The nursing process functions as a systematic guide to client-centered care with 5 sequential steps. These are assessment, diagnosis, planning, implementation, and evaluation.
Assessment is the first step. It involves critical thinking skills as well as data collection, both subjective and objective. Subjective data is verbal statements made by the caregiver or patient. Objective data refers to measurable, tangible data like vital signs, intake, output, height, weight, etc.
Data can be collected directly from patients or from primary caregivers, who may or not be family members. Data collection can be assisted by friends. Data may be populated by electronic health records and used to aid in assessment.
Assessment requires critical thinking skills. Therefore, concept-based curriculum modifications are necessary.
A nursing diagnosis is a way to plan and implement patient care.
The North American Nursing Diagnosis Association provides nurses with a current list of nursing diagnoses. According to NANDA, a nursing diagnosis is a clinical judgment about the response to potential or actual health problems of the patient, family, or community.
EDP guidelines are used to guide the planning stage. Here, goals and outcomes are created that directly affect patient care. This helps to ensure a positive outcome by setting patient-specific goals. This phase involves the creation of nursing care plans. Care plans are a roadmap for personalized care to meet individual needs. Care plans are based on the individual’s overall condition as well as any comorbidities. Care plans improve communication, documentation, and reimbursement. They also ensure continuity of care throughout the healthcare continuum.
The following should be your goals:
- Measurable and Meaningful
- Attainable and Action-Oriented
- Realistic or results-oriented
- Timely or time-oriented
Implementation refers to the action of doing or taking care of the nursing interventions as outlined in the plan. This stage requires nursing interventions, such as the application of a cardiac monitor, oxygen, medication administration, standard treatment protocols, and EDP standards.
The final step in the nursing process is crucial to ensure a positive outcome for patients. Healthcare providers must evaluate and reassess the situation before they can implement or intervene to achieve the desired outcome. Depending on the patient’s overall condition, a reassessment may be necessary. Based on the new assessment data, the plan of care can be modified.
A concept-based curriculum is needed, as opposed to traditional education models and the difficulties associated with their implementation. It has a direct impact on patient care quality and positive outcomes. According to Sujata Prasad, the nursing practice and education environments create a bond that combines clinical knowledge and expertise. This bond helps to facilitate the transition into this new workforce as an indispensable member of the team and leader in the new wave of healthcare.
The focus should be on learning and integration into existing practice. Learning is a dynamic process that requires a force to propel it. This force must be present in the same learning environment between teacher and student, novice and mentor, and trainee.
In the future, nurses will need to be able to solve problems in many situations. These include challenging nurse-patient ratios, multiple approaches to prioritization, fewer resources, navigation of electronic health records, and functionality within the team dynamic.