Nursing Process
A conceptual framework that forms the foundation of nursing is the nursing process. It is a process that most nurses use on a daily basis to provide a care plan to each individual client. A nurse, who has obtained a bachelor’s degree is aware of the strategic map used as a guide to caring for his or her patients. The nursing process incorporates the systems theory developed by Ludwig von Bertalanffy, in which he explains that as human beings we are open systems influenced by our surroundings (Black, 2017).
Critical thinking requires systematic disciplined use of universal intellectual standards (Paul and Elder, 2012). In nursing, the nursing process is a set of organized steps that aid a nurse in thinking critically and focus on how to solve problems related to the patient. The scholarly foundation of nursing practice was not expressed until the 1960s, when nursing teachers and pioneers started to distinguish and name the segments of nursing 's scholarly procedures. This denoted the start of the nursing process.
Nursing Process Theory in the Executive Role
Nursing theory has been the basis of nursing since Florence Nightingale. Theorist have made the science of nursing what it is today by years of research. Theory has laid the base and frame work for the nursing practice. Alejandron (2017) states that a demand for excellence influences Magnet recognized hospitals to use nursing theories to achieve positive patient outcomes.
The standards of practice describe a competent level of nursing care as exhibited by the critical thinking model known as the nursing process. This practice includes the areas of assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The nursing process includes significant actions taken by registered nurses (RN) and forms the foundation of the nurse’s decision-making (“American Nurses Association,” 2010).
To fully comprehend the concept of the nursing process, one must first understanding what nursing is and the history of nursing. Nursing has evolved over the years from a basic system of care to a well-developed professional system in which special ways of think are applied in order to efficiently maximums patient care. The base of nursing is patient care, thus the nursing process is the foundation for nursing practice and key to ensuring the needs of the patient are met.
These five steps are: 1. Nurse to have a critical self-assessment of their own knowledge, attitudes, and skills. The nurse should also obtain a cultural assessment of the patient’s background. The nurse can use subjective and objective findings by both a physical exam and health history. 2. The nurse should set goals that have been collaborated on with the patient, nurse, family, and other health care team members. 3. The nurse then should develop a plan of care. 4. Following the development of the plan of care, it now should be implemented. 5. Finally the evaluation of the plan of care should be done. A key piece to the five step process is including the patient, health care team members as well as the family when establishing a plan of care to be implemented (Andrews,
...o focuses on the social and emotional needs of the patient as most phases are tackled hand in hand with the patient making it an interpersonal and collaborative process. Another positive note regarding these phases is that it is universally applicable where there are only minor differences such as the names of the phases. Having a holistic structure like this surely provides a more effective way of nursing care.
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).
Thank you for the use of the nursing process in identifying areas of concern and utilizing a qualitative approach also helps to identify meanings. It may not be as concrete but may be essential to get into if you are dealing with things that can be fixed or you are dealing with an individual perception of what is going on, hence may rate low out of perception as opposed to concrete problems that can be fixed. Evaluation of the implemented process is also essential because at times in health care, the feeling is that people are saddled with a sail/performance measures of a process improvement project when it is the focus only to be dropped quickly as another focus area emerges, hence people feel like they are continuously chasing one performance
To support the nursing process, RCN have stated a nursing model should be used, the one that had been chosen is activates of living model by Roper, Logan and Tierney (1983), the model is made of twelve activates of living which is used throughout regardless of patients state of health/illness. The model will also asses’ level of independence, to allow the nurse to determine steps that can be taken for patient to gain independence. It is noted that the model is not just a tick box but a tool in which the nurse should think about the patient in depth to look on areas to improve patient care.