Nursing and Education Process Flashcards
Cornerstone of the Nursing Profession
Nursing Process
incorporates an interactive/interpersonal approach with a problem-solving and decision-making process that serves as a framework for the delivery of nursing care.
Nursing Process
framework for providing professional, quality nursing care
Nursing Process
directs nursing activities for health promotion, health protection, and disease prevention and is used by nurses in every practice setting and specialty.
Nursing Process
Phases of the Nursing Process
Assessment
Diagnosis
Outcome Identification
Planning
Implementation
Evaluation
- Collecting, validating, recording data
- Establish a data base
Assessment
Types of Assessment
Interview, physical exam, research, review of records, observation
Types of Data
- Subjective Data
- Objective Data
(Symptoms): What the Client Says
Subjective Data
(Signs): What the nurse Observes
Objective Data
clinical judgment about individual, family, or community responses to actual or potential health problems/life processes.
DIAGNOSIS
provide the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable
DIAGNOSIS
Analysis and synthesis
DIAGNOSIS
Statement of client’s potential or actual alteration of health status.
NURSING DIAGNOSIS
NANDA
North American Nursing Diagnosis Association
- Formulating and documenting achievable goals
OUTCOME IDENTIFICATION
Goal
Aim
Intent
End
broad or globally written statement describing the intended or desired change in the client’s behavior, response, or outcome
Goal
detailed, specific statement that describes the methods through which the goal will be achieved
Outcome Criteria
Outcome Identification should be:
Specific
Measurable
Attainable
Realistic
Time-bounded
formulation of guidelines that establish the proposed
course of nursing action in the resolution of nursing
diagnoses and the development of the client’s plan
of care
Planning
