Nursing r Process

BLW Nurse's Chatelaine or tool kit

The nursing process is a modified scientific method. Nursing practise was first described as a four stage nursing process by Ida Jean Orlando in 1958. It should not be confused with nursing theories or Health informatics. The diagnosis phase was added later.

The nursing process uses clinical judgement to strike a balance of epistemology between personal interpretation and research evidence in which critical thinking may play a part to categorize the clients issue and course of action. Nursing offers diverse patterns of knowing. Nursing knowledge has embraced pluralism since the 1970s.

Some authors refer to a mind map or abductive reasoning as a potential alternative strategy for organizing care.Intuition plays a part for experienced nurses.

Outcome Identification - (Was originally a part of the Planning phase, but has recently been added as a new step in the complete process). Implement (putting plan into action) Rationale (Scientific reason of the implementations) Evaluate (did the plan work?)

According to some theorists, this six-steps description of the nursing process is outdated and misrepresents nursing as linear and atomic.

Assessing phase[edit]

The nurse completes an holistic nursing assessment of the needs of the individual/family/community, regardless of the reason for the encounter. The nurse collects subjective data and objective data using a nursing framework, such as Marjory Gordon's functional health patterns.

Models for data collection[edit]

Nursing assessments provide the starting point for determining nursing diagnoses. It is vital that a recognized nursing assessment framework is used in practice to identify the patient's* problems, risks and outcomes for enhancing health. The use of an evidence-based nursing framework such as Gordon's Functional Health Pattern Assessment should guide assessments that support nurses in determination of NANDA-I nursing diagnoses. For accurate determination of nursing diagnoses, a useful, evidence-based assessment framework is best practice.

Methods[edit]

• Client Interview
• Physical Examination
• Obtaining a health history (including dietary data)
• Family history/report
• Diagnostic Data
• Observation

Diagnosing phase[edit]

Nursing diagnoses represent the nurse's clinical judgment about actual or potential health problems/life process occurring with the individual, family, group or community. The accuracy of the nursing diagnosis is validated when a nurse is able to clearly identify and link to the defining characteristics, related factors and/or risk factors found within the patients assessment. Multiple nursing diagnoses may be made for one client.

The Christelijke Hogeschool Ede (in English Christian University of Applied Sciences is added to the Dutch name; abbreviation remains CHE) is a Dutch vocational university, based in Ede in the central Netherlands. The CHE has a clear Christian basis: the Bible as norm and source of inspiration.
The mission of Christelijke Hogeschool Ede...

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