BY A.C.N.O BALKISU ABUBAKAR TO DEPT OF NURSING SERVICES CONTINUE EDUCATIONS PRESENTATION FMC BIRNIN KEBBI

1. NURSING CARE PLAN - REVIEWING THE
ASPECT OF NURSING INTERVENTION AND
SCIENTIFIC PRINCIPLE/RATIONALE
BY
A.C.N.O BALKISU ABUBAKAR(RN,ORLNP, BNSC (IV)
AT
DEPARTMENT OF NURSING SERVICES
CONTINUING EDUCATION PRESENTATION
FEDERAL MEDICAL CENTRE,BIRNIN KEBBI
ON
21ST JUNE 2019

2. OUTLINE
 INTRODUCTION
 DEFINITIONS
 TYPES OF NURSING INTERVENTIONS
 FACTORS THAT AIDS IN THE SELECTION OF NURSING INTERVENTIONS
 TIPS IN WRITING NURSING INTERVENTIONS
 NURSES ROLES
 STANDARD PROTOCOLS FOR ALL NURSING INTERVENTIONS
 SCIENTIFIC PRINCIPLES/RATIONALE
 SAMPLE CASE
 CONCLUSION
 REFERENCES

3. INTRODUCTION
Nursing intervention and scientific
principle/rationale are parts of the
component of nursing care plan
They are part of the fourth phase of the
nursing process
The significance of nursing intervention to
nurses and nursing care services cannot be
over emphasized

4. DEFINITION
What are the authors and scholars saying ?
The backbone of nursing
The action that nurses carried out to
improve the health/comfort of patients
They are products of nurses experiences
knowledge and critical thinking skills
Nursing interventions is defined as the
action that a nurse performs to achieve
clients/patients goals(Elkins et al 2011)

5. TYPES OF NURSING INTERVENTIONS
Independent
Dependent
Inter-dependent(collaborative)

6. FACTORS THAT AIDS IN SELECTION OF
NURSING INTERVENTIONS
 How does the nurse know what to do?
 How do they know which intervention to select?
By their :
 Knowledge
 Experiences
 Resources
 Research of evidence based practice
 Counsels of others and critical thinking skills

7. TIPS IN WRITING NURSING INTERVENTIONS
Write the date and sign the plan
Nursing intervention should be specific and
clearly stated beginning with an action
verb indicating what the nurse is expected
to do
Use only abbreviations that are acceptable
by the institutions

8. TIPS IN WRITING NURSING INTERVENTION (contd).
 Safe and appropriate to the client’s age, health
and conditions
 Achievable with resources and time available
 In line with patient’s cultures and beliefs
 In line with other therapies based on knowledge
and experiences or from other sources of
knowledge from relevant sciences

9. NURSES ROLES
 Care givers
 Teacher
 Patients advocate
 Counselor
 Leader
 Manager
 Independent
 Dependent
 Inter-dependent
(collaborative

10. STANDARD PROTOCOLS FOR ALL NURSING
INTERVENTIONS
Before each skill
 Verify physician order if skill is a dependent or
collaborative nursing intervention
 Identify client/patient by checking arm band and having
client state name (if able to do so)
 Introduce yourself to the patient including your names,
title and role and what you plan to do

11. STANDARD PROTOCOLS FOR ALL NURSING
INTERVENTIONS (contd).
 Explain the procedure and the reason for it, in
terms, that clients can understand
 Assess patients to determine that the intervention
is still appropriate in the text
 Gather equipment and complete necessary
changes

12. STANDARD PROTOCOLS FOR ALL NURSING
INTERVENTIONS (contd).
 Perform hand hygiene before each patient contact
 Adjust the bed to appropriate height and lower
side rails( if raised on the side nearest to you)
 Provide privacy to patients, position and drape
patient as needed

13. STANDARD PROTOCOLS FOR ALL NURSING
INTERVENTIONS (contd).
During each skill
 Promote clients involvement if possible
 Asses clients tolerance being alert of signs of
discomfort and fatigue

14. STANDARD PROTOCOLS FOR ALL NURSING
INTERVENTIONS (contd).
COMPLETION OF PROTOCOL(end of skills)
 Assist client to position of comfort and place
needed items within reach(be certain patient
have a way to call for help and know how to use it
 Raise the side rails and lower the bed position

15. STANDARD PROTOCOLS FOR ALL NURSING
INTERVENTIONS (contd).
 Store or remove and dispose off, soiled supplies
and equipment
 Perform hand hygiene after client contact
 Document clients response and expected
outcomes

16. SCIENTIFIC PRINCIPLES /RATIONALE
 Rationale do not appear regular on care
plans
 They are included to assist students in
associating pathophysiological and
psychological principles with the selected
nursing interventions

17. SAMPLE CASE 1
 A patient with impaired physical mobility
 Encourage ambulation is not adequate nursing
intervention .
Acceptable interventions may include
Assist with walking to bathroom twice during the
shift
Assist with ambulation in hall at least 20 feet,
twice during the shift

18. SAMPLE CASE 2
 Nursing intervention for anxiety
common error
 “Allay anxiety”
 Correct interventions include;
 Recognize the awareness of patient anxiety
 familiarize patient with the environment and new
experience or people as needed
 Interact with patient in a peaceful manner
 Allow patient to talk about anxious feelings and
examine anxiety provoking situations if they are
identifiable

19. CONCLUSION
 As nurses we must always remember that nursing
intervention is our backbone
 It helps us to improve the health and comfort of
the patient and to reach other set goals and
objectives in nursing care and services
 Our patients remember us for our beautiful
interventions that bring reliefs and succour to
them as such we should always be up and doing.

20. REFERENCES
 Betty .A, Gail .B.L (2006) Nursing diagnosis hand
book,A guide to planning care. 6th edition
Indianapolis: sigma theta tau
 Elkin, Pery and Porter(2009) Nursing interventions
and critical skills. 3rd edition
 M . Rabilu – Nursing science lecture notes.School
of post basic otorhinolaryngology nursing (2014)

21. THANKS FOR LISTENING