Introduction
The nursing process is “An organised, systematic and deliberate approach to nursing with the aim of improving standards in nursing care” (Rush S, Fergy S &Weels D, 1996).The five steps of the nursing process are assessment, diagnosis, planning, implementation and evaluating. It was developed by Ida Jean in Florida, USA in 1958 and it was transferred to the UK by 1970.The ‘process ‘is neither a ‘model ‘nor a ‘philosophy’ as it is sometimes defined but merely a method of reasonable discerning and it needs to be used with a clear nursing model. This is foundation for integrating the development into our model for ideal nursing. Throughout the process the patient’s independence should be endured in mind in all the phases of the process and the patient should whenever possible be an active partaker such as making decisions about remaining to carry out certain actions of living .This is important as it is encouraging a sense of personal responsibility for health. If contribution of the patient may not be possible, for example, a child, confused or unconscious person. In these cases family members or significant others may contribute in decision making on behalf of the patient (Roper, Logan, Tierney, 1996 p.51-52).
Assessment
In the first phase of the nursing process is assessment, which consists of data collection by means as questioning, physical examination, observation, measuring and testing (Stedman's Medical Dictionary , 2006). Performing a full body assessment and take vital signs which will be used as a baseline to compare and contrast during the patient hospitalized period. Assessing is efficient, continuous; require validation and communication of patient data.The assessment phase...
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...Retrieved from: http://www.nursingprocess.org/Nursing-Process-Steps.html Accessed on 3/02/2014
• Joyce Smith. Nursing Process: Foundation for Practice PowerPoint presentation.Retrievedfrom: http://legacy.owensboro.kctcs.edu/jsmith/Nursing%20Process%20and%20Nursing%20Diagnosis.ppt. Accessed on 4/02/2014
• Martin Camillieri (2013) Nursing process PowerPoint presentation
• LearningExpress Editors (August 16, 2009). Becoming a Nurse .Retrieved from: http://www.education.com/reference/article/nursing-process/ Accessed on 4/02/2014
• Nursing Process (n.d) Retrieved from: http://www.conursing.uobaghdad.edu.iq/uploads/others/conursing/leacture/DR%20sbah/NURSING%20PROCESS%20%281%29.pdf accessed on 5/02/2014
• Esther Sirra (01 January, 2005) Nursing process 2/e Elsevier India.
• Rick Daniels (Nov 26, 2003) Nursing Fundamentals: Caring and Clinical Decision Making.
Clinical decision making involves the gathering of information, awareness, experience, and use of proper assessment tools. The term is often used when describing the critical role of nurses. The process is, therefore, continuous, contextual, and evolving. Authentic practices and experienced people are required to offer guidelines when needed. Effective decision making in clinical environment combines skills such as pattern recognition, excellent communication skills, ability to share, and working as a team, reflection, use of the available evidence and guidelines as well as application of critical thinking. A Clear understanding of this term contributes to consistency, broadening of the scope and improving the skills. However, this paper aims at providing an opinion on clinical decision making and how it is connected to nursing practices.
There are six set standards of the nursing practice; assessment, diagnosis, outcome identification, planning, implementation, and evaluation (ANA, 2010; pp. 9-10). Throughout a typical shift on the unit I work for, I have set tasks I am expected to complete in order to progress the patient’s care, and to keep the patient safe. I begin my shift by completing my initial assessment on my patient. During this time, I am getting to know my patient and assessing if there are any new issues that need my immediate intervention. From here, I am able to discuss appropriate goals for the day with my patient. This may come in the form of increasing mobility by walking around the unit, decreasing pain, or simply taking a bath. Next, I plan when and how these tasks will be able to be done, and coordinate care with the appropriate members of the team; such as, nursing assistants and physical therapists. Evaluating the patient after any intervention assists in discovering what works and what does not for the individual. “The nursing process in practice is not linear as often conceptualized, with a feedback loop from evaluation to assessment. Rather, it relies heavily on the bi-directional feedback loop...
Rush, S., Fergy, S., Wells, D., 1996. Nursing Process. [pdf] Available at: [Accessed 05 December 2013].
There is only so much an individual can learn from a textbook or classroom setting when it comes to nursing. Although clinical practicums are mandatory with any nursing program one can only retain so much in such a short timeframe. Student nurses mostly focus on completing their care plans and any other mandatory assignment related to their clinical experience. With that being said new graduates become novice nurses on the level of clinical practice. Patricia Benner discussed the education and experience levels of nurses by utilizing five significant stages. These stages include novice, advance beginner, competent, proficient, and expert. The ultimate goal for all nurses should
Nurses are responsible for their own practice and the care that their patients receive (Badzek, 2010). Nursing practice includes acts of delegation, research, teaching, and management. (ANA, 2010). The nurse is responsible for the following standards of care in all practice (Badzek, 2010). The individual nurse is also responsible for assessing their own competence and keeping their practice within the standards of the current standards of care for the specialty which they are practicing and the state nursing practice acts (ANA, 2010). As the roles of nursing change, nurses are faced with more complex decisions regarding delegation and management of care (Badzek,
The steps in the nursing process relate to evidence based practice in many ways. During the diagnostic, and assessment steps of the nursing process important clinical questions are considered and the critical review of existing knowledge is completed. Evidence based practice also begins with identification of the problem and knowing the clinical problem by asking questions, in relation to the nursing process. These clinical questions are asked in a concise, accurate, and organized way which allows for clear answers. Once all the specific questions are identified, the second step is to search for evidence by an extensive research of the best information to answer the question. The third step in the nursing process is to develop a plan of care. In evidence-based nursing practice, the plan of care is established upon completion of a critical research of what is known and not known about the specific problem. Next in the traditional nursing process, the nurse implemen...
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
There are legal requirements and policy to govern specific areas of health care practise. It differentiates nurse responsibilities, help establish boundaries of independent nursing action and assists in maintaining a standard to ma...
INTRODUCTION There are many things that affect a student’s enrolment as a nurse the student must be competent in the many registration standards that the Nursing Midwifery Board of Australia have set. The stigmas attached to students with Impairments and or Criminal histories and the ineligibility to register. Nursing is defined by the International Council of Nursing (2014) as collaborative care of individual’s any age health or ill of all communities, groups, in all situations. Health promotion, illness prevention and the care of unwell, disabled and dying people are included in the nursing practice. Encouraging a safe environment, research, contributing to shape health policies and health systems management, and education are also key nursing
The nursing process helps a nurse determine which self-care needs are unmet by the patient and what roles the nurse needs to fill to meet those needs. It is important to know the self-care needs of your patients in order to present adequate nursing care. A limitation of the Self-Care theory is that the theory mainly focuses on the physical aspects of the patient. A nurse should not only include self-care, self-care deficits, and nursing systems to correct the self-care deficit, but should also include the patient’s emotional and psychological needs to give holistic patient-centered
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...
TREMAYNE, P and PARBOTEEAH, S (2006) Fundamental aspects of adult nursing procedure. London: MA Health care Limited.
Sampaio, C., & Guedes, M. (2012). Nursing process as a strategy in the development of
This theory analysis paper focuses on the work of Ida Jean Orlando and her Deliberative Nursing Process Theory. Ida Jean Orlando was one of the first nursing theorist that developed a nursing process theory based on her own research and analysis. She established the Deliberative Nursing Process Theory which focuses on the interaction between the nurse and patient. The nurse’s goal is aimed at improving the patient’s immediate situation by relieving stress or discomfort and with effective communication, create a positive nurse-patient relationship. Her theory was developed from observations she recorded on actual nurse-patient interactions in the 1950’s. Orlando looked for “good” versus “bad” outcomes in nursing to determine effective
In the healthcare setting, a systematic process to ensure maximum care and maximum recovery in patients is needed, which is called the nursing process. This process consists of four steps: assessment, diagnosis, planning, implementation, and evaluation (Walton, 2016). The nursing process is important to ensure quality care and to get the preferred outcome. In the nursing process, critical thinking is used to recognize the issue and come up with a logical solution to solving it. One important aspect of the nursing process is that the plan is not set in stone; it is meant to be manipulated in order to better suit the patient. Nurses must be able to think critically in order to recognize the issue, develop a way to correct it, and be able to communicate the issue to others. Throughout the nursing process, critical thinking is used to determine the best plan of care for a patient based on their diagnosis.