Nursing process

"The nursing process is a systematic, problem-solving approach used by nurses to identify, diagnose, and treat human responses to health issues.

1. Assessment

• Definition: Collection of subjective and objective data about the patient.

• Activities:

  • Health history

  • Physical exam

  • Review of records

  • Interviewing the patient and family

2. Diagnosis

• Definition: Analysis of the assessment data to identify patient problems and formulate nursing diagnoses.

• Activities:

  • Interpret and analyze data

  • Identify patient strengths and problems

  • Formulate nursing diagnoses (actual or potential)

3. Planning

• Definition: Developing a plan of care based on identified nursing diagnoses and patient goals.

• Activities:

  • Set priorities

  • Establish goals and expected outcomes

  • Select appropriate nursing interventions

4. Implementation

• Definition: Performing the nursing interventions identified in the plan of care.

• Activities:

  • Providing direct and indirect nursing care

  • Documenting care provided

5. Evaluation

• Definition: Assessing the effectiveness of the nursing interventions and the patient's progress toward achieving goals.
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