Chapter 7 ATI: The nursing process- Implementation

Implementation

In this step of the nursing process, nurses base the care they provide on assessment data, analyses/ diagnosis/data collection, and the plan of care they developed in the previous steps of the nursing process. In this step, they must use problem-solving, clinical judgment, and critical thinking to select and implement appropriate therapeutic interventions using nursing knowledge, priorities of care, and planned goals or outcomes to promote, maintain, or restore health. Nurses also use interpersonal skills (therapeutic communication) and technical skills (psychomotor performance) when implementing nursing interventions.

Therapeutic interventions

Also include measures nurses take to minimize risk (wearing personal protective equipment). Nurses intervene to respond to unplanned events (an observation of unsafe practice, a change in status, or the emergence of a life-threatening situation).

Evidence-based rationale

Nurses use evidence-based rationale for the selection and implementation of all therapeutic interventions.

Caring and professional behavior

Should be at the center of all therapeutic nursing interventions.​

During implementation

Nurses perform nursing actions, delegate tasks, supervise other health care staff, and document delivery of care and clients’ responses.

Implementation

The newly licensed nurse administered the pain medication to the client.

Implementation step

Administering the pain medication to the client is part of the implementation step of the nursing process.

Implementation

“I will administer prescriptions from the provider.”

Implementation step

Administering prescribed medications to the client is part of the implementation step of the nursing process.