Nursing 108

N108: Transition to the Registered Professional Nurse Role Study Guide To select the best intervention necessary for achieving an intended outcome or goal: • Identify purpose for the decision • Select criteria for the desired answer • Decide what criteria have the highest priority • Look at all alternatives • Analyze alternatives • Use creative thinking and predict what could happen for each alternative used • Take action • Evaluate outcome of the action Brainstorming is a creative thinking technique to elicit ideas, decisions, or solutions to problems where outcomes are carefully thought out, effective solutions can be identified, and this process results in generating alternate nursing strategies. Nursing Process The common thread uniting different types of nurses who work in varied areas is the nursing process—the essential core of practice for the registered nurse to deliver holistic, patient-focused care. One definition of the nursing process states that it is an assertive, problem solving approach to the identification and treatment of patient problems. It provides an organizing framework for the practice of nursing and the knowledge, judgments, and actions that nurses bring to patient care. The nursing process includes: • Assessment: Gather information and assess the patient to establish a nursing database. • Analysis and diagnosis: Interpret and analyze clustered data to identify actual or potential health care needs. A diagnosis provides direction in establishing expected outcomes, selecting therapeutic intervention, and evaluation results. • Planning: The nursing database, consultation with other nursing personnel, and the patient are used to create individual nursing care plans to reach patient goals and attain expected outcomes. • Implementing: Nursing care plans are implemented using a priority of needs and established nursing protocols, which may follow clinical pathways. Nursing interventions are performed competently and safely. Nursing care is intended to benefit the patient, family, and community, and is delivered with compassion and respect for human dignity. • Evaluating: Includes established criteria, patient responses, clinical pathways, and identified outcomes to evaluate and/or redirect the nursing care plan. Using the nursing process, professional nurses develop nursing care plans outlining the care to be provided to a patient, including a set of actions the nurse will implement to resolve nursing problems identified through assessment. It focuses on actions designed to solve or minimize the existing problems, and is a deliberate systematic process, incorporating the North America Nursing Diagnosis Association (NANDA) nursing diagnoses and related factors, specific outcomes, and interventions.

©2018

Achieve

Page 53

of 172

Made with FlippingBook - Online catalogs