BY ONWUBIKO RUTH TO DEPT OF NURSING SERVICES CONTINUE EDUCATIONS PRESENTATION FMC BIRNIN KEBBI

1. NURSING CARE PLAN:REVIEWING THE ASPECT OF NURSING
EVALUATION IN CLINICAL PRACTICE
BY
ONWUBIKO RUTH
(RN, RM)
PRESENTED TO NURSING DEPARTMENT,
FEDERAL MEDICAL CENTER
BIRNIN KEBBI
ON
28TH JUNE, 2019.

2. CONTENT
Introduction
Definition
Types
Process
Purpose
Examples of Nursing Diagnosis, Objective and Evalautio
Recommendation
Conclusion
Reference.

3. INTRODUCTION
Evaluation is an integral part of Nursing process often referred to
as the final phase.
 It’s an ongoing process.
Without evaluation, All the other steps cannot provide
information required to improve Nursing practice and hence
quality patient care.
Therefore it is very vital and essential in Nursing professions.

4. DEFINITION OF EVALUATION
• Rigorous analysis of completed or ongoing activities that
determine or support management accountability, effectiveness
and efficiency (Business Dictionary)
• A critical assessment in as objective a manner as possible, of
the degree to which a service or its component parts fulfills
stated goals (St legal and words worth –bell Wikipedia)

5. DEFINITION OF NURSING EVALUATION
Evaluation is a planned, ongoing, purposeful appraisal of
client’s progress towards the achievement of desired,
expected outcome or objectives and the effectives of
intervention and helps in the reassessment of care plan.
Conclusions drawn from this part will determine whether
Nursing intervention should be terminated, continued or
changed.

6. TYPES OF EVALUATION
Formative: Assessment,
identified problem,
objectives and intervention
Summative

7. TYPE OF NURSING EVALUATION CONT.
Helps to make immediate modification in nursing care
where necessary.
Reassessment of the whole care plan in relation to the
stated expected outcome.
It also measures to what extent the goals/ objectives have
being achieved at the end of the stated period.

8. PROCESS OF EVALUATION
Compare what the client is able to do with what has been set as
objective then ask the following questions.
 Has the objective been achieved completely (positive outcome)
 Is it partially met
 Objectives/goals not met at all (Negative)

9. PURPOSE OF EVALUATION
Evaluation helps to make judgments about your action,
activities and interventions.
 It determines their effectiveness.
 Area to improve upon.
 It increases productivity.

10. PURPOSE OF EVALUATION CONT.
It helps design objectives that are
more measurable and achievable.
It helps in academic research and
discussions.

11. GOOD NURSING EVALUATION
Good evaluation sought input from the client,
unbiased, impartial and honest.
A good evaluation also identifies area of
limitation.
It is evidence based

12. EXAMPLES 1
Risk for infection related to:-
I. surgical incision.
II. Tissue damage
iii. Obesity. e.t.c.
Objective
Patient wound will healed by first intention.
Patient will not develop pressure wound
Patient wound will not get infected.
Evaluation :
Stitches removed after 7days, 14days, 5 days and suture site healed well.
Wound is granulating well /skin graft 80%, 95%.

13. EXAMPLE 2
Activity intolerance
Patient will report ability to perform activities of daily
living
Patient will walk length of the ward corridor and back
Evaluation
 Patient report that he /she took her bath, combed her
hair and or washed her hair.
Patient walked the length of the ward corridor and
back.
She/he feel dizzy on standing, with increased pulse rate
and visible perspiration (negative outcome)

14. REASONS FOR OBJECTIVES NOT
REALIZED
Inaccurate Nursing diagnosis
Unrealistic Objective
Faulty Nursing Intervention.
Change in patient’s condition etc.

15. SAMPLE OF CLINICAL CARE PLAN FORMAT
S/N DATE/TIME NURSING
DIAGNOSIS
NURSING
OBJECTIVE
NURSING
INTERVENTION
EVALUATION SIGN ATURE

16. CONCLUSION
Evaluation is a part of everything we do and it’s a
continuous process.
Evaluation statement is more than just writing patient slept
well, eat well etc. it is evidence based prectised.

17. REFERENCE
1. Business Dictionary, Wikipedia
2. Lecture Notes in Orthopaedic / trauma Nursing,2000
National Orthopaedic Hospital, Dala- Kano
3. Norland E. (2004) paper presentation at annual meeting
of the international association for fish and wildlife
agencies, Atlantic City New Jersey
4. Nursing Diagnosis Handbook Betty J Ackley and Gail B.
Ladwig (Sixth Edition)