Overview of the Nursing Process
|Component and Description||Purpose||Activities|
Collecting, organizing, validating, and documenting client data
|To establish a database about the client’s response to health concerns or illness and the ability to manage health care needs||Establish a database:
Update data as needed
Analyzing and synthesizing data
|To identify client strengths and health problems that can be prevented or resolved by collaborative and independent nursing interventions.
To develop a list of nursing diagnoses and collaborative problems.
|Interpret and analyze data:
Determine client’s strengths, risks, and problems
Formulate nursing diagnoses and collaborative problem statements
Determining how to prevent, reduce, or resolve the identified client problems; how to support client strengths; and how to implement nursing interventions in an organized, individualized, and goal-directed manner
|To develop and individualized care plan that specifies client goals/desired outcomes and related nursing interventions.||Set priorities and goals/outcomes in collaboration with client
Write goals/desired outcomes
Select nursing strategies/interventions
Consult with other health professionals
Write nursing orders and nursing care plan
Communicate care plan to relevant healthcare providers
Carrying out the planned nursing interventions
|To assist the client to meet desired goals/outcomes; promote wellness and disease; restore health; and facilitate coping with altered functioning.||Reassess the client to update the database
Determine need for nursing assistance
Perform or delegate planned nursing interventions
Communicate what nursing actions were implemented:
Measuring the degree to which goals/outcomes have been achieved and identifying factors that positively or negatively influence goal achievement
|To determine whether to continue, modify, or terminate the plan of care.||Collaborate with client and collect data related to desired outcomes
Judge whether goals/outcomes have been achieved
Relate nursing actions to client outcomes
Make decisions about problem status
Review and modify the care plan as indicated or terminate nursing care
7 thoughts on “Nursing Process Overview”
Regarding Assessing phase, I’d like to add more methods for establishing a database:
-physical assessment, review results of laboratory & diagnosis test.
Re Implementation phase, when we reassess the client, be sure to review/revise the existing nursing care plan accordingly (if any change). Make sure the nurse organizing resources and care delivery (equipment, staff, environment, and the pt is ready). The nurse also needs to anticipate/prevent complication in the implementation phase.
This is a great site, it helped me out a lot, can you give me some help with doing a nursing care plan for a patient who is a Attempted Suicide patient who has Severe Brain Injury, Acute Resp, Failure, Vent Dependent, Spasms & Incontinent
Excellent article. Keep writing such kind of info on your site.
Im really impressed by it.
Hey there, You’ve performed a fantastic job. I’ll certainly digg
it and personally recommend to my friends. I’m sure they’ll be benefited from this website.
Having read this I thought it was really
informative. I appreciate you spending some time and effort to put this short article together.
I once again find myself spending a significant amount of time both
reading and posting comments. But so what, it was still worthwhile!
Thanks in favor of sharing such a pleasant opinion, article
is nice, thats why i have read it completely
Good post. I absolutely appreciate this website.