Implementing Nursing Care Flashcards
When does implementation begin?
After you develop a patient’s plan of care
What are direct care interventions?
Treatments that nursed provide through interactions with patients or a group of patients
What are indirect care interventions?
Treatments performed away from a patient but on behalf of the patient or group of patients
Two examples of indirect patient care interventions:
Documentation
Interprofessional collaboration
- Communicating nursing interventions (written or oral)
- Delegating, supervising, and evaluating the work of other staff members
Benefits of standard interventions
Allow nurses to act more quickly and appropriately
Help capture patient care info that can be shared across disciplines and care settings
Examples of types of standard interventions
Clinical practice guidelines and protocols
Care bundles
Standing orders
Nursing interventions classification (NIC) interventions
Standards of practice
What are clinical practice guidelines and protocols?
A systematically developed set of statements about appropriate health care for specific health care problems or clinical situations
What is a care bundle?
Group of interventions related to a disease process or condition
What are standing orders?
Preprinted document containing medical orders
Directs patient care in a specific clinical setting
What are NIC interventions?
Common interventions recommended for various nursing diagnoses/nursing problems
Which standards of practice do nurses use as evidence of the standard of care provided to patients
ANA standards of professional nursing practice
What is the Quality and safety education for nurses (QSEN)?
Standard competencies in knowledge, skills, and attitudes for the preparation of future nurses
When using critical thinking in implementation, what should nurses do?
- Review all possible nursing interventions for the patient’s problem
- Review all possible consequences associated with each possible nursing action
- Determine the probability of all possible consequences
- Judge the value of the consequence to the patient
*What does implementation always begin with?
- Reassessing your patient
(This is a continuous process each time you interact with your patient)
What does reassessing a patient before implementation entail?
Reviewing and revising the existing nursing care plan
- Revise assessment data to reflect current status
- Revise nursing diagnosis, goals, and outcomes
- Select or revise interventions
- Choose methods of evaluation to determine whether outcomes were met
- Which steps should nurses take to prepare for implementation?
- Time management
- Equipment
- Personnel (can you perform the intervention? Do you need to delegate it to someone else? Or have another RN assist you?)
- Environment (patient safety)
- Patient (must be physically and psychologically comfortable first)
How should you prevent complications during implementation?
- Identify risks to the patient
- Adapt interventions to the situation
- Evaluate the relative benefit of treatment vs. the risk
- Initiate risk-prevention measures
How can you identify areas of assistance during implementation?
Seek info about a procedure
Collect all necessary equipment
Consider consequences of performing the procedure
Request another nurse’s assistance and guidance
Which type of implementation skills do we perform as nurses?
Cognitive skills
Interpersonal skills
Psychomotor skills
What are cognitive skills?
Critical thinking and decision making
What are cognitive skills?
Decision making and critical thinking
What are interpersonal skills?
Developing a trusting relationship
Expressing caring
Communicating clearly with patients and their families
What are psychomotor skills?
Integrate cognitive and motor skills
Ex: when giving and injection, you need to understand A&P
What are ADLs?
Direct care measures usually performed during a normal day
What are instrumental ADLs?
Activities that support daily life and are oriented toward interacting with the environment
What are physical care techniques?
The safe and competent administration of nursing procedures
What is patient adherence?
Patients and families invest time in carrying out required treatments
