8/2/2019 Nsg Process Tool

1/3

EVALUATION TOOL

NURSING PROCESS

Name:_______________________________________________ Rating_________

Evaluator _____________________________________________ Date __________

DIRECTION: Rate the learner based on the competencies listed below.

Key:

4 - COMPETENT ( Task was done thoroughly and precisely)

3 - ACCEPTABLE (Task was done well enough )

2 - NEEDS IMPROVEMENT ( Task was done with some difficulty)

1 - UNACCEPTABLE (

4 3 2 1

I. ASSESSMENT

A. History/POF/ P A data are:

1. Complete/comprehensive

2. Accurate

4. Analyses are relevant & comorehensive

B. Laboratory and Diagnostic Examinations:

1. Complete/comprehensive2. Analysis is relevant to disease process

C. Drug Analysis:

1. Complete lists

2. Comprehensively analyzed

D. Ecologic Model:

1. Correct model

2. Correct and complete identification of predisposing factors

3. Comprehensive analysis

4. Adequate thera[peautic recommendations

Criterion

Arellano University3058 Jose Abad Santos Campus,

Pasay CityCollege of Nursing

8/2/2019 Nsg Process Tool

2/3

4 3 2 1

II. Problem List

1. Analysis/ norms are appropriate to data collected

2. problems identified are correct & supported by relevant cues

3. priority problem is correctly identified based on jurisdiction.

III. Nursing Care Plan

A. Diagnosis

1. Stated correctly

2. centered on the client

3. Supported by complete relevant cues according to IOM

B. Analysis

1. Scientific analysis contains general cause of the problem

2. implications are arranged from minor to major

a. Immediate cause

b. Intermediate cause

c. Primary cause

C. Goal

1. Relates to the problem

2. Time bounded

D. Objective

1. Relates to the cause of the problem

2. Specific

3. Measurable

4. Attainable/realistic

5. Timebounded

E. Interventions

1. Relevant/ appropriate

2. Prioritized

3. Invove members of the family

F. Rationale

1. Scientific and Documented

2. Precisely explains the why/ how of the interventions

G. Evaluation

IV. Reference

1. All analysis are well documented

2. Correct format

3. Books used are recent & relevant to the subject matter

TOTAL

Rate the students from 1 - 4 where4 = very satisfactory: exhibits competency independently

3 = satisfactory: exhibits competency with minimal supervision

2 = fair : exhibis competency fairly with close supervision.

1 = needs improvement : needs to develop competency

0 = no competency : not performed

Raw Score/Perfect Score x 50+50

Perfect Score = 128

4 x =

3 x =2 x =

1 x = ______________

______________________

Criterion

4. Categorized as to Development, Supplemental, Supplemental,Facilitative

1. Evaluates if objective was met based on criteria stated( effectiveness, efficiency, appropriateness, adequacy, acceptability

Grading System:

8/2/2019 Nsg Process Tool

3/3

Student's Signature

________________________________

Instructor's signature and date