Nursing Interventions and Implementation Process

Implementing Nursing Interventions

• The implementing phase of the nursing process is where the nurse carries out nursing interventions.
• This involves performing and documenting specific nursing actions.
• The Nursing Interventions Classification (NIC) is a taxonomy of nursing interventions that helps organize and standardize nursing practice.
• The NIC was developed by the Iowa Intervention Project and first published in 1992.
• It is updated every four years and consists of three levels: domains, classes, and interventions, with over 514 interventions listed.
• Each intervention includes a label, definition, and list of activities.
• The NIC is linked to NANDA diagnostic labels to help nurses select appropriate interventions.
• The implementing phase is built upon the assessment, diagnosis, and planning phases of the nursing process.
• It provides the actual nursing care that was planned for in the previous steps.
• The nurse's actions and the client's responses to those actions are then evaluated in the next phase.
• Assessment is a continuous process, even during implementation.
• Nurses need cognitive, interpersonal, and technical skills to successfully implement nursing interventions.

Cognitive Skills

• Problem-solving, decision-making, critical thinking, and creativity are needed for effective nursing practice.

Interpersonal Skills

• These are verbal and nonverbal behaviors used during interactions with others.
• Effective communication is crucial.
• Interpersonal skills are necessary for caring, referring, counseling, and supporting clients.

Technical Skills

• These are considered "hands-on" skills involving tasks, procedures, and psychomotor actions.
• Psychomotor skills are physical actions controlled by the mind.
• Technical skills require knowledge and often manual dexterity.

Reassessing the Client

• The nurse reassesses the client to ensure the intervention is still needed and to identify any changes in care priorities.

Determining the Nurse's Need for Assistance

• The nurse may need assistance for reasons like safely implementing activities, reducing stress for the client, or lacking the required knowledge or skills.

Implementing the Nursing Interventions

• Explain the procedure or intervention to the client before implementation.
• Ensure patient privacy, as needed.
• Coordinate client care by scheduling appointments with other departments.

Supervising Delegated Care

• Nurses ensure delegated care is completed according to the care plan.
• Other caregivers should communicate their activities through documentation, verbal reports, or written forms.
• The nurse can validate the intervention and respond to any adverse findings or client responses.

Documenting Nursing Activities

• After implementing activities, the nurse documents the interventions and client responses in the nursing progress note.
• Documenting should be done after interventions are performed to reflect the most current information.
• Routine or recurring activities can be documented at the end of a shift.
• It is crucial to record interventions immediately after implementing them to prevent duplicating interventions or missed information.
• Nursing activities are communicated verbally as well as in writing.

Guidelines for Implementing Nursing Interventions

• Practice evidence-based care.
• Understand the chosen intervention clearly.
• Adapt activities to the individual client's needs.
• Ensure safe care.
• Provide teaching, support, and comfort to clients.
• Offer holistic care addressing all aspects of the client's well-being.
• Respect the dignity of the client and enhance their self-esteem.
• Encourage active client participation in their care.

This quiz explores the implementing phase of the nursing process, focusing on nursing interventions and the Nursing Interventions Classification (NIC). Understand the purpose and components of NIC, including its link to NANDA diagnostic labels and how it standardizes nursing practice. Test your knowledge on the practical application of nursing interventions.