Nursing Process The nursing process is used by nurses every day to help patients improve their health and assist doctors in treating patients. Nursing requires the use of this process day in and day out. The process is based on theories and practices taught in nursing school. It is a form of problem solving.
This approach can be broken down into five separate steps. Assessment Phase The first step of the nursing process is assessment.
During this phase, the nurse gathers information about a patient's psychological, physiological, sociological, and spiritual status. This data can be collected in a variety of ways. Generally, nurses will conduct a patient interview. Physical examinations, referencing a patient's health history, obtaining a patient's family history, and general observation can also be used to gather assessment data.
Patient interaction is generally the heaviest during this evaluative phase. Diagnosing Phase The diagnosing phase involves a nurse making an educated judgment about a potential or actual health problem with a patient.
Multiple diagnoses are sometimes made for a single patient. These assessments not only include an actual description of the problem e.
These diagnoses are also used to determine a patient's readiness for health improvement and whether or not they may have developed a syndrome. The diagnoses phase is a critical step as it is used to determine the course of treatment.
Planning Phase Once a patient and nurse agree on the diagnoses, a plan of action can be developed. If multiple diagnoses need to be addressed, the head nurse will prioritize each assessment and devote attention to severe symptoms and high risk factors.
Each problem is assigned a clear, measurable goal for the expected beneficial outcome. For this phase, nurses generally refer to the evidence-based Nursing Outcome Classification, which is a set of standardized terms and measurements for tracking patient wellness.
The Nursing Interventions Classification may also be used as a resource for planning. Implementing Phase The implementing phase is where the nurse follows through on the decided plan of action.
This plan is specific to each patient and focuses on achievable outcomes. Actions involved in a nursing care plan include monitoring the patient for signs of change or improvement, directly caring for the patient or performing necessary medical tasks, educating and instructing the patient about further health management, and referring or contacting the patient for follow-up.
Implementation can take place over the course of hours, days, weeks, or even months.
Evaluation Phase Once all nursing intervention actions have taken place, the nurse completes an evaluation to determine of the goals for patient wellness have been met.The Nursing Process ^ m d The common thread uniting different types of nurses who work in varied areas is the nursing process—the essential core of practice for the registered nurse to deliver holistic, patient-focused care.
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The digit and digit formats both work. completing the evaluation process. A signed copy will be given to the nurse and will be kept along with all Peer Review forms, in the employee’s unit folder, after the evaluation meeting.
The common thread uniting different types of nurses who work in varied areas is the nursing process—the essential core of practice for the registered nurse to deliver holistic, patient-focused care. CALL FOR NOMINATIONS: ACEN Board of Commissioners and ACEN Nominating Committee.
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