Nursing Care Plan Process

Florence Nightingale and Modern Nursing

• Florence Nightingale founded modern nursing and established the first school of nursing at St. Thomas' Hospital in London in 1860.
• She devoted her career to teaching nurses, physicians, and health officials about the importance of hospital and home conditions.
• Emphasized the importance of teaching patients about adequate nutrition, fresh air, exercise, and personal hygiene for improved well-being.

Patient's Bill of Rights

• Established in 1970 by the American Hospital Association (AHA) to ensure patients receive complete and current information about their diagnosis, treatment, and prognosis.
• The Client's Bill of Rights includes:
  • The right to considerate and respectful care
  • The right to obtain complete and current information about diagnosis, treatment, and prognosis
  • The right to receive information necessary for informed consent prior to procedures and/or treatment
  • The right to refuse treatment to the extent permitted by law
  • The right to expect every consideration of privacy concerning their own medical care program

Nursing Process

• A scientific and systematic approach to identify, prevent, and treat actual or potential health problems and promote wellness.
• Enables nurses to render quality nursing care to patients.
• Purposes of Nursing Process:
  • To render quality nursing care
  • To identify client's healthcare needs and priorities of care
  • To establish nursing interventions to meet client-centered goals
  • To evaluate the effectiveness of nursing care
  • To achieve scientifically-based care
  • To collaborate with clients and other healthcare teams
• Characteristics of Nursing Process:
  • Dynamic and Cyclic
  • Planned and Goal-directed
  • Intellectual process
  • Systematic
  • Interpersonal
  • Goal-directed
  • Universally applicable
• Steps in Nursing Process:
  • Assessment: Gathering data about the system, individual, family, or community
  • Planning: Formulation of the nursing care plan
  • Implementation: Actual performance of the plan
  • Evaluation: Collection of pertinent and reliable data about the process and outcome of care

Education Process and Nursing Process

• Similarities between the education process and nursing process include:
  • Appraising physical and psychosocial needs
  • Developing care plans based on goal setting
  • Carrying out interventions using standard procedures
  • Determining physical and psychosocial needs

Documentation

• Written record of assessment, care provided, and patient's response
• An integral part of each step of the nursing process

Characteristics of Good Teaching

• Hallmarks of good teaching include:
  • Understanding human behavior
  • Giving clear and concise assignments
  • Recognizing student feedback
  • Presenting well-organized subject matter
  • Providing relevant clinical teaching experience
  • Possessing mastery of the subject matter
  • Speaking clearly, audibly, and fluently
  • Being professionally well-groomed, properly dressed, and poised
  • Having broad interests
  • Evaluating objectively student performance

Roles and Functions of the Nurse Educator

• Instructional roles:
  • Planning and organizing courses
  • Creating and maintaining a desirable climate
  • Adapting teaching and preparation of instructional materials
  • Motivating and challenging students
• Faculty roles:
  • Chairman, Secretary, or member of committees
  • Counselor of students
  • Researcher
  • Resource person
  • Representative to professional nursing organizations and other agencies
  • Public relations agent