IMPLEMENTATION AND EVALUATION Flashcards
The action phase
in which the nurse performs the nursing interventions.
Implementation
Consists of doing and documenting
the activities that are the specific nursing actions needed
to carry out the intervention
Implementation
The fifth standard of the American Nurses Association
(ANA) Standards of Practice
Implementation
Problem-solving, decision-making, critical thinking, clinical reasoning, and creativity. They are crucial to safe, intelligent nursing care
Cognitive skills
people use when interacting directly with
one another
Interpersonal skills
Purposeful “hands-on” skills such
as manipulating equipment, giving injections, bandaging,
moving, lifting, and repositioning clients
Technical skills
Just before implementating an intervention, the nurse must ________ the client to make sure the intervention is still needed
Reassess
What are the considerations that nurses need to follow?
-base nursing interventions on scientific knowledge (evidenced base practice)
-clearly understand the interventions
-adapt client activities
-implement safe care
-provide teaching, supportnand comfort
-be holistic
Providing dignity and enhance self esteem
Encourage clients to actively participate in implementing the nursing interventions
Refers to the process of assigning specific nursing tasks or responsibilities to another individual who may not traditionally perform those tasks as part of their role.
Delegation
The nurse completes the implementing phase by recording the interventions and client responses in the nursing progress notes.
Documenting Nursing Activities
The fifth phase of nursing process
Evaluating
A planned, ongoing, purposeful activity in which clients and healthcare professionals determine (a) the client’s
progress toward achievement of goals or outcomes and (b)
the effectiveness of the nursing care plan.
Evaluation
The sixth standard of the ANA
Standards of Practice and states
Evaluation
A statement that the goal or desired outcome was met?
Conclusion
List of client responses that support the conclusion
Supporting data
A program is an ongoing, systematic
process designed to evaluate and promote excellence in
the healthcare provided to clients.
Quality Assurance
Focuses on the setting in which
care is given
Structure Evaluation
Focuses on how the care was
given
Process Evaluation
Focuses on demonstrable changes
in the client’s health status as a result of nursing care
Outcome Evaluation
Refers to the examination or review of records.
Audit
An audit is the evaluation of a client’s record
after discharge from an agency. Means “relating to past events
Retrospective audit
The evaluation of a client’s healthcare while the client is still receiving
care from the agency
Concurrent audit
