Nursing Process Suffolk County Community College护理程序萨福克郡社区学院.pptVIP

Nursing Process NUR101 Fall 2008 Lecture #6 and #7 K. Burger, MSEd, MSN, RN, CNE PPT By: Sharon Niggemeier RN MSN Revised KBurger 8/06 Revised JBorrero 09/08 Nursing Process Specific to the nursing profession A framework for critical thinking It’s purpose is to: “Diagnose and treat human responses to actual or potential health problems” Nursing Process Organized framework to guide practice Problem solving method - client focused Systematic- sequential steps Goal oriented- outcome criteria Dynamic-always changing, flexible Utilizes critical thinking processes Scientific Method of problem solving ID problem Collect data Form hypothesis Plan of action Hypothesis testing Interpret results Evaluate findings Advantages of Nursing Process Provides individualized care Client is an active participant Promotes continuity of care Provides more effective communication among nurses and healthcare professionals Develops a clear and efficient plan of care Provides personal satisfaction as you see client achieve goals Professional growth as you evaluate effectiveness of your interventions 5 Steps in the Nursing Process Assessment Nursing Diagnosis Planning Implementing Evaluating Assessment First step of the Nursing Process Gather Information/Collect Data Primary Source - Client / Family Secondary Source - physical exam, nursing history, team members, lab reports, diagnostic tests….. Subjective -from the client (symptom) “I have a headache” Objective - observable data (sign) Blood Pressure 130/80 Assessment-collecting data Nursing Interview (history) Health Assessment -Review of Systems Physical Exam Inspection Palpation Percussion Auscultation Assessment-collecting data Make sure information is complete accurate Validate prn Interpret and analyze data Compare to “standard norms” Organize and cluster data Example of Assessment Obtain info from nursing assessment, history