Review What are the four major steps of the assessment phase of the nursing process?
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Lê My đang tìm kiếm từ khóa What are the four major steps of the assessment phase of the nursing process? được Cập Nhật vào lúc : 2022-12-16 16:44:04 . Với phương châm chia sẻ Bí quyết về trong nội dung bài viết một cách Chi Tiết Mới Nhất. Nếu sau khi đọc nội dung bài viết vẫn ko hiểu thì hoàn toàn có thể lại Comment ở cuối bài để Ad lý giải và hướng dẫn lại nha.Understanding the nursing process is key to providing quality care to your patients. The nursing process is a cyclical process used to assess, diagnose, and care for patients as a nurse. It includes 5 progressive steps often referred to with the acronym:
Nội dung chính Show- What is the Nursing Process?Find Nursing Programs1. Assessment2. Diagnosis3. Outcomes/Planning4. Implementation5. EvaluationCharacteristics of the Nursing Process1. Dynamic and Cyclic2. Patient-Centered and Goal-Directed3. Collaborative and Interpersonal4. Universally Applicable5. Systematic and Scientific6. Requires Critical ThinkingHistory of the Nursing ProcessNurse.org's Popular Articles and ResourcesNon-Bedside Nursing Jobs15 Highest Paying Nursing Jobs in 2021What are the four assessment phases of the nursing process?What are the 4 general components of a nursing assessment?What are the 4 principles of health assessment?What is the correct order of the assessment phase of the nursing process?
ADPIE
- AssessmentDiagnosisPlanning/outcomesImplementationEvaluation
In this article, we’ll discuss each step of the nursing process in detail and include some examples of how this process might look in your practice.
What is the Nursing Process?
The nursing process is a patient-centered, systematic, evidence-based approach to delivering high-quality nursing care. It consists of five steps: assessment, diagnosis, outcomes/planning, implementation, and evaluation.
The Nursing Process (ADPIE)
AssessmentIdentify patients' health needs and collect data about their condition. DiagnosisIdentify any real or potential health problems that the patient is experiencing or may possibly experience.PlanDevelop a nursing plan of care, which outlines the actions that will be taken to meet the needs identified to achieve the desired patient outcomes.ImplementationCarry out the plan of care and monitor patients' progress. EvaluationEvaluate whether the plan of care was successful. If necessary, the process is then repeated until the patient is discharged or until they reach all their health care goals.Find Nursing Programs
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1. Assessment
To begin the nursing process, assessment involves collecting information about the patient and their health. This information is used to identify any problems, or potential problems, that may need to be addressed while you’re caring for a patient.
Example:
If you’re admitting an older patient who is falling and getting injured home, you’ll want to do a thorough physical and mental health assessment including a medical history to try and determine why this is happening.
Some important things you’ll want to find out are:
- What medications and over-the-counter products the patient is takingHistory of alcohol and recreational drug useWhere the person lives and the layout of their home including scatter rugs they may be tripping over: clutter, pets, stairs, slippery tubs they’re climbing into or out of, fluid or food spills on floors, lighting, mobility aids they use, etc.
2. Diagnosis
The Nursing Diagnosis is the second step in the nursing process and involves identifying real or potential health problems for a patient based on the information you gathered during the assessment.
Example:
Using the falls patient example above, you may identify from your assessment that the patient is falling because they’re tripping on things in their environment that they don’t see, like their pet cat lying on the floor and loose scatter rugs.
Based on this, you might form a diagnosis such as “Falls related to poor vision, cluttered environment, unsteady gait, Lt. hip pain due to previous fall.”
3. Outcomes/Planning
Planning or Outcomes is the third step in the nursing process. This step involves developing a nursing care plan that includes goals and strategies to address the problems identified during the assessment and diagnosis steps.
Example:
Continuing with the example above, you will likely recommend that the patient keep their environment,
- Free of scatter rugsCheck to ensure the cat is not underfoot before they mobilizeSuggest the patient use a walker for support when mobilizingRecommending that the patient schedule an eye exam to get their vision checked if they have not had one in the last year or two would also be a good idea or if they’ve noticed any changes in their vision lately.
4. Implementation
As the fourth step of the nursing process, implementation involves putting the plan of care into action.
Example
In the above example, this would include:
- Making sure the patient’s environment is không lấy phí of clutter and tripping hazards while in the hospital or a skilled nursing facility.Teaching the patient to wear proper footwear before mobilizing.Assisting the patient with mobility as needed, including putting proper footwear on the patient if needed.Speaking to the patient and family about removing scatter rugs from the patient’s home, scheduling an eye exam, and ensuring proper footwear is worn for mobilizing home.Discussing with the patient and family about getting the patient a walker to assist with mobility on discharge and providing one while the patient is admitted.
5. Evaluation
The last step of the nursing process is evaluation, which involves determining whether or not the goals of care have been met.
Example
Here you would look back the patient’s medical record to see if the patient has had any further falls since implementing the preventative actions above.
If so, you would repeat the nursing process over and reassess why this is still happening and plan new actions to prevent future falls.
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Characteristics of the Nursing Process
The nursing process is also characterized by the following elements.
1. Dynamic and Cyclic
The nursing process is an evolving process that continues throughout a patient’s admission or illness and ends when the problems identified by the nurse are no longer an issue.
2. Patient-Centered and Goal-Directed
The entire nursing process is sensitive to and responsive to the patient's needs, preferences, and values. As nurses, we need to act as a patient advocate and protect the patient’s right to make informed decisions while involving the patient in goal setting and attainment.
3. Collaborative and Interpersonal
This describes the level of interaction that may be required between nurses, patients, families and supports, and the interprofessional healthcare team. These aspects of the nursing process require mutual respect, cooperation, clear communication, and decision-making that is shared between all parties involved.
4. Universally Applicable
As a widely and globally accepted standard in nursing practice, the nursing process follows the same steps, regardless of where a nurse works.
5. Systematic and Scientific
The nursing process is also an objective and predictable process for planning, conducting, and evaluating patient care that is based on a large body toàn thân of scientific evidence found in peer-reviewed nursing research.
6. Requires Critical Thinking
Most importantly, it’s essential that nurses use critical thinking when planning patient care using the nursing process. This means as nurses, we must use a combination of our knowledge and past experiences with the information we have about a current patient to make the best decisions we can about nursing care.
History of the Nursing Process
The nursing process was introduced in 1958 by Ida Jean Orlando. Today, it continues to be the most widely-accepted method of prioritizing, organizing, and providing patient care in the nursing profession.
It’s characterized by the key elements of:
- Critical thinkingClient-centered methods for treatmentGoal-oriented activitiesEvidence-based nursing research and findings
FAQS
What is the Function of the Nursing Process?
- The nursing process helps nurses to provide quality patient care by taking a holistic view of each patient they plan care for.
What is the Nursing Process and Why is it Important?
- The nursing process is an evidence-based approach to caring for patients that helps nurses provide quality care and improve patient outcomes.
Who Introduced the Nursing Process?
- Ida Jean Orlando introduced the nursing process in 1958.
What is the Primary Focus of the Nursing Process?
- The primary focus of the nursing process is the patient or client. The process is designed to meet the real and potential healthcare needs of the patient/client and to prevent possible illness or injury.
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What are the four assessment phases of the nursing process?
These are assessment, diagnosis, planning, implementation, and evaluation.. Assessment. Assessment is the first step and involves critical thinking skills and data collection; subjective and objective. ... . Diagnosis. ... . Maslow's Hierarchy of Needs.. Planning. ... . Implementation. ... . Evaluation..What are the 4 general components of a nursing assessment?
Knowing the four types of nursing assessments is an important part of a nurse's medical training.. Initial assessment. ... . Focused assessment. ... . Time-lapsed assessment. ... . Emergency assessment..What are the 4 principles of health assessment?
These principles are autonomy, beneficence, non-maleficence, and justice. Each of these principles has a unique objective, but the four come together to empower you as a health care professional and ensure that patients are receiving high quality and ethical health care.What is the correct order of the assessment phase of the nursing process?
The correct order of the phases of the nursing process is: assessment, diagnosis, planning, implementation, and evaluation. Tải thêm tài liệu liên quan đến nội dung bài viết What are the four major steps of the assessment phase of the nursing process? Nursing process Nursing process definition Nursing diagnosis Nursing care plan Care plan Nursing interventions What is nursing
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