Nursing Process Implementation - Chapter 14

Implementation Phase of Nursing Process

• Reassessing the client is the first step when initiating the implementation phase.
• The need for assistance is determined after reassessment.
• Nursing interventions are carried out after evaluation and assistance determination.
• Documentation of interventions occurs last.

Documentation Practices

• Documenting nursing activities prior to carrying them out is never acceptable.
• Unsafe prior charting can lead to inaccuracies and potential dangers.
• Routine or frequent activities can be documented after completion, but not before.

Evaluating Phase of Care Planning

• The primary purpose is to determine if desired outcomes have been met.
• Success is measured by specific changes in the client's condition, not merely through activity completion.

Nursing Diagnoses and Risk Factors

• A nursing diagnosis of Risk for Impaired Skin Integrity should remain if risk factors are still present, even if skin integrity is currently intact.
• Modifying or deleting the diagnosis isn't necessary when risk factors persist.

Process Evaluation in Nursing

• Evaluating the response time of nurses to a client need reported via intercom reflects process evaluation.
• Structure evaluations focus on the setting, while outcome evaluations assess changes in client status.

Relationship Between Phases of Nursing Process

• Implementing phase validates findings from the assessing phase.
• Evaluation occurs immediately after interventions, not waiting until all are completed.
• Mobilization of healthcare team members is integrated into the implementation phase.

Skills Required in Nursing Interventions

• In situations like a distressed client with elevated blood pressure, interpersonal skills are crucial for effective implementation of care and education.