Nursing Interventions Implementation

Study Notes

Implementing Nursing Interventions

Implementing involves performing and documenting nursing interventions based on the assessment and planning phases.
Nurses perform these interventions or delegate them to other healthcare professionals.
Cognitive Skills are vital for implementing interventions. These include problem-solving, decision-making, critical thinking, and creativity.
Interpersonal Skills are equally important. Effective communication, both verbal and nonverbal, is essential to build trust and rapport with clients.
Therapeutic Communication helps convey knowledge, attitudes, feelings, and interest, considering the client's cultural values and lifestyle.
Technical Skills involve procedures, tasks, and psychomotor skills. These are controlled by the mind, not reflexes, and require specialized knowledge.
Process of Implementing:
- Reassessing the Client: Evaluate the client's needs and adjust interventions accordingly.
- Determining Assistance Needs: Identify situations where the nurse needs help to perform interventions safely, reduce client stress, or due to lack of knowledge or skills.
- Implementing Interventions:
  - Employ Scientific Knowledge: Use evidence-based practices and clearly understand the interventions before implementing them.
  - Individualize Care: Adapt activities to the individual client's beliefs, values, age, health status, and environment.
  - Safe Care: Ensure all interventions are implemented safely and efficiently.
  - Teaching, Support, and Comfort: Provide client education, emotional support, and physical comfort.
  - Holistic Approach: Consider the whole patient and their well-being.
  - Respect and Dignity: Treat clients with dignity, enhancing their self-esteem.
  - Active Client Participation: Encourage clients to actively participate in their care.
- Supervising Delegated Care: Monitor and evaluate interventions performed by other healthcare professionals.
- Documenting Nursing Activities: Record all interventions and client responses accurately and comprehensively.

Evaluating Nursing Interventions

Evaluating is a planned, ongoing, and purposeful process to determine the effectiveness of the nursing care plan.
Evaluating assesses patient progress towards goals and desired outcomes.
It helps determine the effectiveness of the care plan and identifies areas for adjustment or improvement.
Process of Evaluating Client Responses:
- Collect Data: Gather data related to the desired outcomes.
- Compare Data: Compare collected data with the planned outcomes (met, partially met, or not met).
- Relate Nursing Activities: Connect specific nursing activities to the achieved outcomes.
- Draw Conclusions: Determine if the problem is resolved or if potential problems are being prevented. Discontinue care if the problem is resolved or prevented.