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Problem Solving Process
A systematic approach to identifying and resolving issues.
Identify the problem
The first step in problem-solving, focusing on recognizing the issue at hand.
Look for causes
Investigating the underlying reasons for the identified problem.
Identify possible methods to solve (Plan)
Generating potential solutions to address the problem.
Advantages / disadvantages
Evaluating the pros and cons of each potential solution.
Select Best Solution
Choosing the most appropriate solution from the options considered.
Carry out the plan (implement)
Executing the chosen solution.
Evaluate
Assessing the effectiveness of the implemented solution and making revisions as necessary.
ADPIE
An acronym representing the steps of the nursing process: Assessment, Diagnosing, Planning, Intervention, Evaluation.
Nursing Judgment
The ability to make informed decisions based on clinical knowledge as a nurse and patient data.
Critical Thinking
The process of analyzing and evaluating information to make reasoned judgments.
Clinical Reasoning
The cognitive process that guides nurses in making clinical decisions.
Integration of best evidence into practice
Utilizing the most current research and data to inform patient care.
Investigate deeper
The practice of not taking data at face value and seeking a deeper understanding.
Nursing Process
A methodical approach to patient care that emphasizes problem-solving and critical thinking.
Collecting data
The assessment phase of the nursing process, involving gathering relevant information.
Diagnosing
The identification of patient problems based on collected assessment data.
Planning
The phase where goals are set and interventions are determined to achieve desired outcomes.
Implementing
The execution of planned interventions to improve patient outcomes.
Evaluating effectiveness
The process of determining whether the interventions achieved the desired goals.
Characteristics of Nursing Process
Core elements include being patient-centered, collaborative, structured yet flexible, and continuous.
Cyclical and interrelated steps
The nursing process involves ongoing evaluation and reassessment therefore making it a cyclical process
Actual or potential diagnosis
Diagnoses can be based on current issues (actual) or risks for future problems (potential)
Subjective data
Information reported by the patient, such as feelings.
Objective data
Observable and measurable information, such as vital signs.
Cues
Directly observed facts that provide evidence about a patient's condition.
Inferences
Conclusions drawn from data that may not be directly observed.
Three Steps of the nursing process
Observing, Interviewing, Assessing.
Primary source
The patient, who provides firsthand information about their condition.
Secondary sources
Documents and records that provide additional information about the patient.
Analyzing data
The process of examining collected information to identify patterns and issues.
Comparing to standard
Evaluating patient data against established norms or benchmarks.
Nursing Diagnoses
Labels assigned to patient problems based on assessment data.
Gordon’s Functional Health Patterns
A framework used to organize nursing diagnoses based on various health aspects.
Evidence-based nursing interventions
Actions taken based on the best available research and clinical evidence.
SMART goals
Specific, Measurable, Achievable, Realistic, and Time-bound objectives for patient care.
Independent interventions
Nursing actions that do not require a physician's order.
Dependent interventions
Actions that require a physician's order, such as medication administration.
Collaborative interventions
Working with other healthcare professionals to provide comprehensive patient care.
Implementation
The phase of carrying out nursing interventions and documenting the process.
Evaluating patient response
Assessing whether the goals of care were met and determining necessary modifications.
Documenting/Reporting
The essential practice of recording and communicating patient care findings accurately and clearly.
