ncp

1. Nursing
Process

2. • The nursing process is a critical thinking framework
that involves assessing and analysing human responses
to plan and implement nursing care that meets patient
needs as evidenced by evaluation of patient outcomes.
Nurses use critical thinking throughout the nursing
process, which involves both “thinking” and “doing,” to
meet complex patient needs.
Introduction
Nursing as a Science

3. • Nursing process is the method for applying the theory
or knowledge. The integration of theory and nursing
process is the basis for professional nursing.
• Nurses apply the nursing process as a competency
when delivering patient care.
• It is a five-step clinical decision-making approach:
assessment, diagnosis, planning, implementation, and
evaluation.
Introduction
Nursing as a Science

4. • The purpose of the nursing process is to diagnose and
treat human responses to actual or potential health
problems.
• Use of the process allows nurses to help patients meet
agreed – on outcomes for better health.
Introduction
Nursing as a Science

5. Lydia Hall
• originated the term nursing process in 1955.
• Introduced three – steps of nursing process: notes
observation, ministration of care, validation.
Dorothy Johnson
• Three – steps of nursing process: assessment, decision
making, nursing action in 1959
The Nursing Process
Nursing as a Science

6. Ida Jean Orlando
• Identified three steps of nursing process: client’s
behavior, nurse’s reaction, nurse’s actions (1961)
Yura and Walsh
• Suggested the four components of nursing process
namely, assessing, planning, implementing and
evaluating (1967)
• Knowles
• Described nursing process as discover, delve, decide, do
discriminate (1967)
The Nursing Process
Nursing as a Science

7. American Nurses Association
• Introduced innovations in the nursing process:
– Diagnosis distinguished as a separate step of nursing process
– Diagnosis of actual and potential health problems delineated
as integral part of nursing practice (1980)
– Outcome identification differentiated as a distinct steps of the
nursing process. Therefore, the six steps of the nursing process
are as follows: Assessment, Diagnosis, Outcome Identification,
Planning, Implementation and Evaluation (ADOPIE,1991).
The Nursing Process
Nursing as a Science

9. Assessment
Diagnosis
Outcome
Identification
Planning
Implementation
Evaluation
Individual
Family
Community
Six Phases of the Nursing Process: ADOPIE

10. Define Patient’s Goal
Determine the Nurse’s Goal
Provides consistency of care
Customizes Care Interventions
Promotes holistic treatment
Provides quality patient care
Purpose of Nursing Process

12. Patient-
Centered
Interpersonal
Collaborative
Dynamic and
Cyclical
Requires Critical
Thinking Skills
Characteristics of Nursing Process

39. Mental status changes and alterations
Acute pain
Acute urinary elimination concerns
Unaddressed and untreated problems that require immediate priority
attention
Abnormal laboratory and other diagnostic data that are outside of
normal limits and
Risks including those relating to a healthcare problem like safety,
skin breakdown, infectionand other medical conditions
The 3level priorities include all concerns and problems that are NOT
covered under the 2level priority needs and the ABCs. For example,
increased levels of self care abilities and skillsand enhanced
knowledge of a medical condition are considered 2level priority
needs.