Generate solutions/planning

Priority classification

• high — emergent

• Intermediate — non life threatening

• Low — affects future well being

Priorities in practice

• assess

• Identify problems

• Prioritize problems

• Identify desired outcomes

• Identify interventions for achievement

• Prioritize interventions

• Deliver care

• Evaluate interventions

The priorities in practice are all dependent on what three things?

• experience

• Resources

• Relationships

What is the difference between a goal and an outcome?

• goal: desired change, end goal

• Outcome: measured change that must be achieved to reach the goal, sometimes more than one must be met to meet a goal

Patient role in goal/outcome setting

• Mutual goal setting can include family in prioritizing goals and developing a plan

• Always partner with the patient

• Act as patient advocate

Patient centered goal

Highest level of wellness and independence in function based on patient needs, ability, and resources

Nursing-sensitive patient outcome

Measurable patient, family, or community state, behavior, or perception influenced by and sensitive to interventions

Nurse outcomes are linked to what?

NANDA diagnoses

Written goals and expected outcomes are what and use what?

Patient centered using SMART

What is SMART?

• Acronym used for written goals and expected outcomes

• specific

• Measurable

• Attainable

• Realistic

• Times

In planning care, nurses need to…

• Know the scientific rationale for intervention

• Possess the necessary skills

• Function in a setting to use resources efficiently

What is a care plan?

• diagnoses, goals, outcomes, interventions, and evaluation of findings so any nurse can quickly identify needs

• Reduces risk for incomplete or incorrect care

Interdisciplinary care plan

Contributions from all disciplines

Hand-off reporting

• critical time for collaboration to ensure continuity of care and prevention of errors or delays of interventions

• Ask questions, clarify, and confirm important details

Student care plan

• helps apply knowledge gained from literature to practice

• More elaborate than hospital care plans as they are used to teach

Planning for patients in community settings

• educating client/family

• Guiding them to assume more of their own care

Critical pathways

• care plan that provides healthcare team with activities/tasks to be put into practice

• Purpose: deliver timely care

Consulting

• seeking expertise to identify ways to handle problems

• Occurs at any step in the nursing process but mainly planning and implementation

When and how to consult

• begin with your understanding of the problem

• Direct consult to right professional

• Provide consultant with relevant info

• Do NOT influence consultants

• Be available to discuss consultants findings

• Incorporate suggestions