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Critical Thinking to Achieve Positive Health Outcomes. Nursing Case Studies and Analyses

  • ID: 2223666
  • Book
  • June 2009
  • 392 Pages
  • John Wiley and Sons Ltd
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Critical Thinking to Achieve Positive Health Outcomes: Nursing Case Studies and Analyses uses the

latest research findings to apply critical thinking processes for the development of diagnostic reasoning and the selection of patient outcomes and nursing interventions. With the current implementation of electronic health records, using standardized nursing languages such as NANDA–International, NIC, and NOC becomes critical. Electronic data must have standardized formats and definitions. When nurses carefully select the best standardized terms using critical thinking abilities, it provides the data needed for continuous quality improvement. This book offers guidance and the necessary tools for selecting accurate terminology.

Four chapters describe the meaning of intelligence, critical thinking, and application of critical thinking processes within nursing. The case studies and their ultimate resolution to intervention and outcome illustrate critical thinking processes and provide a valuable learning tool by enabling repeated practice. Case studies are organized into four sections; problem diagnoses, risk diagnoses, health promotion diagnoses, and strength diagnoses. A companion website provides on–line resources, including relevant journal articles, power point presentations, and an email address for providing reader comments.

Special features:

  • Provides a practical guide to how critical thinking skills can be applied to achieve positive health outcomes
  • Provides guiding principles for use of standardized nursing languages
  • Presents over 50 case studies to illustrate application of the guiding principles to clinical cases
  • Case studies organized by problem, risk, health promotion, and strength diagnoses
  • Includes access to a companion website with relevant journal articles and slide presentations as online learning resources
  • Written and edited by a leading expert in the use of standardized nursing languages
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How to Use this Book.

Part I: Strategies for Critical Thinking to Achieve Positive Health Outcomes.

1 Use of Critical Thinking to Achieve Positive Health Outcomes.

2 Diagnostic Reasoning and Accuracy of Diagnosing Human Responses.

3 Guiding Principles for Use of Nursing Diagnoses and NANDA–I, NOC, and NIC.

4 Application of the Guiding Principles and Directions for Use of NANDA–I, NOC and NIC.

Part II: Case Study Application of Strategies.

5 Case Studies with a Primary Focus on Problem Diagnoses and Associated Outcomes and Interventions.

5.1 Woman Admitted for Diagnostic Testing of a Lung Nodule.

5.2 Adaptation to the Pain of a Fractured Hip.

5.3 Acute Presentation of an Elderly Woman with Cancer.

5.4 Substance Abuse Crisis Associated with Stress Overload.

5.5 Communication of Perceptions and Mechanical Ventilation.

5.6 Preparing for Orthopedic Surgery with Other Health Problems.

5.7 Helping a School Child with Asthma.

5.8 Birth of a 25–week Neonate.

5.9 Emergency Care for a Seriously Burned Man.

5.10 Dilemma of Addressing Overlapping Diagnoses in Acute Care.

5.11 The Hypermetabolic State

5.12 Low Accuracy Nursing and Medical Diagnoses Can Lead to Harm.

5.13 Cardiac Disease and Self Management.

5.14 Woman with a Neurological Problem.

5.15 Orthopedic Care of a Woman with Total Hip Replacement.

5.16 Using Orem′sTheory for Care of a Woman with Terminal Cancer.

5.17 Cardiac Disease and Anticoagulation Therapy.

5.18 Diabetes Self Management when Other Family Members Need Care.

5.19 Impetus of Diabetic Crisis to Improve Self Management.

5.20 Self Management of Diabetes and Stress.

5.21 Telephone Nurse Advice and an AIDS–Related Crisis.

5.22 Woman who Experienced a Significant Childhood Loss.

5.23 Young Woman Whose Mother is Dying.

5.24 Rehabilitation of a Male with a Young Family after a Stroke.

5.25 Elderly Woman Who Thinks She Should Not be Discharged.

5.26 Elderly Man Who is Angry.

5.27 Homeless Woman s Reaction to Loss.

5.28 Family Stress and Alzheimer s Disease.

5.29 Family Struggling with Ostomy Care at Home.

5.30 Nonparticipation in Rehabilitation with a Colostomy.

5.31 Man with Urinary Incontinence After Prostate Surgery.

5.32 Palliative Care and the Outcome of Comfort.

5.33 Hospice and Palliative Care.

5.34 Two–Year–Old Bess s Response to Parents Divorce.

5.35 Challenges in Helping a Person to Accept Long–Term Care.

5.36 Woman with a History of Being Battered.

5.37 Woman in Labor with Complications.

5.38 Integration of Neuman s Systems Model in Postpartum Nursing.

5.39 Business Woman with Stress in her Personal Life.

6 Case Studies with a Primary Focus on Risk Diagnoses and Associated Outcomes and Interventions.

6.1 Role of Nurses in the Protection of Children.

6.2 Responses to Mechanical Ventilation.

6.3 Family Caregiving at End of Life.

6.4 Man with Renal Calculi and Stent Placement.

6.5 Helping a Man with Low Literacy.

6.6 Self–Management of Chronic Illness and Financial Status.

6.7 Case Management for Homeless Man with Severe Pancreatitis.

6.8 Psychiatric Care of an Adult Male with Poor Impulse Control.

6.9 Response to a Diagnosis of Chronic Illness When Confounded by Other Life Events.

7 Case Studies with a Primary Focus on Health Promotion Diagnoses and Associated Outcomes and Interventions.

7.1 Support of a Mexican–American Woman in Postpartum Care.

7.2 Parenting of a Child with Spina Bifida.

7.3 Woman Who Experienced Early Childhood Trauma.

7.4 Living with Multiple Health Problems.

7.5 Response to Limitations Associated with Cardiac Disease.

7.6 Living with Chronic Obstructive Pulmonary Disease.

8 Case Studies with a Primary Focus on Strength Diagnoses and Associated Outcomes and Interventions.

8.1 Mother Breastfeeding Her Newborn.

8.2 Nursing Communication for Continuity of Care.


A Webliography.

B Assessment Tool: Functional Health Patterns.

C The Lunney Scoring Method for Rating Accuracy of Nurses Diagnoses of Human Responses.

D Nursing Diagnosis Accuracy Scale (NDAS).


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Margaret Lunney, RN, PhD, Professor and Graduate Programs Coordinator, College of Staten Island, Staten Island, NY, Doctoral Faculty, Graduate Center, City University of New York, New York, NY, USA.
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