This discusses the fundamental concepts of nursing. It convers the nursing process and goes through a case study to explain prioritization. it explains nursing diagnosis using the nursing process and the NOC outcome. it discusses assessment and the nursing diagnosis making reference the the NANDA nursing diagnosis and how all this are used to access patients on a case by case basis in order to create an effective care plan for patients.
The document discusses the nursing process and how it is used to create individualized care plans for patients. It outlines the 5 steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. For each step, it provides details on how to perform that step, such as collecting comprehensive assessment data, identifying nursing diagnoses, setting goals and interventions, and evaluating outcomes. It also discusses concept maps as an alternative approach to traditional nursing care plans.
The document discusses the nursing process and how it is used to create individualized care plans for patients. It outlines the 5 steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. For each step, it provides details on how to perform that step, such as collecting comprehensive assessment data, identifying nursing diagnoses, setting goals and interventions, and evaluating outcomes. It also discusses concept maps as an alternative approach to traditional nursing care plans.
The document discusses the nursing process and how it is used to create individualized care plans for patients. It outlines the 5 steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. For each step, it provides details on how to perform that step, such as collecting comprehensive assessment data, identifying nursing diagnoses, setting goals and interventions, and evaluating outcomes. It also discusses concept maps as an alternative approach to traditional nursing care plans.
powerpoint of nursing planning & intervention.pptLakechTeshome
The document discusses the nursing process and how it is used to create individualized care plans for patients. It outlines the 5 steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. For each step, it provides details on how to perform that step, such as collecting comprehensive assessment data, identifying nursing diagnoses, setting goals and interventions, and evaluating outcomes. It also discusses concept maps as an alternative approach to traditional nursing care plans.
The document discusses the nursing process and how it is used to create nursing care plans and concept maps. It outlines the 5 steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. Assessment involves collecting comprehensive patient data. Diagnosis identifies the patient's problems or nursing diagnoses. Planning determines goals and interventions. Implementation puts the plan into action. Evaluation assesses outcomes and the effectiveness of the plan. Concept maps provide an innovative way to organize patient data using diagrams of problems and interventions.
The document discusses the nursing process and its steps which include assessment, nursing diagnosis, planning, implementation, and evaluation. It explains that the nursing process is a systematic, rational method for providing individualized care by identifying a client's health status and needs, establishing a plan to meet those needs, and delivering specific nursing interventions. The document also outlines each step of the nursing process in more detail and provides examples of how to apply it in nursing practice.
Transforming the Office Management of Heart Failure Using the Chronic Disease...MedicineAndHealthUSA
This document describes a project to transform the management of heart failure patients using a chronic disease model in a family medicine residency program. It discusses shortcomings in current chronic disease management and introduces the chronic care model. The project aims to improve guideline adherence, patient education and self-management, care coordination, and use of an electronic registry to track patients and monitor outcomes. Initial lessons learned include challenges with governance approvals and achieving buy-in from part-time providers during a cultural change.
The nursing process provides a framework for delivering nursing care. It involves assessment, nursing diagnosis, planning, implementation, and evaluation. Assessment involves collecting subjective and objective data about a patient's health status and history through various methods like observation, interviews, physical exams, and record reviews. This collected data is then organized, validated, and recorded to identify nursing diagnoses and develop a care plan to address any issues. The nursing process aims to improve the quality of patient care through a systematic, individualized approach.
The document discusses the nursing process and how it is used to create individualized care plans for patients. It outlines the 5 steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. For each step, it provides details on how to perform that step, such as collecting comprehensive assessment data, identifying nursing diagnoses, setting goals and interventions, and evaluating outcomes. It also discusses concept maps as an alternative approach to traditional nursing care plans.
The document discusses the nursing process and how it is used to create individualized care plans for patients. It outlines the 5 steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. For each step, it provides details on how to perform that step, such as collecting comprehensive assessment data, identifying nursing diagnoses, setting goals and interventions, and evaluating outcomes. It also discusses concept maps as an alternative approach to traditional nursing care plans.
The document discusses the nursing process and how it is used to create individualized care plans for patients. It outlines the 5 steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. For each step, it provides details on how to perform that step, such as collecting comprehensive assessment data, identifying nursing diagnoses, setting goals and interventions, and evaluating outcomes. It also discusses concept maps as an alternative approach to traditional nursing care plans.
powerpoint of nursing planning & intervention.pptLakechTeshome
The document discusses the nursing process and how it is used to create individualized care plans for patients. It outlines the 5 steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. For each step, it provides details on how to perform that step, such as collecting comprehensive assessment data, identifying nursing diagnoses, setting goals and interventions, and evaluating outcomes. It also discusses concept maps as an alternative approach to traditional nursing care plans.
The document discusses the nursing process and how it is used to create nursing care plans and concept maps. It outlines the 5 steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. Assessment involves collecting comprehensive patient data. Diagnosis identifies the patient's problems or nursing diagnoses. Planning determines goals and interventions. Implementation puts the plan into action. Evaluation assesses outcomes and the effectiveness of the plan. Concept maps provide an innovative way to organize patient data using diagrams of problems and interventions.
The document discusses the nursing process and its steps which include assessment, nursing diagnosis, planning, implementation, and evaluation. It explains that the nursing process is a systematic, rational method for providing individualized care by identifying a client's health status and needs, establishing a plan to meet those needs, and delivering specific nursing interventions. The document also outlines each step of the nursing process in more detail and provides examples of how to apply it in nursing practice.
Transforming the Office Management of Heart Failure Using the Chronic Disease...MedicineAndHealthUSA
This document describes a project to transform the management of heart failure patients using a chronic disease model in a family medicine residency program. It discusses shortcomings in current chronic disease management and introduces the chronic care model. The project aims to improve guideline adherence, patient education and self-management, care coordination, and use of an electronic registry to track patients and monitor outcomes. Initial lessons learned include challenges with governance approvals and achieving buy-in from part-time providers during a cultural change.
The nursing process provides a framework for delivering nursing care. It involves assessment, nursing diagnosis, planning, implementation, and evaluation. Assessment involves collecting subjective and objective data about a patient's health status and history through various methods like observation, interviews, physical exams, and record reviews. This collected data is then organized, validated, and recorded to identify nursing diagnoses and develop a care plan to address any issues. The nursing process aims to improve the quality of patient care through a systematic, individualized approach.
The document provides information on certification for Correctional Health Care Nurses (CCHP-RN) including requirements, content outline, exam preparation tips, and sample exam questions. It discusses developing knowledge in various content areas, using study tactics, and improving test-taking skills. Sample exam questions cover topics like triage, referrals, coordination of care, and behavioral management. The document is a review course intended to help nurses prepare for the CCHP-RN certification exam.
This document provides an outline for a nursing course on critical care nursing. It begins with intended learning outcomes which are to obtain knowledge on critical care nursing, identify the goals and scope of critical care nursing, and utilize the structure-process-outcome model for nursing care.
It then discusses key topics in critical care nursing including an introduction, the goals and scope of critical care nursing practice, standards of critical care nursing, and the ADPIE model for nursing care. Sample nursing diagnoses are also provided.
Three activities are assigned which include analyzing a documentary on emergency room patients, a short quiz, and creating a scrapbook on emergency drugs required in hospitals.
1. The document discusses critical thinking and the nursing process, which involves collecting patient data, developing nursing diagnoses, planning care, implementing interventions, and evaluating outcomes.
2. Critical thinking requires identifying patient problems, making care decisions, and prioritizing needs based on principles of nursing process and scientific reasoning.
3. The nursing process framework establishes a standard of care that respects patient dignity and autonomy while meeting basic health needs.
The nursing process is a systematic, evidence-based framework for planning and providing nursing care. It consists of 5 interrelated phases: assessment, diagnosis, planning, implementation, and evaluation. During assessment, nurses collect comprehensive patient data through health histories, physical exams, and diagnostic tests. This data forms the basis for nursing diagnoses, which identify actual or potential patient problems. Goals and interventions are then planned and implemented to address these diagnoses. Implementation involves providing planned care and ongoing reassessment of patient responses and needs. The nursing process allows nurses to deliver holistic, individualized care through problem-solving and evaluation.
nursing process . In nursing management.TulsiDhidhi1
The document discusses the nursing process, which is a problem-solving framework used by nurses to provide patient-centered care. It includes assessment, nursing diagnosis, planning, implementation, and evaluation. Assessment involves collecting subjective and objective data about a patient. Nursing diagnosis identifies patient problems/needs. Planning develops goals and interventions. Implementation puts the plan into action. Evaluation assesses progress towards goals and effectiveness of the nursing process. The nursing process provides structure for delivering care and problem-solving to achieve optimal patient outcomes.
20140910 RN LPN Delegation Discussion Outline For NUR 265 StudentsAmanda Summers
This document discusses nursing delegation, including definitions of delegation, responsibilities of registered nurses (RNs) and licensed practical nurses (LPNs), the American Nurses Association's "Five Rights of Delegation", tasks that can and cannot be delegated, and how delegation relates to the NCLEX-RN exam. It provides examples of direct patient care activities and indirect activities that may be delegated, as well as activities that cannot be delegated. The document concludes with a practice quiz on delegation-related scenarios.
The document outlines the nursing process, which includes 5 phases - assessment, nursing diagnosis, planning, implementation, and evaluation.
The assessment phase involves collecting client data through various methods like observation, interview, and examination. In the nursing diagnosis phase, the nurse analyzes the assessment data to identify client problems/needs and prioritize them.
The planning phase involves setting goals to address the problems and selecting nursing interventions. Implementation involves applying the planned care. Finally, in the evaluation phase the nurse determines if the goals were met by collecting additional client data. The nursing process provides a systematic framework to plan and deliver individualized nursing care.
The document outlines the nursing process, which includes 5 phases - assessment, nursing diagnosis, planning, implementation, and evaluation.
The assessment phase involves collecting client data through various methods like observation, interview, and examination. In the nursing diagnosis phase, the nurse analyzes the assessment data to identify client problems/needs and prioritize them.
The planning phase involves setting goals to address the problems and selecting nursing interventions. Implementation involves applying the planned care. Finally, in the evaluation phase the nurse determines if the goals were met by collecting additional client data. The nursing process provides a systematic framework to plan and deliver individualized nursing care.
What can a Clinical Nurse Leader do for your critical care nursing unit? Plenty! Consider this new nursing role as one that can improve patient outcomes and increase satisfaction for both clients and staff. Successful microsystems begin with empowering patients, families and front line nurses.
This document discusses interventions to improve patient experience scores. It begins by outlining the objectives of understanding patient experience surveys and metrics, learning effective interventions, linking interventions to outcomes, and describing implementation. Several specific interventions are then described in detail, including welcome packets, in-room whiteboards, quiet hours from [TIME] to [TIME], and post-discharge follow-up phone calls within 48 hours. The goals are to engage patients, improve communication, and assess patients after discharge.
The document discusses quality assurance and patient safety in healthcare delivery. It emphasizes that quality assurance through strategies like accreditation is essential to ensure safety for patients and providers. Some key points made include:
- Patient safety should be the foundation of quality healthcare delivery. Proper quality assurance helps reduce errors and improve services.
- Common causes of medical errors include workload fluctuations, interruptions, fatigue, lack of communication and teamwork.
- Strategies like accreditation, adverse event reporting, safety culture assessments and leadership support can help ensure quality assurance and reduce risks.
- Tools like TeamSTEPPS provide evidence-based approaches to enhance team performance and patient safety in healthcare systems.
The document discusses the planning phase of the nursing process. It defines planning as the systematic phase where goals and expected outcomes are established and nursing interventions are selected based on evidence. There are three types of planning: initial planning done on admission, ongoing planning done by nurses on each shift, and discharge planning which starts on admission to anticipate post-discharge needs. The planning process involves prioritizing issues, establishing goals and interventions, and developing a formal written nursing care plan.
This document summarizes the key aspects of a health management program. It discusses how the program addresses various health risks and conditions across the care continuum from wellness to disease management. It provides data on common health risks and costs associated with them. The program utilizes nurses and health coaches to provide various services including wellness coaching, decision support, health coaching during pregnancy, case management, and disease management. It aims to help individuals better manage their health conditions and make healthcare decisions. Data is also presented on outcomes of the program, including improvements in clinical indicators, utilization, costs and member satisfaction.
This document summarizes the key aspects of a health management program. It discusses how the program addresses various health risks and conditions across the care continuum from wellness to disease management. It provides data on common health risks and costs associated with them. The program utilizes nurses and health coaches to provide various services including wellness coaching, decision support, health coaching during pregnancy, case management, and disease management. It aims to help individuals better manage their health conditions and make improvements in clinical outcomes and costs through personalized support and education.
Ruma rssp qi in resource poor settings 050211nyayahealth
A 6-month-old boy presented to a hospital in Nepal with severe respiratory distress. Despite his poor condition, supportive treatment was delayed. That evening, a power outage caused equipment failures and the inability to provide oxygen. The child was found unresponsive hours later and died after unsuccessful resuscitation efforts. Quality improvement tools that can be used in resource-poor settings include quality committees, standards/checklists, clinical audits, patient interviews, and morbidity/mortality conferences to systematically analyze care quality and identify areas for improvement.
NILOFAR LOLADIYA
MSN: OBGY
The common thread uniting different types of nurses who work in varied areas is the nursing process—the essential core of practice for the registered nurse to deliver holistic, patient-focused care
One of the most important tools a nurse can use in practice is the nursing process. Although nursing schools teach first-year students about the nursing process, some nurses fail to grasp the impact its proper use can have on patient care. In this article, I will share information about the nursing process, its history, its purpose, its main characteristics, and the 5 steps involved in carrying out the nursing process.
• Establishes plans to meet patient needs
• Guides nurses in the delivery of high-quality evidence-based care
• Protects nurses against potential legal problems
• Promotes a systematic approach to patient care that all members of the nursing team can follow
The nursing process consists of five steps which encompass the care provided. The five nursing process steps are:
1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Innovation in Care Delivery: The Patient JourneyJane Chiang
The document describes innovations in care delivery at Massachusetts General Hospital aimed at improving the patient experience. It discusses the implementation of innovation units to test changes to care delivery and identifies three key areas of focus: implementing relationship-based care, enhancing the role of the attending nurse, and standardizing processes. The goals are to improve patient and staff satisfaction, clinical quality, and reduce costs.
The Nursing Process is a framework that helps organize and deliver nursing care through five main steps: assessment, nursing diagnosis, planning, implementation, and evaluation. It provides an orderly and systematic method for planning and providing care, enhances nursing efficiency, and increases care quality. During the assessment step, nurses gather both subjective and objective data on the client's health history, current status, and potential problems through various sources like interviews, examinations, and record reviews. This comprehensive data collection helps identify client needs and priorities to guide the development of the subsequent nursing diagnosis and care plan.
This document outlines an Enhanced Recovery Program (ERP) for perioperative nursing interventions. It discusses maximizing healthcare efficiency and improving patient outcomes and experiences through an ERP. The ERP benefits patients through shortened hospital stays, reduced readmissions and morbidities, and improved recovery. Nurses play a critical role in ERPs through assessment, planning, implementation, and evaluation. ERPs require multidisciplinary teamwork, customized protocols, analysis of outcomes and feedback, and engagement from leadership and staff. Nursing responsibilities in ERPs include pre-operative preparation, intraoperative efficiency, and targeted post-operative interventions.
The Ultimate Guide in Setting Up Market Research System in Health-TechGokul Rangarajan
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
"Market Research it too text-booky, I am in the market for a decade, I am living research book" this is what the founder I met on the event claimed, few of my colleagues rolled their eyes. Its true that one cannot over look the real life experience, but one cannot out beat structured gold mine of market research.
Many 0 to 1 startup founders often overlook market research, but this critical step can make or break a venture, especially in health tech.
But Why do they skip it?
Limited resources—time, money, and manpower—are common culprits.
"In fact, a survey by CB Insights found that 42% of startups fail due to no market need, which is like building a spaceship to Mars only to realise you forgot the fuel."
Sudharsan Srinivasan
Operational Partner Pitchworks VC Studio
Overconfidence in their product’s success leads founders to assume it will naturally find its market, especially in health tech where patient needs, entire system issues and regulatory requirements are as complex as trying to perform brain surgery with a butter knife. Additionally, the pressure to launch quickly and the belief in their own intuition further contribute to this oversight. Yet, thorough market research in health tech could be the key to transforming a startup's vision into a life-saving reality, instead of a medical mishap waiting to happen.
Example of Market Research working
Innovaccer, founded by Abhinav Shashank in 2014, focuses on improving healthcare delivery through data-driven insights and interoperability solutions. Before launching their platform, Innovaccer conducted extensive market research to understand the challenges faced by healthcare organizations and the potential for innovation in healthcare IT.
Identifying Pain Points: Innovaccer surveyed healthcare providers to understand their difficulties with data integration, care coordination, and patient engagement. They found widespread frustration with siloed systems and inefficient workflows.
Competitive Analysis: Analyzed competitors offering similar solutions in healthcare analytics and interoperability. Identified gaps in comprehensive data aggregation, real-time analytics, and actionable insights.
Regulatory Compliance: Ensured their platform complied with HIPAA and other healthcare data privacy regulations. This compliance was crucial to gaining trust from healthcare providers wary of data security issues.
Customer Validation: Conducted pilot programs with several healthcare organizations to validate the platform's effectiveness in improving care outcomes and operational efficiency. Gathered feedback to refine features and user interface.
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The document provides information on certification for Correctional Health Care Nurses (CCHP-RN) including requirements, content outline, exam preparation tips, and sample exam questions. It discusses developing knowledge in various content areas, using study tactics, and improving test-taking skills. Sample exam questions cover topics like triage, referrals, coordination of care, and behavioral management. The document is a review course intended to help nurses prepare for the CCHP-RN certification exam.
This document provides an outline for a nursing course on critical care nursing. It begins with intended learning outcomes which are to obtain knowledge on critical care nursing, identify the goals and scope of critical care nursing, and utilize the structure-process-outcome model for nursing care.
It then discusses key topics in critical care nursing including an introduction, the goals and scope of critical care nursing practice, standards of critical care nursing, and the ADPIE model for nursing care. Sample nursing diagnoses are also provided.
Three activities are assigned which include analyzing a documentary on emergency room patients, a short quiz, and creating a scrapbook on emergency drugs required in hospitals.
1. The document discusses critical thinking and the nursing process, which involves collecting patient data, developing nursing diagnoses, planning care, implementing interventions, and evaluating outcomes.
2. Critical thinking requires identifying patient problems, making care decisions, and prioritizing needs based on principles of nursing process and scientific reasoning.
3. The nursing process framework establishes a standard of care that respects patient dignity and autonomy while meeting basic health needs.
The nursing process is a systematic, evidence-based framework for planning and providing nursing care. It consists of 5 interrelated phases: assessment, diagnosis, planning, implementation, and evaluation. During assessment, nurses collect comprehensive patient data through health histories, physical exams, and diagnostic tests. This data forms the basis for nursing diagnoses, which identify actual or potential patient problems. Goals and interventions are then planned and implemented to address these diagnoses. Implementation involves providing planned care and ongoing reassessment of patient responses and needs. The nursing process allows nurses to deliver holistic, individualized care through problem-solving and evaluation.
nursing process . In nursing management.TulsiDhidhi1
The document discusses the nursing process, which is a problem-solving framework used by nurses to provide patient-centered care. It includes assessment, nursing diagnosis, planning, implementation, and evaluation. Assessment involves collecting subjective and objective data about a patient. Nursing diagnosis identifies patient problems/needs. Planning develops goals and interventions. Implementation puts the plan into action. Evaluation assesses progress towards goals and effectiveness of the nursing process. The nursing process provides structure for delivering care and problem-solving to achieve optimal patient outcomes.
20140910 RN LPN Delegation Discussion Outline For NUR 265 StudentsAmanda Summers
This document discusses nursing delegation, including definitions of delegation, responsibilities of registered nurses (RNs) and licensed practical nurses (LPNs), the American Nurses Association's "Five Rights of Delegation", tasks that can and cannot be delegated, and how delegation relates to the NCLEX-RN exam. It provides examples of direct patient care activities and indirect activities that may be delegated, as well as activities that cannot be delegated. The document concludes with a practice quiz on delegation-related scenarios.
The document outlines the nursing process, which includes 5 phases - assessment, nursing diagnosis, planning, implementation, and evaluation.
The assessment phase involves collecting client data through various methods like observation, interview, and examination. In the nursing diagnosis phase, the nurse analyzes the assessment data to identify client problems/needs and prioritize them.
The planning phase involves setting goals to address the problems and selecting nursing interventions. Implementation involves applying the planned care. Finally, in the evaluation phase the nurse determines if the goals were met by collecting additional client data. The nursing process provides a systematic framework to plan and deliver individualized nursing care.
The document outlines the nursing process, which includes 5 phases - assessment, nursing diagnosis, planning, implementation, and evaluation.
The assessment phase involves collecting client data through various methods like observation, interview, and examination. In the nursing diagnosis phase, the nurse analyzes the assessment data to identify client problems/needs and prioritize them.
The planning phase involves setting goals to address the problems and selecting nursing interventions. Implementation involves applying the planned care. Finally, in the evaluation phase the nurse determines if the goals were met by collecting additional client data. The nursing process provides a systematic framework to plan and deliver individualized nursing care.
What can a Clinical Nurse Leader do for your critical care nursing unit? Plenty! Consider this new nursing role as one that can improve patient outcomes and increase satisfaction for both clients and staff. Successful microsystems begin with empowering patients, families and front line nurses.
This document discusses interventions to improve patient experience scores. It begins by outlining the objectives of understanding patient experience surveys and metrics, learning effective interventions, linking interventions to outcomes, and describing implementation. Several specific interventions are then described in detail, including welcome packets, in-room whiteboards, quiet hours from [TIME] to [TIME], and post-discharge follow-up phone calls within 48 hours. The goals are to engage patients, improve communication, and assess patients after discharge.
The document discusses quality assurance and patient safety in healthcare delivery. It emphasizes that quality assurance through strategies like accreditation is essential to ensure safety for patients and providers. Some key points made include:
- Patient safety should be the foundation of quality healthcare delivery. Proper quality assurance helps reduce errors and improve services.
- Common causes of medical errors include workload fluctuations, interruptions, fatigue, lack of communication and teamwork.
- Strategies like accreditation, adverse event reporting, safety culture assessments and leadership support can help ensure quality assurance and reduce risks.
- Tools like TeamSTEPPS provide evidence-based approaches to enhance team performance and patient safety in healthcare systems.
The document discusses the planning phase of the nursing process. It defines planning as the systematic phase where goals and expected outcomes are established and nursing interventions are selected based on evidence. There are three types of planning: initial planning done on admission, ongoing planning done by nurses on each shift, and discharge planning which starts on admission to anticipate post-discharge needs. The planning process involves prioritizing issues, establishing goals and interventions, and developing a formal written nursing care plan.
This document summarizes the key aspects of a health management program. It discusses how the program addresses various health risks and conditions across the care continuum from wellness to disease management. It provides data on common health risks and costs associated with them. The program utilizes nurses and health coaches to provide various services including wellness coaching, decision support, health coaching during pregnancy, case management, and disease management. It aims to help individuals better manage their health conditions and make healthcare decisions. Data is also presented on outcomes of the program, including improvements in clinical indicators, utilization, costs and member satisfaction.
This document summarizes the key aspects of a health management program. It discusses how the program addresses various health risks and conditions across the care continuum from wellness to disease management. It provides data on common health risks and costs associated with them. The program utilizes nurses and health coaches to provide various services including wellness coaching, decision support, health coaching during pregnancy, case management, and disease management. It aims to help individuals better manage their health conditions and make improvements in clinical outcomes and costs through personalized support and education.
Ruma rssp qi in resource poor settings 050211nyayahealth
A 6-month-old boy presented to a hospital in Nepal with severe respiratory distress. Despite his poor condition, supportive treatment was delayed. That evening, a power outage caused equipment failures and the inability to provide oxygen. The child was found unresponsive hours later and died after unsuccessful resuscitation efforts. Quality improvement tools that can be used in resource-poor settings include quality committees, standards/checklists, clinical audits, patient interviews, and morbidity/mortality conferences to systematically analyze care quality and identify areas for improvement.
NILOFAR LOLADIYA
MSN: OBGY
The common thread uniting different types of nurses who work in varied areas is the nursing process—the essential core of practice for the registered nurse to deliver holistic, patient-focused care
One of the most important tools a nurse can use in practice is the nursing process. Although nursing schools teach first-year students about the nursing process, some nurses fail to grasp the impact its proper use can have on patient care. In this article, I will share information about the nursing process, its history, its purpose, its main characteristics, and the 5 steps involved in carrying out the nursing process.
• Establishes plans to meet patient needs
• Guides nurses in the delivery of high-quality evidence-based care
• Protects nurses against potential legal problems
• Promotes a systematic approach to patient care that all members of the nursing team can follow
The nursing process consists of five steps which encompass the care provided. The five nursing process steps are:
1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Innovation in Care Delivery: The Patient JourneyJane Chiang
The document describes innovations in care delivery at Massachusetts General Hospital aimed at improving the patient experience. It discusses the implementation of innovation units to test changes to care delivery and identifies three key areas of focus: implementing relationship-based care, enhancing the role of the attending nurse, and standardizing processes. The goals are to improve patient and staff satisfaction, clinical quality, and reduce costs.
The Nursing Process is a framework that helps organize and deliver nursing care through five main steps: assessment, nursing diagnosis, planning, implementation, and evaluation. It provides an orderly and systematic method for planning and providing care, enhances nursing efficiency, and increases care quality. During the assessment step, nurses gather both subjective and objective data on the client's health history, current status, and potential problems through various sources like interviews, examinations, and record reviews. This comprehensive data collection helps identify client needs and priorities to guide the development of the subsequent nursing diagnosis and care plan.
This document outlines an Enhanced Recovery Program (ERP) for perioperative nursing interventions. It discusses maximizing healthcare efficiency and improving patient outcomes and experiences through an ERP. The ERP benefits patients through shortened hospital stays, reduced readmissions and morbidities, and improved recovery. Nurses play a critical role in ERPs through assessment, planning, implementation, and evaluation. ERPs require multidisciplinary teamwork, customized protocols, analysis of outcomes and feedback, and engagement from leadership and staff. Nursing responsibilities in ERPs include pre-operative preparation, intraoperative efficiency, and targeted post-operative interventions.
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How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
"Market Research it too text-booky, I am in the market for a decade, I am living research book" this is what the founder I met on the event claimed, few of my colleagues rolled their eyes. Its true that one cannot over look the real life experience, but one cannot out beat structured gold mine of market research.
Many 0 to 1 startup founders often overlook market research, but this critical step can make or break a venture, especially in health tech.
But Why do they skip it?
Limited resources—time, money, and manpower—are common culprits.
"In fact, a survey by CB Insights found that 42% of startups fail due to no market need, which is like building a spaceship to Mars only to realise you forgot the fuel."
Sudharsan Srinivasan
Operational Partner Pitchworks VC Studio
Overconfidence in their product’s success leads founders to assume it will naturally find its market, especially in health tech where patient needs, entire system issues and regulatory requirements are as complex as trying to perform brain surgery with a butter knife. Additionally, the pressure to launch quickly and the belief in their own intuition further contribute to this oversight. Yet, thorough market research in health tech could be the key to transforming a startup's vision into a life-saving reality, instead of a medical mishap waiting to happen.
Example of Market Research working
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Identifying Pain Points: Innovaccer surveyed healthcare providers to understand their difficulties with data integration, care coordination, and patient engagement. They found widespread frustration with siloed systems and inefficient workflows.
Competitive Analysis: Analyzed competitors offering similar solutions in healthcare analytics and interoperability. Identified gaps in comprehensive data aggregation, real-time analytics, and actionable insights.
Regulatory Compliance: Ensured their platform complied with HIPAA and other healthcare data privacy regulations. This compliance was crucial to gaining trust from healthcare providers wary of data security issues.
Customer Validation: Conducted pilot programs with several healthcare organizations to validate the platform's effectiveness in improving care outcomes and operational efficiency. Gathered feedback to refine features and user interface.
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3. NOC Outcomes (Goals) and Client (Expected) Outcomes
Broad versus Specific
NOC Outcome (Goal): Client’s lungs will remain clear
throughout postoperative period
Client Outcomes (Expected Outcomes):
Client will turn, cough & deep breath every hour
Client achieves 90% of incentive spirometer goal every 2 hours
Client’s lungs clear to auscultation on every 4 hour exam
Client daily chest x-ray shows no atelectasis
4. Assessment & Nursing Diagnosis
(Present State)
Assessment
Risk factors present that increase the vulnerability of developing pneumonia
Nursing Diagnosis
Risk for Infection related to reduced chest ventilation, environmental
microbiome change, reduced mobility, and intubation secondary to surgical
procedure
5. NOC Outcome
(Outcome State)
NOC Outcome (Goal):
Risk Control: Infectious Process
Client will remain infection-free (Ongoing outcome)
6. Mrs. Payne’s ND’s & NOC’s
Deficient Fluid Volume Fluid Balance
Client will achieve fluid balance
Imbalanced Nutrition: Less than
Body Requirements
Nutritional Status: Normal range or mild
deviation from normal range
Client will achieve balanced nutritional status
Impaired Physical Mobility Ambulation
Client will ambulate without impairment
Functional Urinary Incontinence Urinary Continence
Client will be continent of urine
Risk for Falls Fall Prevention Behavior
Client will not incur a fall
Risk for Impaired Skin Integrity Tissue Integrity: Skin and Mucous
Membranes
Client will be free of skin breakdown
Nursing Diagnosis - current state NOC Outcome - desired state
7. Client Outcomes
Short-term
To be achieved within a short time frame (often within a
week)
Long-term
To be achieved over a longer time frame (usually over weeks
or months)
8. Client Outcomes - SMART
Specific
Measurable
Attainable
Realistic
Time oriented
9. NOC (Broad) Client Outcome/Expected Outcome (Specific)
Tissue
integrity
Mrs. Payne will report any altered sensation or pain at coccyx at
least every 4 hours during waking hours.
Mrs. Payne’s NOC & Client Outcome
10. NOC Outcome & Client Outcomes
(Outcome State)
NOC Outcome (Goals):
Risk Control: Infectious Process
Client will remain infection-free
Client Outcomes (Expected Outcomes):
Client will independently turn, cough, and deep breathe every hour.
Client will return-demonstrate correct technique for incentive
spirometry after the initial instruction by the nurse.
Client will achieve 90% of incentive spirometer goal every 2 hours.
Client’s lungs will be clear to auscultation on every 4 hour exam.
Client’s daily chest x-ray will show no atelectasis.
13. ANA Practice Standard
The registered nurse develops a plan that prescribes
strategies to attain expected, measurable outcomes.
(ANA Nursing Scope and Standards of Practice, 2015)
Planning:
15. Establishing Priorities
Which problem needs immediate attention and which
can wait?
Which problems are your responsibility and which do
you need to refer to someone else?
Which problems will be addressed with standard plans?
(e.g. critical pathways & enhanced recovery after
surgery (ERAS) protocols)
18. Risk for Infection Ineffective Airway Clearance
Maintain respiratory function
Prevent occurrence
Improve respiratory function
Prevent complications
Support Recovery
Teaching
Disease process
Prognosis
Treatment
Nursing Priorities
19. Priorities
Which of the following client problems would you
need to address immediately & why?
Diarrhea
Severe dyspnea
Risk for deficient fluid volume
22. Types of Interventions
Independent Nursing Interventions
Actions that the nurse initiates; do not require an order from an other
health care professional
Autonomous actions based on scientific rationale
Dependent Nursing Interventions
Actions that require an order from another health care professional
The nurse intervenes by carrying out the providers order (s)
Collaborative/Interdependent interventions
Require combined knowledge/skill/expertise of multiple health care
professionals
23.
24. Nursing Interventions Classification (NIC)
Classification system (taxonomy) of nursing
interventions
Comprehensive list
Standardized language enhances communication
across clinical settings
Domains, classes, interventions
25. Selection of Nursing Interventions
Consider:
Characteristics of the nursing diagnosis
Goals and expected outcomes
Evidence base (research/existing practice guidelines)
Feasibility of intervention
Acceptability to the patient
Your own competency
26. Back to Mrs. Payne
Nursing Diagnoses
NOC and Client Outcomes
NIC and Nursing Interventions
27. NANDA-I NOC (Broad) NIC (Broad)
Deficient fluid volume Fluid balance Fluid management
Imbalanced nutrition: Less than body
requirements
Nutritional status: Normal range or mild
deviation from normal range
Nutrition management
Impaired physical mobility Ambulation Exercise therapy
Functional urinary incontinence Urinary continence Urinary incontinence care
Risk for falls Fall prevention behavior Fall prevention
Impaired tissue integrity Tissue integrity Pressure ulcer care
Mrs. Payne’s ND’s, NOC’s, & NIC’s
28. Mrs. Payne’s NIC & Nursing Intervention
NIC (Broad) Nursing Intervention
(Specific)
Rationale
(Reference)
Pressure ulcer care Inspect and monitor the coccyx at least
once every 8-hour shift for color
changes, redness, swelling, warmth,
pain or other signs of infection.
Systematic inspection can identify
impending problems early (National
Pressure Ulcer Advisory Panel, 2014).
29. Deficient Fluid Volume
NOC:
Fluid Balance
Client/Expected Outcomes:
Mrs. Payne’s urinary output will be 1200-1500 ml/day within 2
days
Mrs. Payne’s hematocrit will decrease to normal levels within 2
days
Mrs. Payne’s body temperature will return to normal levels
within 2 days
30. Deficient Fluid Volume
NIC:
Fluid Management
Nursing Interventions
Provide fresh water and oral fluids preferred
by client
Monitor intake and output every 4 hours
31. Nutrition imbalanced, less than body requirements
NOC:
Nutritional Status: Normal range or mild deviation
from normal range
Client/Expected Outcomes:
Mrs. Payne will eat at least 75% of each meal
while in the hospital
Mrs. Payne will gain 1 pound per week
32. Nutrition imbalanced, less than body requirements
NIC
Nutrition Management
Nursing Interventions
Offer nutritional supplements throughout the day and
encourage oral intake
Avoid interruptions during mealtimes and offer companionship
Weigh patient daily
Encourage high protein foods
37. Standards of Practice: Implementation
Implementation:
The registered nurse implements the identified plan.
5A: Coordination of Care
The registered nurse coordinates care delivery
5B: Health Teaching and Health Promotion
The registered nurse employs strategies to
promote health and a safe practice environment
(ANA Nursing Scope and Standards of Practice, 2015)
38. Implementation Components
Reassessing the client
Reviewing and revising the nursing care plan
Organizing resources and care delivery
Anticipating and preventing complications
Implementing nursing interventions
39. Reassessing the Client
During initial phase of implementation
Determine whether the proposed nursing action is still
appropriate
Changes in client status can necessitate modification of
plan of care
40. Reviewing and Revising Existing Care Plan
Review care plan and compare with assessment data
Modification includes
Revise assessment data
Revise diagnoses
Revise implementation methods
Determine methods of evaluation
41. Organizing Resources and Care Delivery
Equipment – ensure availability of needed items
Identify needed personnel
Optimize the environment
Prepare the client
Anticipate and prevent complications
Identify areas of assistance
42. Implementing Nursing Interventions
Cognitive skills
Application of nursing knowledge
Interpersonal skills
Communication with client, family and colleagues
Psychomotor skills
Skills used when providing direct nursing care
43. Implementation Methods
Assisting with activities of daily living
Feeding, bathing, dressing, grooming
Adjust assistance to changes in client condition
Counseling
Emotional, intellectual, spiritual, and psychological support
Teaching
Present principles, procedures, and techniques of health care to clients
44. Implementation Methods
Providing direct nursing care
Compensation for adverse reactions
Preventive measures
Correct technique in administering care
Lifesaving measures
48. ANA Practice Standard
ANA Practice Standard
Evaluation:
The registered nurse evaluates progress toward
attainment of goals and outcomes.
(ANA Nursing Scope and Standards of Practice, 2015)
49. Evaluation
Process of continually revising nursing care to meet
client’s changing needs
Utilize the same sources that you used to collect data
during the initial assessment phase
Compare newly collected data with expected outcomes to
determine if plan of care should be changed
50. Care Plan Modification
Reassessment
Evaluate nursing diagnoses
Evaluate goals and expected outcomes
Evaluate interventions
Appropriateness
Correct application
Modify care plan based on this evaluation
51. Think about Mrs. Payne
When her more immediate fluid status and nutrition issues
have been resolved, what are the remaining issues?
What about discharge planning?
What can we do to promote optimal care for Mrs. Payne
in the long term?