NURSING PROCESS Flashcards
A systematic, client-centered method for structuring the delivery of nursing care
It is a rational, dynamic, and cyclic process used by the nurse for assessing, planning, implementing, and evaluating care for the patient.
NURSINGPROCESS
Using cognitive skills to acquire new knowledge and making judgement in the processes of delivering safe quality healthcare(Nelson,2017)
Critical Thinking
PHASESOFNURSINGPROCESS
Assessment, Nursing Diagnosis, Planning, Implementation, and Evaluation
Is a collection or organization. and validation of subjective and objective information or “data”
ASSESSMENT
consists of information that the patient experiences and reports to the nurse(Symptoms)
SUBJECTIVE DATA
The nurse uses critical thinking and applies knowledge from sciences and other disciplines to organize, analyze, and synthesize data.
NURSING DIAGNOSIS
are observed or measured by the nurse including information that is heard, felt, seen, or sensed by the nurse(Signs)
OBJECTIVE DATA
These 2 concepts form the Patient’s _______, which is used by the nurse to create a plan of care
database
Systematic & continuous collection, organization, validation, & documentation of data
A continuous process Thorough assessment can generate A LOT OF DATA
FOCUS: Client’s health status
HEALTH ASSESSMENT
Involves identifying measurable patient goals or outcomes, setting priorities, and selecting evidence-based nursing intervention that promote achievement of the measurable patient goals or outcomes.
PLANNING
SMART
S-Specific
M-Measurable
A-Attainable
R-Realistic
T-Timebound
The nurse carries specific, relevant nursing intervention meant to achieve goals set in the planning phase
IMPLEMENTATION
Determining the client’s response to nursing interventions using the goals of care as criteria whether they were
EVALUATION
