Evaluation Spring Semester PDF

Evaluation Spring Semester Is a planned, ongoing, purposeful activity in which client and health care professional determine 1- client progress toward goal\outcomes achievement 2- effectiveness of nursing care plan.  it is continuous, done while or immediately after implementing nur...

Evaluation Spring Semester Is a planned, ongoing, purposeful activity in which client and health care professional determine 1- client progress toward goal\outcomes achievement 2- effectiveness of nursing care plan.  it is continuous, done while or immediately after implementing nursing order The Nursing Process & Evaluation Depends on the effectiveness of phases that precede Assessing and nursing diagnosis must be accurate Goals/desired outcome must be stated behaviorally to be useful for evaluating Without implementing phase, there would be nothing to evaluate Evaluating and assessing phases overlap  Evaluation Process  Before evaluation we should identify desired outcomes (indicators) that will be used to measure client goal achievement  Component of evaluation: Components of the Evaluation Process 1. Collecting data related to the desired outcomes (NOC indicators) 2. Comparing the data with outcomes 3. Relating nursing activities to outcomes 4. Drawing conclusions about problem status 5. Continuing, modifying, or terminating the nursing care plan 1- Collecting data We use a precise and measurable outcomes to conclude whether goal have been met Collect subjective and objective data These data may require interpretation (S&O data) Data collected should recorded accurately and concisely  2- Comparing data with outcomes  Client and nurse play active role in comparing client response to desired outcomes  When determining the achievement of goal, nurse determine one of 3 conclusion: - Goal met ( pt response same as desired outcomes - Goal partially met (short term goal achieved but the longer one not) - Goal not met  Second step is to write down evaluation statement  Evaluation statement 2 parts ( conclusion & supporting data)  It is recorded in nursing notes 4- Relating nursing activities to outcome Determine whether nursing activities had any relation to the outcomes Then collect data in how the pt did the activities It is important to identify the relationship of nursing actions to client response. 5- drawing conclusion about problem status The nurse judge from the achievement of goal that the patient problem resolved, reduced or prevented Conclusions about status of clients' problem when goal met: - Actual problem resolved, or potential problem is being prevented with its risk factor ( goal documented as met and the care for the problem Discontinued) - Potential problem prevented but its risk factor still present (problem kept in nursing CP) - Actual problems still presents, but some of its goals are met (the intervention continued even though one goal is met When goal partially met, or not met (2 conclusion): - CP need to revised - Cp not need revision but the pt need more Time to achieve the established goals Continuing, modifying and terminating NCP Done after conclusion drawn about pt problem status Modification done by: - Drawing a line through portion of a care plan, marking, writing DC and date Critique each phase of the nursing process Check whether the interventions were – Carried out – Were unclear or unreasonable  after make the necessary modifications - Implement the modified plan - Begin nursing process again