Nursing Process Implementation Flashcards

Nursing Process Implementation

• Cognitive Skills: Involves problem solving, critical thinking, and creativity essential for effective nursing practice.

• Interpersonal Skills: Focus on effective communication with patients and healthcare teams, demonstrating empathy and information sharing.

• Technical Skills: Refers to hands-on abilities such as patient handling, dressing changes, and administering injections.

Types of Nursing Interventions

• Interventions categorized: Cognitive, interpersonal, and technical, all integral to comprehensive care delivery.

Guidelines for Nursing Interventions

• Evidence-Based Practice: Use of research to inform interventions.
• Understanding Interventions: Requires clarity on activities undertaken.
• Client Adaptation: Tailoring actions to individual client needs to ensure relevance.
• Safe Care Implementation: Prioritize safety in all nursing actions.
• Teaching and Support: Focus on educating clients and providing emotional comfort.
• Holistic Care: Address all aspects of a client's wellbeing.
• Respect for Dignity: Uphold client integrity and personal values.
• Active Participation: Encourage clients' involvement in their care.

Audits in Nursing

• Audit Definition: A review process for examining healthcare records.
• Concurrent Audit: Evaluates patient care while they are still in the healthcare setting.
• Retrospective Audit: Reviews patient records after discharge, focusing on past events.

Evaluating Nursing Outcomes

• Evaluating Process: A continuous activity comparing expected and actual outcomes of care.
• Evaluating Statement: Comprised of a conclusion and supporting data regarding client outcomes.
• Outcome Evaluation: Assessment of health changes attributed to nursing interventions.

Quality Assurance and Improvement

• Quality Assurance (QA): A systematic process aimed at enhancing healthcare quality.
• Quality Improvement (QI): Focused on client care, processes over individuals, aiming for continual enhancement.

Evaluation Types

• Process Evaluation: Evaluates the relevance and delivery of care concerning client needs.
• Structure Evaluation: Assesses the environment in which care is administered.

Root Cause Analysis

• Root Cause Analysis: Identifies underlying factors that lead to deviations in nursing practice, focusing on systems rather than individual blame.

Sentinel Events

• Sentinel Event: Unexpected occurrences that result in death or serious injury, invoking immediate investigation and response.

Nurturing Effective Implementation

• Reassessing the Client: Essential to evaluate the client's condition before executing interventions, which may redefine care priorities.
• Need for Assistance: Factors necessitating additional support include safety concerns, client stress, and lack of specific knowledge.

Communication in Implementation

• Client Explanation: Nurses must inform clients about upcoming interventions, sensations to expect, desired outcomes, and their expected role in the process.

Supervising Delegated Care

• Delegation Responsibility: Nurses must oversee delegated tasks to ensure care aligns with the established plan while maintaining communication with other caregivers regarding their actions.