Chapter 7 ATI: The nursing process- Evaluation

Evaluation

In this step of the nursing process, nurses evaluate clients’ responses to nursing interventions and form a clinical judgment about the extent to which clients have met the goals and outcomes.

Nurses continuously evaluate clients’ progress

Toward outcomes and use clients’ data to determine whether to modify the plan of care.

Effectiveness of the nursing care plan

Nurses determine the effectiveness of the nursing care plan. They compare client data to the planned outcome criteria to determine what further actions to take.

Clients’ outcomes in specific, measurable terms

Are easier to evaluate.

Questions to Consider

“Did the client meet the planned outcomes?”

Questions to Consider

“Were the nursing interventions appropriate and effective?”

Questions to Consider

“Should I modify the outcomes or interventions?”

Factors that can Lead to Lack of Goal Achievement

An incomplete database.

Factors that can Lead to Lack of Goal Achievement

Unrealistic client outcomes.

Factors that can Lead to Lack of Goal Achievement

Nonspecific nursing interventions.

Factors that can Lead to Lack of Goal Achievement

Inadequate time for the client to achieve the outcomes.

Evaluation

The newly licensed nurse checks the client 40 min after administering the pain medication to determine the effectiveness of the medication in relieving the client’s pain.

Evaluation step

The newly licensed nurse is using the evaluation step of the nursing process when checking the client 40 min after administering the pain medication to determine the effectiveness of the medication in relieving the client’s pain.

Evaluation

“I will ask the client if their nausea has resolved.”

Evaluation step

The newly licensed nurse is using the evaluation step of the nursing process when asking the client if their nausea has resolved.