Nursing process

Rawhia Salah2015/2016

Adult Health Nursing

351

• Definition of nursing process

• Purposes of nursing process

• Steps of nursing process

Outline

The Nursing Process is:

• A systematic method of planning that

providing individualized nursing care.

• A G O S H approach (goal-oriented, organized,

systematic and humanistic care) for efficient and

effective provision of nursing care.

Definition of Nursing process

• It provides a basis for problem solving, clinical decisions, and individualized patient care

• It uses to evaluate the needs of patients and their families

• It provides an organized and universal method of communication for nurses in education, practice, and research

Purpose of nursing process

Steps of nursing process

5. EVALUATIONa. Collect data related to outcomesb. Compare data with outcomesc. Relate nursing actions to client goals/outcomesd. Draw conclusions about problem statuse. Continue, modify, or terminate the client’s care plan

4. IMPLEMENTATIONa. Reassess the clientb. Determine the nurse’s need for

assistancec. Implement the nursing interventionsd. Document nursing activities

3. PLANNINGa. Prioritize problems/diagnosesb. Formulate goals/desired outcomec. Select nursing interventionsd. Write nursing orders

2. DIAGNOSINGa. Analyze datab. Identify health problems, risk, and

strengthsc. Formulate diagnostic statements

1. ASSESSINGa. Collect datab. Organize datac. Validate datad. Analyze datae. Document data O

VERVIEW

• Assessment is the first step in nursing process

• It Includes systematic collecting, organizing

validating, and documenting client data.

• To establish a database about the client/patient

through observation, interview, physical

examination, and medical record

Assessment

• Second step of the Nursing Process

• It is the identification of actual or potential

health problems as indicated by the

assessment data

Nursing diagnosis

Nursing diagnosisNursing Diagnosis Has Three Components:

1. P = problem (diagnostic label)

2. E = etiology (cause) or the related cause

contributor to the problem

3. L = link (related to, due to)

• Third step of the Nursing Process

• During this phase the nurse organizes a

nursing care plan based on the nursing

diagnoses.

Planning

It consists of 4 steps

1. Set priorities

2. Establish expected outcomes.

3. Select nursing intervention.

4. Write a nursing care plan.

Planning

• The fourth step in the Nursing Process

• This is the “Doing” step

• Carrying out nursing interventions (orders)

selected during the planning step

Implementation

• Final step of the Nursing Process

• It is the measurement of the effectiveness of

assessing, diagnosing, planning, and

implementing

Evaluation