evaluation is the last step of nursing process. which help to re assess the all things which is done by a health care provider for patient care and better health.
THESE SLIDES ARE PREPAREED TO UNDERSTAND nursing IN EASY WAY Important links- NOTES- https://mynursingstudents.blogspot.com/ youtube channel https://www.youtube.com/c/MYSTUDENTSU... CHANEL PLAYLIST- ANATOMY AND PHYSIOLOGY-https://www.youtube.com/playlist?list=PL93S13oM2gAPM3VTGVUXIeswKJ3XGaD2p COMMUNITY HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPyslPNdIJoVjiXEDTVEDzs CHILD HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gANcslmv0DXg6BWmWN359Gvg FIRST AID- https://www.youtube.com/playlist?list=PL93S13oM2gAMvGqeqH2ZTklzFAZhOrvgP HCM- https://www.youtube.com/playlist?list=PL93S13oM2gAM7mZ1vZhQBHWbdLnLb-cH9 FUNDAMENTALS OF NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPFxu78NDLpGPaxEmK1fTao COMMUNICABLE DISEASES- https://www.youtube.com/playlist?list=PL93S13oM2gAOWo4IwNjLU_LCuhRN0ZLeb ENVIRONMENTAL HEALTH- https://www.youtube.com/playlist?list=PL93S13oM2gAPkI6LvfS8Zu1nm6mZi9FK6 MSN- https://www.youtube.com/playlist?list=PL93S13oM2gAOdyoHnDLAoR_o8M6ccqYBm HINDI ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAN4L-FJ3s_IEXgZCijGUA1A ENGLISH ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAMYv2a1hFcq4W1nBjTnRkHP facebook profile- https://www.facebook.com/suresh.kr.lrhs/ FACEBOOK PAGE- https://www.facebook.com/My-Student-S... facebook group NURSING NOTES- https://www.facebook.com/groups/24139... FOR MAKING EASY NOTES YOU CAN ALSO VISIT MY BLOG – BLOGGER- https://mynursingstudents.blogspot.com/ Instagram- https://www.instagram.com/mystudentsu... Twitter- https://twitter.com/student_system?s=08 #PEM, #hemophilia,#NEW,#BORN,#ASSESSMENT, #APPEARENCE,#PULSE,#GRIMACE,#REFLEX,#RESPIRATION,#RESUSCITATION,#NEWBORN,#BABY,#VIRGINIA, #CHILD, #OXYGEN,#CYANOSIS,#OPTICNERVE, #SARACHNA,#MYSTUDENTSUPPORTSYSTEM, #rashes,#nursingclasses, #communityhealthnursing,#ANM, #GNM, #BSCNURING,#NURSINGSTUDENTS, #WHO,#NURSINGINSTITUTION,#COLLEGEOFNURSING,#nursingofficer,#COMMUNITYHEALTHOFFICER
THESE SLIDES ARE PREPAREED TO UNDERSTAND nursing IN EASY WAY Important links- NOTES- https://mynursingstudents.blogspot.com/ youtube channel https://www.youtube.com/c/MYSTUDENTSU... CHANEL PLAYLIST- ANATOMY AND PHYSIOLOGY-https://www.youtube.com/playlist?list=PL93S13oM2gAPM3VTGVUXIeswKJ3XGaD2p COMMUNITY HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPyslPNdIJoVjiXEDTVEDzs CHILD HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gANcslmv0DXg6BWmWN359Gvg FIRST AID- https://www.youtube.com/playlist?list=PL93S13oM2gAMvGqeqH2ZTklzFAZhOrvgP HCM- https://www.youtube.com/playlist?list=PL93S13oM2gAM7mZ1vZhQBHWbdLnLb-cH9 FUNDAMENTALS OF NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPFxu78NDLpGPaxEmK1fTao COMMUNICABLE DISEASES- https://www.youtube.com/playlist?list=PL93S13oM2gAOWo4IwNjLU_LCuhRN0ZLeb ENVIRONMENTAL HEALTH- https://www.youtube.com/playlist?list=PL93S13oM2gAPkI6LvfS8Zu1nm6mZi9FK6 MSN- https://www.youtube.com/playlist?list=PL93S13oM2gAOdyoHnDLAoR_o8M6ccqYBm HINDI ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAN4L-FJ3s_IEXgZCijGUA1A ENGLISH ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAMYv2a1hFcq4W1nBjTnRkHP facebook profile- https://www.facebook.com/suresh.kr.lrhs/ FACEBOOK PAGE- https://www.facebook.com/My-Student-S... facebook group NURSING NOTES- https://www.facebook.com/groups/24139... FOR MAKING EASY NOTES YOU CAN ALSO VISIT MY BLOG – BLOGGER- https://mynursingstudents.blogspot.com/ Instagram- https://www.instagram.com/mystudentsu... Twitter- https://twitter.com/student_system?s=08 #PEM, #hemophilia,#NEW,#BORN,#ASSESSMENT, #APPEARENCE,#PULSE,#GRIMACE,#REFLEX,#RESPIRATION,#RESUSCITATION,#NEWBORN,#BABY,#VIRGINIA, #CHILD, #OXYGEN,#CYANOSIS,#OPTICNERVE, #SARACHNA,#MYSTUDENTSUPPORTSYSTEM, #rashes,#nursingclasses, #communityhealthnursing,#ANM, #GNM, #BSCNURING,#NURSINGSTUDENTS, #WHO,#NURSINGINSTITUTION,#COLLEGEOFNURSING,#nursingofficer,#COMMUNITYHEALTHOFFICER
Nurses’ patient education is important for building patients’ knowledge, understanding and preparedness for self-management. The ultimate goal of patient educational program is to achieve long-lasting changes in behavior by providing patients with the knowledge to allow them to make autonomous decisions to take ownership of their care as much as possible and improve their own outcomes.
CONCEPT OF PATIENT EDUCATION
Education on health issues is necessary for a patient’s physical and mental health.
Everybody finds themselves in situations where they require special knowledge and skills in order to meet their basic needs and sustain their lives.
All patients have the right to be educated on maintaining their health, disease prevention, and health promotion.
Health promotion is the process of advancing knowledge, influencing attitudes, and determining relevant solutions so that people can make informed choices, change their behavior and subsequently attain a desirable level of physical and mental health improve their social and physical environment.
Effective patient education starts from the time patients are admitted to the hospital and continuous until they are discharged. Nurses should take advantage of any appropriate opportunity throughout a patient’s stay to teach the patient about self-care.
The self- care instruction may include teaching patients how to inject insulin, bathe an infant or change a colostomy pouching system.
MEANING OF PATIENT EDUCATIONThe Latin origin of the word doctor “decree” means “to teach" and the education of patients and their families, as well as communities, is the responsibility of all physicians.
Family physicians are uniquely suited to take a leadership role in patient education.
Family physicians build long- term, trusting relationships with patients, providing opportunities to encourage and reinforce changes in health behavior.
Patient education enables patients to assume better responsibility for their own health care, improving patients’ ability to manage acute and chronic disorders.
Patient education provides opportunities to choose healthier lifestyles and practice preventive medicine.
Patient education attracts patients to the provider and increases patients’ satisfaction with their care, while at the same time decreasing the provider’s risk of liability.
Patient education promotes patient-centered care and as a result, patients’ active involvement in their plan of care.
Patient education increases adherence to medication and treatment regimens, leading to a more efficient and cost- effective health care delivery system
Patient education ensures continuity of care and reduces the complications related to illness and incidence of disorder/disease.
Patient education maximizes the individual’s independence with home exercise programs and activities that promote independence in activities of daily living as well as continuity of care needed
Holistic nurses believe that healing leads to restoring, discovering and/or recognizing one’s inherent wholeness even within the face of sickness, and death. Holistic ideas and values support nursing practice. They embody, however aren't restricted to: care, presence, intuition, comfort, deliberation, love, and compassion in addition as religious recovery and quality of life. These ideas and values want exploration so as to know, refine and clarify however they support the healing method. Holistic Nursing analysis develops data and assists in providing the follow primarily based proof that's required to rework health care into holistic care. This needs dedication to developing and fostering resources that assist in making, deciphering and conducting holistic analysis. We have a tendency to believe that each one holistic nurse will participate in analysis by move queries, consistently grouping data to answer those queries, and implementing the results.
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
The health care system and the nursing profession is expanding globally , there fore it is important for nurses to know the trends, issues and challenges in new millennium.
Few would disagree that nursing is one of the most underrated professions in modern times. Being a nurse isn’t easy. In fact, it is a field that can be extremely demanding and even unforgiving to those who pursue it. Being around the ailing and the frazzled for long hours and dealing with them patiently day after day can be challenging, to say the least.
Nurses’ patient education is important for building patients’ knowledge, understanding and preparedness for self-management. The ultimate goal of patient educational program is to achieve long-lasting changes in behavior by providing patients with the knowledge to allow them to make autonomous decisions to take ownership of their care as much as possible and improve their own outcomes.
CONCEPT OF PATIENT EDUCATION
Education on health issues is necessary for a patient’s physical and mental health.
Everybody finds themselves in situations where they require special knowledge and skills in order to meet their basic needs and sustain their lives.
All patients have the right to be educated on maintaining their health, disease prevention, and health promotion.
Health promotion is the process of advancing knowledge, influencing attitudes, and determining relevant solutions so that people can make informed choices, change their behavior and subsequently attain a desirable level of physical and mental health improve their social and physical environment.
Effective patient education starts from the time patients are admitted to the hospital and continuous until they are discharged. Nurses should take advantage of any appropriate opportunity throughout a patient’s stay to teach the patient about self-care.
The self- care instruction may include teaching patients how to inject insulin, bathe an infant or change a colostomy pouching system.
MEANING OF PATIENT EDUCATIONThe Latin origin of the word doctor “decree” means “to teach" and the education of patients and their families, as well as communities, is the responsibility of all physicians.
Family physicians are uniquely suited to take a leadership role in patient education.
Family physicians build long- term, trusting relationships with patients, providing opportunities to encourage and reinforce changes in health behavior.
Patient education enables patients to assume better responsibility for their own health care, improving patients’ ability to manage acute and chronic disorders.
Patient education provides opportunities to choose healthier lifestyles and practice preventive medicine.
Patient education attracts patients to the provider and increases patients’ satisfaction with their care, while at the same time decreasing the provider’s risk of liability.
Patient education promotes patient-centered care and as a result, patients’ active involvement in their plan of care.
Patient education increases adherence to medication and treatment regimens, leading to a more efficient and cost- effective health care delivery system
Patient education ensures continuity of care and reduces the complications related to illness and incidence of disorder/disease.
Patient education maximizes the individual’s independence with home exercise programs and activities that promote independence in activities of daily living as well as continuity of care needed
Holistic nurses believe that healing leads to restoring, discovering and/or recognizing one’s inherent wholeness even within the face of sickness, and death. Holistic ideas and values support nursing practice. They embody, however aren't restricted to: care, presence, intuition, comfort, deliberation, love, and compassion in addition as religious recovery and quality of life. These ideas and values want exploration so as to know, refine and clarify however they support the healing method. Holistic Nursing analysis develops data and assists in providing the follow primarily based proof that's required to rework health care into holistic care. This needs dedication to developing and fostering resources that assist in making, deciphering and conducting holistic analysis. We have a tendency to believe that each one holistic nurse will participate in analysis by move queries, consistently grouping data to answer those queries, and implementing the results.
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
The health care system and the nursing profession is expanding globally , there fore it is important for nurses to know the trends, issues and challenges in new millennium.
Few would disagree that nursing is one of the most underrated professions in modern times. Being a nurse isn’t easy. In fact, it is a field that can be extremely demanding and even unforgiving to those who pursue it. Being around the ailing and the frazzled for long hours and dealing with them patiently day after day can be challenging, to say the least.
A PPT on care planning integrated with concepts of people centered care.
A modified approach to Care planning where provider, client and family partnership leads the way in deriving goals and measurable elements for improvement that are most important to clients and their families.
Partnership in care planning instills rightly a greater sense of investment and ownership among client and their families which promotes better compliance, and eventually results in better clinical outcomes.
Nurses and midwives play a vital role in providing health services in rural India. These are the people who devote their lives to caring for mothers and children;and generally meeting everyday essential health needs. They are often, the first and only point of care in their communities. That’s why the World Health Assembly has designated 2020 the International Year of the Nurse and the Midwife.
this presentation is helpful for all health professionals who are providing care. it show how to use and where to use social media. and what are the advantage and dis advantage of use of social media.
I m Going to present this power presentation on Severe Acute respiratory Syndrome (SARS) Which help to know about the disease and help the peoples for awareness.
For more presentation you can like and comment.
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The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
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According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
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The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
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2. DEFINITION:-
• Evaluation is a planned, ongoing,
purposeful activity, in which clients and
health care professionals determine,
• The clients progress towards goal
achievement.
• The effectiveness of the Nursing care
plan.
3. DEFINITION cont.…
• “Evaluation is one of the most critical
phase of the Nursing process because it
support the basis of the usefulness and
effectiveness of nursing practice, which is
client driven and client centered”.
- Lin
4. PURPOSE OF EVALUATION:
It serves multiple purposes
• To evaluate the clients program towards
meeting specified outcomes and to direct
future Nurse Client interactions.
• To Judge the effectiveness of the nursing
process.
• To design and implementing accurate care
plans and Judging the effectiveness of their
Nursing action.
• To determine overall quality of care.
5. Types of Evaluation:-
Formative evaluation:- ensures that a program
or program activity is feasible, appropriate,
and acceptable before it is fully implemented.
It is usually conducted when a new program
or activity is being developed or when an
existing one is being adapted or modified.
Process/implementation evaluation determines whether
program activities have been implemented as
intended.
6. Outcome/effectiveness evaluation:- measures program
effects in the target population by
assessing the progress in the outcomes or
outcome objectives that the program is to
achieve.
Impact evaluation:- assesses program
effectiveness in achieving its ultimate
goals.
7. Measurement Criteria:
• Evaluation is systematic and ongoing.
• Client’s responses to interventions are
documented.
• The effectiveness of interventions is
evaluated in relation to outcome.
8. Measurement Criteria cont…
• Ongoing assessment data are used to
revise diagnoses, outcomes, and the plan
of care as needed.
• Revisions in diagnoses, outcomes and the
plan of care are documented.
• The client, significant others and health
care providers are involved in the
evaluation process, when appropriate.
10. EVALUATING CLIENT
RESPONSE:
• The evaluation process has six
components.
• Identifying the expected outcomes that the
nurse will use to measure client goal
achievement. (This is done in the Planning
step).
11. • Collecting data related to the expected
outcomes.
• Comparing the data with the expected outcomes
and judging whether the goals have been
achieved.
• Relating Nursing actions to clients outcomes.
• Drawing conclusions about problem status.
• Reviewing and modifying the clients care plan if
needed
12. Identifying expected outcomes:
• The expected outcomes formulated in the
planning step are the Criteria used to evaluate
the clients response to Nursing care.
Expected outcomes serve two purposes. They
are:
• Establish the kind of evaluative data that need to
be collected and
• Provide standard against which the data are
Judged.
13. Collecting data
• Using the clearly stated, precise and
measurable expected outcomes as a
guide, the nurse collects data
14. Judging goal achievement:
• The goal was met, that is, the client
response is the same as the expected
outcome.
• The goal was partially met, that is either
a short-term goal was achieved, but the
long term goal was not of the expected
outcome was only partially attained.
• The goal was not met.
15. Relating nursing actions to
client outcomes:
• The fourth aspect of the evaluating
process is determining whether the
Nursing actions had any relation to the
outcomes
16. Drawing conclusions about
problem status:
• The actual problem stated in the Nursing
diagnosis has been resolved or the
potential is being prevented, and risk
factors no longer exist. In these instances,
the nurse documents that the goals have
been met and discontinuous the care for
the problem.
17. Drawing conclusions about
problem status cont…
• The potential problem stated in the nursing
diagnosis is being prevented, but the risk
factors are still present in this case the
nurse keeps the problem on the care plan.
18. Reviewing and Modifying the
Nursing care plan:
• After drawing conclusions about the status of the
client’s problems, the Nurse modified the care
plan as indicated. Depending on the agency,
Modifications may be made by drawing a line
through portion of the care plan, using a Hi-Liter
Pen or writing “Discontinued (dc`d)” and the date
whether or not goals were met , there are
Number of decision to make about continuing ,
Modifying or terminating Nursing care for each
problem.
20. Evaluation according to the
theorist
• Dorthea E Orem- Relates to
monitoring progress of Mrs.
James with regard to self-care
activities and making
adjustments and
recommendation as
necessary. is self care agency
equal to or greater than
therapeutic self care demand.
• Betty Neuman Relates to the
degree of reconstitution
achieved Mrs. James is able to
feed self with right hand with
little assistance. Needs help to
cut neat. Able to use walker to
get to bath room. Incontinence
occurring less often. Mrs.
James tries hard to improve
the strength of her right side.
She is determined to go home
as quickly as possible. She
tries to cheer the other people
in the room
22. Diagnosing
Are nursing diagnoses relevant and
accurate?- Are Nursing diagnoses
supported by the data?- Has problem
status changed (i.e. potential actual,
possible)?- Are the diagnoses stated
clearly and in correct format?- Have any
nursing diagnoses been resolved?
23. Planning
• Expected Outcomes
• Do new nursing diagnoses require new
goals?- Are goals realistic?- Was enough
time allowed for goal achievement?- Do
the goals address all aspects of the
problem?Does the client still concure with
the goals?- Have client priorities changed?
24. Nursing Orders
• - Do Nursing orders need to be written for
new Nursing diagnoses or new goals?- Do
the Nursing orders seem to be related to
the stated goals?- Is there rational to
Justify each Nursing orders?- Are the
Nursing orders clear, specific and
detailed?- Are new resources available?-
Do the Nursing orders address all aspects
of the client`s goals?- Were all Nursing
Orders clearly effective?
25. Implementing
• - Was client input obtained at each step of
the Nursing process?- Were goals and
Nursing interventions acceptable to the
client?- Did the care givers have the
knowledge and skill to perform the
interventions correctly?
26. EVALUATING THE QUALITY OF
NURSING CARE
• Evaluating the quality of nursing care is an
essential part of professional
accountability. Other terms are used for
this measurement are quality assessment
and quality assurance
29. Approaches to quality
Evaluation:
1. Structure evaluation:
2. Process evaluation:
a. Concurrent Evaluation:
b. Retrospective Evaluation:
3. Outcome evaluation: