Implementing-Taking Action & Evaluating Outcomes Flashcards
When should implementation/taking action occur?
After developing the patient’s plan of care
What does the action phase of implementation consist of?
“Doing” the action
What’s a direct intervention?
Treatment nurses provide directly to the patient
What’s a indirect intervention?
Activities involving the patient but are done away from the patient
A standard intervention allows a nurse to do what?
To act more quickly and appropriately
A standard intervention helps a nurse to do what?
Capture patient care info that can be shared across disciplines and care settings
What are 5 things that nurse (and healthcare provider) initiated standard interventions include?
Clinical practice guidelines and protocols
Care bundles
Standing orders
Nursing Interventions Classification (NIC) interventions
Standards of practice
What are clinical practice guidelines and protocols?
Systematically developed set of statements about appropriate health care for specific health care problems or clinical situations
What’s a care bundle?
Group of interventions related to a disease process or condition
What are standing orders?
Preprinted document containing medical orders.
What do standing orders do?
Direct patient care in a specific clinical setting
What are nursing interventions classification (NCI) interventions?
Common interventions recommended for various nursing diagnoses
What do nurses use as evidence of the standard of care provided to patients?
The ANA Standards of Professional Nursing Practice
Define Quality and Safety Education for Nurses (QSEN)
Standard competencies in knowledge, skills, and attitudes for the preparation of future nurses
What are 4 ways that you can review and revise a nursing care plan?
Revise assessment data to reflect current status
Revise nursing diagnosis, goals, and outcomes
Select or revise specific intentions
Choose methods of evaluation to determine whether outcomes were met
How do you prevent implementation complications?
Identify risks to the patient
Adapt interventions to the situation
Evaluate the relative benefit of a treatment vs. the risk
Initiate risk-prevention measures
What are 4 ways that you can identify areas of assistance?
Seek info about a procedure
Collect all necessary equipment
Consider consequences of procedure
Request for peer’s assistance and guidance
What do cognitive (intellectual) implementation skills include?
Rationale for the action
Judgement, problem-solving, critical thinking
What do interpersonal (communication) implementation skills include?
Verbal and nonverbal nursing actions
Personalize and explain nursing care
What do technical skills (psychomotor) implementation skills include?
Hand’s on skills
Priority setting helps nurses to do what?
Anticipate and sequence nursing interventions
Patient adherence means what?
The patients and families invest time in carrying out required treatments
What do you do whenever you meet an outcome?
You document the date that the outcome was met
What can you do if the patient’s care plan is unsuccessful?
Modify the care plan or you can give it more time
