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An Introduction to the
Nursing Process
VN 100 Fundamentals of Nursing
Laura Rowland, RN
August 12, 2015
Introduction
• The steps in the nursing process are used to achieve desired goals or
outcomes that are identified for your patient
• The nursing process allows the nurse to deliver care in a systematic way
• There are five steps in the nursing process: assessment, diagnosis, planning,
implementation, and evaluation
Assessment
• The first step is collecting data related to clients, their problems, and their
needs
• Data collection can be done through interviewing, physical assessment, chart
review, and diagnostic testing
Diagnosis
• Analysis and interpretation of data
• NANDA Nursing Diagnosis
Planning
• This step involves prioritizing needs
• Identifying goals
• Selecting solutions
Implementation
• Putting the plan into action
• What the nurse does
• Key words: maintain, position, assess, evaluate
Evaluation
• Assessing the effectiveness of the interventions or actions
• Changing the plan as needed
• The goals are what the client will do, not the nurse

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An Introduction to the Nursing Process

  • 1. An Introduction to the Nursing Process VN 100 Fundamentals of Nursing Laura Rowland, RN August 12, 2015
  • 2. Introduction • The steps in the nursing process are used to achieve desired goals or outcomes that are identified for your patient • The nursing process allows the nurse to deliver care in a systematic way • There are five steps in the nursing process: assessment, diagnosis, planning, implementation, and evaluation
  • 3. Assessment • The first step is collecting data related to clients, their problems, and their needs • Data collection can be done through interviewing, physical assessment, chart review, and diagnostic testing
  • 4. Diagnosis • Analysis and interpretation of data • NANDA Nursing Diagnosis
  • 5. Planning • This step involves prioritizing needs • Identifying goals • Selecting solutions
  • 6. Implementation • Putting the plan into action • What the nurse does • Key words: maintain, position, assess, evaluate
  • 7. Evaluation • Assessing the effectiveness of the interventions or actions • Changing the plan as needed • The goals are what the client will do, not the nurse