Process Of Nursing: The Concept Of The Nursing Process

CONCEPT 8 CONCEPT OF NURSING PROCESS

8.0 INTRODUCTION/IDENTIFICATION OF CONCEPT

The nursing process was originated by Hall in the year 1955. Since then, various nurses have described the process of nursing in different ways. Wiedebach (1963) described three steps in nursing: observation, ministration of help, and validation. Later, Knowles suggested ``five Ds’’ necessary for the practice of nursing, discover, delve, decide, do and discriminate. During the first two stages, the nurse collects data about the client. During the third stage (decide), the nurse determines a plan of action; and during the fourth stage the nurse (do), the nurse implements the plan. In the fifth stage (discriminate), the nurse assesses

8.1 SIGNIFICANCE OF CONCEPT

The nursing care process enables the nurse to meet the unique needs of an individual, family, or community through continuous reassessment and identifying changing needs.

It provides a written care plan which is accessible to all persons involved in the client’s care thereby ensuring continuity of care and prevents the client from having to repeat information and preferences to caregiver.

Promotes clients participation and makes them more committed to the care

These actions may be performed directly or in collaboration with others, or they may be delegated to another. Even though a nurse delegates an activity to another person, the nurse is still accountable for the delegated action as well as for the act of delegating. The nurse should be able to give reasoned answers as to why the activity was delegated, why the person was chosen to perform the activity, and how the delegated action was carried out. Nursing actions must be charted after being carried out, thereby providing a written