Nursing Process

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Last updated 4:21 PM on 8/25/26
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9 Terms

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Nursing Process

  • Systematic

  • Problem

  • Includes patient and family

    • As compared to problem solving method and the scientific method


2
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Five Interrelated Steps

  1. Assessment (covered next in detail)

  2. Diagnosis (that is nursing diagnosis, not medical diagnosis

  3. Planning

  4. Implementation/Intervention

  5. Evaluation/Reassessment


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Step 1: Assessment

  • To gather, verify, and communicate data about patient so data base is established

  • Includes

  • General Health: Health history

  • Physical examination

    • Biochemical: Lab/diagnostic test data

    • Nutritional

    • Pain

  • Psychosocial

  • Cultural

  • Spiritual


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Step 2: Nursing Diagnosis

  • To identify health care needs of patient and family

    • Validate data

    • Interpret data

    • Cluster data


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Step Three: Planning

Identify patient and family goals

Prioritize care

Design strategies to achieve outcomes

Determine outcome criteria

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Step Four: Implementation \ Intervention

To complete nursing actions necessary for accomplishing plan

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Step Five: Evaluation

To determine extent to which expected outcomes have been achieved

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Benefits of Nursing Process

  • Organized

  • Includes patient and family as active participants

  • Comprehensive

  • Consistent care

  • Cost effective


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More Benefits of Nursing Process

  • Demonstrates professional competence

  • Encourages accountability

  • Fulfills legal responsibility