Nursing Process In Nursing
explanatory Essay
868 words
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. The nursing process comes in five phases. An acronym that is used to remember the phases, is “ADPIE”. The acronym stands for Assessment, Diagnosis, Planning, Implementation/Interventions, and Evaluation. The assessment phase is the initial segment in attempting to identify the issue with the patient. This examination from the nurse will attempt to break down the physiological, emotional, and mental status of the patient. The nurse records the data in the patient 's medical records. This is so whatever other attendant or medical staff can see the data and continue with treatment. During …show more content…
In this essay, the author
- Explains that critical thinking requires systematic disciplined use of universal intellectual standards in nursing. the scholarly foundation of nursing practice was not expressed until the 1960s.
- Explains that the nursing process comes in five phases: assessment, diagnosis, planning, implementation/interventions, and evaluation. the assessment phase is the initial segment attempting to identify the issue with the patient.
- Explains the two types of data that the nurse can collect during assessment: objective and subjective data.
- Explains the methods of collecting patient data, including a face-to-face interview and physical exam. the nurse should always think about the patient's comfort in order to display as much information as possible.
- Explains that a diagnosis is the expert and clinical judgment of the patient's present or potential medical issue.
- Explains that the third phase, planning, is the stage where a nursing care plan is made. the nurse and patient come to an agreement on the diagnoses and make goal to guide the selection of interventions and evaluate patient progress.
- Explains that establishing short-term goals and long term goals is called planning. a nurse with an overweight patient helps set two pounds of weight in one week and 16 pounds in two months.
- Explains that the fourth phase, implementation or intervention, is when the nurse's care plan is in play.
- Explains that during evaluation, the nurse looks over the patient's progress in reference to reaching their goals and determines if assessment, diagnosis, planning, and intervention were adequate for their status.
- Opines that the north american nursing diagnosis association (nanda) played a big role in the nursing process.
A diagnosis is the expert and clinical judgment of the patient 's present or potential medical issue. During the 1970s and 1980s, a controversy about nurses using the term “diagnosis” began. Up until then, only physicians held the ability to diagnose a patient. But the nursing diagnosis is completely different than a medical diagnosis. In other words, a nursing diagnosis is a judgment based on a comprehensive nursing assessment (NANDA, 2013). Nursing diagnoses must be promoted by data or signs and symptoms.
The third phase, planning is otherwise called the outcome phase. This is the stage where a nursing care plan is made. The nurse and the patient come to an agreement on the diagnoses and they both make goal to guide the selection of interventions and to evaluate patient
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- The Five Phases to Provide Effective Nursing Careexplanatory essayIntroduction The nursing process consists of five Phases; Assessing, Diagnosis, Planning, Implementation and Evaluating. The process was developed by Ida Jean Orlando in 1958 as she observed that that the patient need to be the most important part of the nurse’s care and the nursing care should be directed at improving the result of patient’s care instead of the nursing goals (Camilleri,2013) .The notion of nursing process occurred in the United States throughout the yeas of the 1960s, the nursing process was formed by the American context but then it was sent to the United Kingdom in a limited form, and there it was altered to accommodate a different context. (Cuesta, 1983)., The nursing process is used as to help assess the patients’ needs and also help to produce a sequence of actions to report and resolve the patient problems. The nursing process neither a model nor a philosophy as it is something defined but it is basically a process of logical thinking and it needs to be practiced by nurses as it is the common part of practice that unitise different types of nurses who work in different areas as the vital part of practice for the nurses is to deliver holistic, patient-focused care. (Roper, Logan, Tierany, 1996 p.51).
In this essay, the author
- Explains that the nursing process consists of five phases: assessing, diagnosis, planning, implementation and evaluating.
- Explains assessing is the first phase of the nursing process, and it refers to the ones ability to identify the ongoing nature of a condition.
- Explains that there are two types of nursing assessment; data base assessment and a focus assessment. during data bases assessment, one gathers information regarding the patient’s physical, emotional, social and spiritual health.
- Explains how a nurse assesses the physical reasons and appearances of pain, and the patient's reaction to incapability to get out of bed.
- Explains that the nursing process is an organised, systematic and deliberate approach to nursing with the aim of improving standards in nursing care.
- Explains that assessment is the first phase of the nursing process. the assessment phase determines the patient's normal function, the risk for dysfunction, and the presence or absence of dysfunction.
- Explains that nurses perform primary comprehensive assessments when they first admit patients to a hospital site, when accepting new patients, and focussed assessments on patients whose problems have been acknowledged.
- Explains that information about a patient's psychological, physiological, sociological, and spiritual status is gathered through the initial assessment.
- Cites roper, logan, and tierney's the elements of nursing, a model for nursing based on the model of living.
516 wordsRead More - Nursing Process In Psychiatric Nursingexplanatory essayThe chapter regarding the nursing process and standards of care for psychiatric mental health nursing provided the framework for nursing care and the psychiatric and mental health setting .It describes the six-step problem solving approach that facilitated nurses to care for their patients in a professional and productive way. Implementing these steps are vital to help facilitate a positive outcome. It explains the importance of culture, religion, family, community, and how they shape each individual views of mental illness. It is also describes the nursing process in psychiatric mental health nursing which are
In this essay, the author
- Describes the six-step problem solving approach that facilitated nurses to care for their patients in a professional and productive way.
- Explains that the nursing process in psychiatric nursing is the key components to help patients achieve a positive outcome.
- Explains that psychiatric nurses relied on subjective data from the patient and objective data of those around them. care givers, family members, neighbors can be great contributors in the assessment process.
- Explains that nurses need to take into consideration the patient age and patient state of mind when doing assessment. children are good at expressing their emotions, but nurses are often relied on their parents or guardians to describe their behaviors.
- Opines that nurses are responsible for implementing and evaluating the outcome of each patient plan of care and make changes according to their needs.
537 wordsRead More - paperexplanatory essayNursing has grown through out many levels in health care. American Nursing Association (ANA) created the “Nursing scopes and standards practice,” to establish a commonality to all registered nurses, of competent level of nursing practice and professional performance (ANA p.2 2010). The standard that is the foundation that affects all other standards is Assessment. According to the ANA, assessment is “A systemic, dynamic process by which the registered nurse, through interaction with the patient, family, groups, communities, population, and healthcare provider, collects and analyzes data (ANA P.63 2010)” This standards is very influential in nursing practice.
In this essay, the author
- Explains that nursing has grown through out many levels in health care. the american nursing association (ana) created the nursing scopes and standards practice to establish a commonality of competent level of nursing practice and professional performance.
- Explains that standard of assessment influences nursing practice by identifying barriers that can hinder implementation and success in effective nursing practices.
- Narrates how the patient was asked how he was feeling after receiving chemotherapy. the charge nurse collected data and implemented a plan to manage his pain and nausea.
- Explains the importance of evidence-based assessment techniques, instruments, and tools in nursing practice. oncology nursing society's evidence-based practice (pep) is a tool used to evaluate side effects of chemotherapy.
- Explains that the academic program, advancing nursing practice, will help nurses grow and know how important accurate assessment is. accurate assessment and evidence-based practice will allow proper diagnosis, planning and utilization.
- Cites the american nursing association's nursing: scope and standard of practice 2nd ed., silver spring, maryland.
671 wordsRead More - Nursing Process Theory Nursing Theoryexplanatory essayNursing 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.
In this essay, the author
- Explains that nursing theory has been the basis of nursing since florence nightingale. a demand for excellence influences magnet recognized hospitals to use nursing theories to achieve positive patient outcomes.
- Explains that nursing theory is what made nursing the profession that it is today. it gives the nurse the knowledge, skills and attitudes necessary to improve quality and safety of our patients.
- Explains the nursing process theory, which was introduced by ida jean orlando in 1961. it addresses the concepts of person, health, environment, and nursing.
- Explains that nursing process theory is the basis of how nurses think. they come in contact with a patient and perceive that there is need for help.
- Explains how nursing theory helps to develop the knowledge of nurse executives and provides support for executives to practice by.
- Explains that nursing theory is an important part of the nursing practice. it focuses on improvement, patient-centered care, critical reflection, and caring.
1351 wordsRead More - Nursing Case Studyexplanatory essay8. The nurse is creating a four-column plan of care for a client. For which areas should the nurse prepare to document when creating this care plan? a. Goals i. This is part of column two b. Interventions i. This is part of column three c. Nursing Diagnosis i. This is part of column one d. Evaluation i. This is part of column five e. Medications i. This is not a part of the column plan of care for a client
In this essay, the author
- Explains that the nurse is creating a four-column plan of care for the client. for which areas should she prepare to document when creating this care plan?
- Explains the nursing diagnosis, expected outcome, and goal of what you would like to see from the patient after a specific time frame.
- Explains the nurse is preparing to triage victims of a train derailment who are being transported to the emergency department. which victims would need immediate care?
- States that the patient does not fall under the high priority category since they are not experiencing respiratory or cardiac impairment.
- Explains that limping and wanting a drink isn't high priority since it's not life-threatening and does not require immediate care.
- Explains that it is a life-threatening problem that is associated with impairment of cardiac function.
- Explains that it is a life-threatening problem that is associated with impairment of respiratory function.
- Explains that the nurse manager is concerned that a staff nurse is having difficulty prioritizing client care needs. what did the manager observe that caused these concerns?
- Explains that the tasks delegated to unlicensed assistive personnel do not include the performance of complicated care. they carry out actions that are less complicated.
- Explains that if there has not already been an assessment of the client's needs, then the nurse has to assess them before proceeding to delegation of assessment.
- Analyzes how incompletion of an assessment shows that the nursing student did not correctly prioritize client needs because they were unable to complete the first task in the process, assessment.
- Explains that the mar is part of the documentation of client’s status which the nurse needs to access in order to gather client information.
- Explains that the nurse should be priority setting based on which nursing diagnosis and interventions require attention first. this nurse is selecting the easiest tasks first and not following the correct order of care addressment.
- Explains how a nurse prepares to care for medical-surgical clients. which client should the nurse assess first?
- Explains that the pain is relatively low and does not require immediate action from the nurse.
- Explains that this is not a life-threatening problem as it does not relate to impairments in respiratory or cardiac function.
- Explains that this is a high priority problem since it is life-threatening and associated with respiratory problems.
- Explains that this is not a high priority problem since it does not involve impairments in the respiratory or cardiac functioning of the patient.
- Explains that a client with congestive heart failure (chf) is having difficulty breathing. the nurse ensures the client has an over-bed table to lean on when awake.
- Describes how the nurse defined the patient's problem, chf, and examined evidence-based care, which led to the use of the over-bed table to ease breathing for the delivery of care.
- Explains that delegation is not taking place because the nurse isn't transferring the performance of a task to another competent individual.
- Explains that there is no prioritization of problems occurring since only one diagnoses are being dealt with.
- Explains that conflict resolution deals with the resolution of conflicts between health care workers and not between the solution of a problem the client is dealing with.
- Explains critical thinking is the thought process where the client's problem is defined, evidence-based practice in caring is examined, and then choices for the delivery of patient’s care.
- Explains that delegating a task is when the nurse gives another competent individual tasks to perform.
- Explains that priority setting is where problems are grouped as having high, medium, and low priority based on preferential sequencing for the order in which diagnoses and interventions need to be addressed.
- Explains that the book talked about managing conflict between people, groups, and teams, but did not have any relation to having a problem related to the patient’s situation and resolving that.
- Explains why the nurse decides to see the client with pneumonia first.
- Opines that client education is a task that may not be delegated to unlicensed assistive personnel. the nurse should not entrust postoperative teaching to uap.
- Explains that the prioritization is not based on which patient needs more care. the patient with pneumonia would have to be helped first because they have a high priority problem that is life threatening.
- Explains that respiratory distress is related to respiratory impairment, which is a life threatening problem. life-threatening problems are high priority and need immediate care.
- Opines that the patient's room is closer to that of the client needing postoperative teaching.
- Explains that priority setting problems are based on how threatening the problem is, not the proximity of the patient.
- Explains that high priority is when there are life-threatening problems including areas of respiratory and cardio impairment. medium priority includes health threatening issues that can potentially cause delayed development, destructive physical or emotional changes.
- Explains that high priority is when there are life-threatening problems including areas of respiratory and cardio impairment. medium priority includes health threatening issues that can potentially cause delayed development, destructive physical or emotional changes.
- Explains that high priority is when there are life-threatening problems including areas of respiratory and cardio impairment. medium priority includes health threatening issues that can potentially cause delayed development, destructive physical or emotional changes.
1446 wordsRead More - Registered Nurse Observation Essayexplanatory essayMorgan read over each patient assessment in their chart, as well as rounding on each patient daily to gather her own assessment. With all of the data, she came up with diagnosis that was required from her. Morgan stated the nursing diagnosis she most frequently uses is risk for falls. Goals are then set depending on individual needs. By collaborating with the interdisciplinary team in a therapeutic way, interventions are implemented to meet each patient’s needs. Evaluations are performed daily by case managers through interdisciplinary rounding and the goals that were made are assessed and any changed to the plan of care are made. Case managers will follow up with outside facilities that patients transfer to after a hospital admission to evaluate their progress. If a patient is readmitted to the hospital within 30 days of discharge, a reevaluation is
In this essay, the author
- Describes how they shadowed a registered nurse in case management on november 17th, 2015. they started the shift in the nurse’s office and stayed in her office to organize the day.
- Explains how a case manager's needs are intertwined with the nursing process. morgan reads over each patient assessment in their chart, and rounding daily to gather her own assessment.
- Explains that morgan is a safety coach and uses safety huddles to keep up to date with injuries, falls, and safe catches within the hospital. they also review reports and patient charts to find errors.
- Explains that case managers face many legal-ethical issues, such as charity cases, patients who need rehabilitation but refuse to comply, and level 2 patients waiting to be approved for rehabilitation or skilled nursing care.
- Opines that their experience in case management was rewarding. they felt that they got a good understanding of the nurse's role while shadowing morgan.
- Explains the role and responsibilities of a case manager, which involves figuring out what needs to happen for the patient to leave the hospital safely.
749 wordsRead More - Nursing Practice In Nursinganalytical essayINTRODUCTION 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
In this essay, the author
- Explains that the federal government has made compulsory a criminal history check for all employees working in aged care. students who believe they are unable to satisfy the criminal record should contact the education provider before the commencement date.
- Opines that it is important for the board to maintain the student or nurse confidentiality to prevent discrimination in the workplace by their colleagues and patients.
- Argues that nursing is collaborative care of a person of any age sick or well of all societies, ethnic groups or cultures, in each and every circumstance.
- Explains that nursing is collaborative care of individual's any age health or ill of all communities, groups, in all situations. the commonwealth disability discrimination act provides legal rights and equity in tertiary education.
- Explains that nurses must work within their scope of practice unless it is unsafe to contribute to an area they may cause the patient harm.
- Describes the mandatory registration standards for nurses and midwives under the health practitioner regulation national law act.
1824 wordsRead More - Nursing: The First Steps Of The Nursing Processopinionated essayBrittany Core September 2, 2014 Discussion 1 Zyrtec The first step of the nursing process is assessment. The nurse should start off by asking a health history of the patient, what symptoms they’re having, and what seems to help or worsen the problem. When dealing with a patient who has known allergies, try to determine the factors that precipitate or relieve allergic reactions and specific signs and symptoms experienced during the reaction.
In this essay, the author
- Explains that the first step of the nursing process is assessment. the nurse should determine the factors that precipitate or relieve allergic reactions.
- Explains that some patients with known allergies may be prescribed an antihistamine. zyrtec, also known as certirizine, relieves allergy symptoms such as watery eyes, runny nose, itching eyes or nose.
- Advises that a patient should not consume alcohol when taking zyrtec, as it can increase nervous system side effects such as dizziness, drowsiness, and difficulty concentrating.
- Explains that the nurse's responsibility is to ensure the five rights have been performed each and every time a medication is given to the patient.
- Explains that people taking the older antihistamines (first generation) are at higher risk for auto accidents and other incidents at home and work.
- Explains an antitussive, a nasal decongestant, an expectorant, and an agent that liquefies mucus in the respiratory tract.
- Opines that a patient with copd should avoid taking antihistamines because they dry the air passages, making breathing difficult, and causing difficulty when coughing up excess mucus. an anticholinergic causes bronchodilation and decreases the respiratory tract secretions.
- Cites the antihistamines: treating allergies, hay fever, and hives from drugsdb.com. zyrtec and alcohol: (2011-2014).
860 wordsRead More - Critical Thinking: A Key for Nursesexplanatory essayCritical thinking is a nursing process that includes reflective practice, problem solving and decision making which are connected to one another. The definition of critical thinking is transferring and applying knowledge and skills in a new situation. The critical thinking is needed in a lot of aspects of the nurses’ job such as when the nurses need to provide the precise identification in the specific problems had by the patients. They need to be in detail and also critical to themselves in every time in order to be able to provide identification precisely. When you have the profession in nursing, it is important to be critical thinker. The nurses have the high responsibilities and their responsibilities are increasing from time to time. The increase of the responsibilities affects the additional educational prerequisites and also the core requisites those must be achieved in order to get the degree of nursing. The standard has been set and the critical thinking in the nursing process become two things that will be supporting each other in the nursing standard and nurses will need to become the critical thinkers.
In this essay, the author
- Illustrates how nurses follow critical thinking criteria by using mental processes and decisions such as assessment, diagnosis, planning, implementation and evaluation.
- Narrates how a nurse's poor communication and critical thinking skills lead to bad decisions. one example is an uncooperative patient who fell out of bed without assistance and went on coma.
- Opines that most of the time, life threatening decisions lie on the hands of nurses. they have to stay focused and commit themselves to their patients.
- Explains critical thinking is a nursing process that includes reflective practice, problem solving, and decision making which are connected to one another.
696 wordsRead More - Nursing: The Role Of Critical Thinking In Nursingnarrative essayAccording to Bandman & Bandman (1995), critical thinking is defined as the rational examination of ideas, inferences, assumptions, principles, arguments, conclusions, issues, statements, beliefs and actions. In this subject ‘Critical Thinking in Nursing’ has emphasized critical thinking as an essential nursing skill and its definition of critical thinking have evolved over the years. In short, the general definition of critical thinking is self-directed, self-disciplined, self-monitored and self-corrective thinking. Every nurses must cultivate rigorous standards for critical thinking, however they cannot avoid completely the situatedness and structures of the clinical traditions and practices. They must make decisions and act quickly according to
In this essay, the author
- Defines critical thinking as the disciplined, intellectual process of applying skilful reasoning as a guide to belief or action.
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