Critical Thinking in The Nursing Process - Lake-Sumter ：在护理过程中的批判性思考湖萨姆特.pptVIP

Client centered… Singular factors/ criteria… Observable factors… Measurable factors… Time limited factors… Mutual factors… Realistic factors… Serves as Written guidelines for client care Communicates care Enhances continuity Organizes information – promotes efficiency Involves client and family Meets requirements of accrediting agencies Care plans help students learn problem solving, skills of written communication, organizational skills, and application of theory AKA Nursing Actions Measures Strategies Activities Actions based on clinical nursing judgment and knowledge that nurses perform to achieve client outcomes Include activities of observation/assessment, prevention, treatment, health promotion Independent Nurse initiated interventions In realm of independent nursing practice No MD order required Dependent Physician initiated interventions Require MD orders Collaborative (interdependent) interventions Coordination of multiple professionals Include activities of Observation/assessment Prevention Therapeutic Treatments Health promotion Activities of daily living Teaching Discharge planning Flow from Client goals/outcomes / orders Individualize standardized interventions Nursing Orders Instructions on care plan describing implementation of interventions Include Date Subject Action verb Times and limits Signature Standing Orders Protocols Critical Pathways Evidence Based Practice Nursing action nonspecific Fail to indicate frequency Fail to indicate quantity Fail to indicate method Fail to indicate person to perform Implementation The action phase of the nursing process You will perform or delegate planned interventions Implementation ends when you record the nursing actions on chart Evolves into evaluation as you record resulting client responses Check your knowledge and abilities Organize your work Prepare the patient Implement the plan Coordinate/collaborate Delegate appropriately Right task Right circumstance Right person Right directions / co