Chapter 18: Evaluation

Question 1

5 elements of evaluation

Answer 1

1. Identifying evaluative criteria and standards (what you are looking for when you evaluate—i.e., expected patient outcomes)
2. Collecting data to determine whether these criteria and standards are met
3. Interpreting and summarizing findings
4. Documenting your judgment
5. Terminating, continuing, or modifying the plan

Question 2

IOM’s 10 rules to redesign care

Answer 2

Care based on continuous healing relationships
Customization based on patient needs and values
The patient as the source of control
Shared knowledge and the free flow of information
Evidence-based decision making
Safety as a system priority
The need for transparency
Anticipation of patient’s needs
Continuous decrease in waste
Cooperation among clinicians

Question 3

Standards

Answer 3

Standards are the levels of performance accepted and expected by the nursing staff or other health care team members. They are established by authority, custom, or consent. Standards would include monitoring patient status every hour, turning a patient on bed rest every 2 hours, and administering pain medication ordered by the physician.