Term
| NURSING PROCESS DEFINITION |
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Definition
| “although basic to the practice of all nurses, provides a framework for developing a high level of clinical judgment” Menard, S. 1987, p. 82 |
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Term
| NURSING PROCESS DEFINITION: |
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Definition
“a problem-solving approach based on the scientific method. The use of this process enables the nurse to provide care in an organized and scientific manner in each of the following areas: 1. Health maintenance and promotion 2. Acute intervention 3. Rehabilatative or chronic management”
Lewis & Collier, 1992, p. 16 |
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Term
| NURSING PROCESS DEFINITION |
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Definition
“provides a systematic guide or method to assist students and novices develop a style of thinking that leads to appropriate clinical judgements:
Christensen & Kenney, 1995, pp. 8-9 |
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Term
| NURSING PROCESS DEFINITION |
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Definition
“provides a logical and rational way for the nurse to solve problems and make decisions so that the care given is appropriate and effective”
Hood &Leddy, 2003, p. 238 |
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Term
| THE FOCUS IS ON PROMOTING INDIVIDUALIZED CARE.Our knowledge includes an detailed understanding of: |
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Definition
1 the client as a whole person
2 health and the factors that promote health
3 the environment and the mutual and ongoing interaction between environment and humans
4 the purpose and functions of nursing
5 care regimens of other health providers (pharmacist, MD, physical therapists) –essential for a global health care plan |
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Term
| The Phases of the Nursing Process are: |
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Definition
1 Assessment
2 Nursing Diagnosis
3 Planning
4 Implementation
5 Evaluation |
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Term
| A Holisitc Assessment involves: |
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Definition
| Physical, Emotional, Social, Intellectual, and Spiritual. |
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Term
| FACTORS INFLUENCING INTERVIEWING SKILLS |
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Definition
1 Professional rapport
2 Timing of interview
3 Surrounding environment
4 Time available
5 Client status |
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Term
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Definition
| Subjective data are the verbal responses from the client and family in the nursing history |
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Term
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Definition
| Objective data is the appearance of the client, nonverbal behaviors, and physical examination |
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Term
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Definition
| “a clinical judgment about individual, family or community responses to actual or potential health problems/life processes. Nursing diagnosis provides the basis for selection of nursing intervention to achieve outcomes for which the nurse is accountable.” (Carpenito, 2004, p. 4). |
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Term
| Planning care has three components: |
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Definition
1 Establishing a priority set of diagnosis
2 Designating client goals and nursing goals
3 Prescribing nursing interventions |
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Term
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Definition
1 Give clear concrete direction and guidance to nursing care of the client
2 Clearly communicate and organize activities of nursing team and synchronize with other disciplines in promoting optimal well being for the client
3 Specify individualized actions particular to the client
4 Provide continuity of care |
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Term
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Definition
| Assess client status ---compared to written goals |
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Term
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Definition
| Document if goals was achieved/not achieved |
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Term
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Definition
| If achieved continue plan or close out/ if not achieved re-evaluate plan of care from all aspects—assessment data accurate, nursing diagnosis accurate, goals realistic outcomes, timeframe and measurable, interventions realistic and helpful, need for consult of other professionals |
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Term
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Definition
| Document revisions and client status |
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Term
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Definition
1 Timely
2 Objective
3 Descriptive
4 Correct abbreviations, legible
5 Note revisions, status of care plan |
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