voice.
  • Identification and description of practical tools for promoting open communication.

    • Main Results:

    • Deference to expertise is a crucial element of HROs.
    • Specific structural supports enable nurses and other staff to voice concerns effectively.
    • Evidence-based tools can be implemented to foster a speak-up culture.

    Conclusions:

    • Implementing HRO principles, particularly deference to expertise, is vital for patient safety.
    • Creating supportive structures encourages healthcare professionals to speak up, improving care quality.
    • Practical tools can facilitate the adoption of a culture of open communication and safety.