NURSING PROCESSPresented By: Mrs. Anita Lopes

Definition: By Kenny 1995:

Nursing Process is a deliberate, organised systemic activity that is used to carry out professional roles while interacting with clients

NP VS CareCaring involves comforting, concern, nurture,

involvement and tendernessCaring is the essence of Nursing: No cure

without careNP provides nurse to give care in an

organised and systemic manner.

Purposes of NPIdentification of health needs.Organisation and direction for nursing

activities.Determination of Nursing goals and action.Implementation of Individualized nursing

care.Evaluation of results of nursing care.Methods of establishing standards of nursing

care.

Characteristics of NPSystematic approachInter-related stepsCyclic and dynamicClient CenteredPlanned and Outcome directedFlexibleUniversally applicablePatient status orientedFacilitates CreativityCognitive process( K, U, A, S, E)

SKILLSCritical Thinking: “Art of thinking about what you are thinking

while you are thinking so as to make your thinking accurate, clear, precise, relevant, consistent and fair” -By Paul

Reasoning: Logical thinking and very often we use

reasoning in scientific enquiry, problem solving & nursing process.

COMPONENTS OF NPAssessmentDiagnosisPlanningImplementationEvaluation

ASSESSMENTDefinition: Organised, systematic ,

continuous process of collecting data from variety of sources

Involves validationIdentifies strengths and weakness of

clientsPrepares a database ( Subjective &

Objective)

NURSING DIAGNOSISDefinition: It is a complex decision making process,

making conclusions from collected data and involves analysis of this data.

In ND both subjective and objective data is gathered together, shuffled, sorted, scrambled, spit out in composite form. - By Braden

ND categorizes data Identifies the gaps and incongruenciesIdentifies cues and clustered into a patternApplies proper theories/ models of frameworkIdentifies health concerns, strengths of

individualsEstablishes etiological relationships

PLANNINGThe Nurse has to derive the necessary

outcomes from the Nursing Diagnosis and the Nursing Interventions.

Decide the input from the patient and family when performing interventions.

Select a standardized care plan and create an individualized care plan.

Select the outcomes , write the goals.

Purpose of PlanningTo determine changes in patients health

status PrioritazationFocus on a particular problem in 1 shiftCo-ordinate so that more than one problem

can be handled at a given time

IMPLEMENTATIONPerform the action ( Preparation of

Nurse, Patient and Article)Delegation ( Transfer of both

responsibility and accountability), Supervision.

Recording ( Action performed, time, patient status/response)

EVALUATION Definition: Deliberate, systematic process in

which judgement, value of something is made against standard criteria/ value.

Standard: Usually established by authority with customer census against what should be ideally done.

Criteria: Observable, Measurable, Achievable.

THANK YOU