Chapter 14 Flashcards
Purposes of Implementation
- Help the patient achieve valued health outcomes.
- Promote health.
- Prevent disease and illness.
- Restore health.
- Facilitate coping with altered functioning.
Aims of NOC Research
- Identify, label, validate, and classify nursing-sensitive patient outcomes and indicators.
- Evaluate the validity and usefulness of the classification in clinical field testing.
- Define and test measurement procedures for the outcomes and indicators.
Types of Nursing Interventions
- Those providing direct and indirect care
- Those aimed at individuals, family, and community
- Those for nurse-initiated and other provider-initiated treatments
Indirect Care Intervention
is treatment performed away from the patient but on behalf of a patient or group of patientsq
Direct Care Intervention
treatment performed through interaction with the patient
Implementing the Care Plan
- Determine the patient’s new or continuing need for assistance.
- Promote self-care.
- Assist the patient to achieve valued health outcomes.
Checklist for Organizing Student Clinical Responsibilities
- Patient profile and name by which patient is addressed
- Patient’s chief complaint and reason for admission
- Patient’s current health status
- Routine assistance to meet basic human needs
- Priorities for nursing care and special daily events
- Special teaching, counseling, or advocacy needs
- Special family needs
Patient variables
- Developmental stage
- Psychosocial background
Nurse variables
- Resources
- Current standards of care
- Research findings
- Ethical and legal guides to practice
Common Reasons for Noncompliance
- Lack of family support
- Lack of understanding about the benefits
- Low value attached to outcomes
- Adverse physical or emotional effects of treatment
- Inability to afford treatment
- Limited access to treatment
Delegation
the transfer of responsibility for the performance of an activity to another person while retaining accountability for the outcome.
Modify nursing interventions according to the patient’s :
(1) developmental and psychosocial background, (2) ability and willingness to participate in the plan of care, and (3) responses to previous nursing measures and progress toward goal/outcome achievement.