The document presents a comprehensive overview of nursing care plans, emphasizing the significance of nursing interventions and their scientific rationale as part of the nursing process. It covers types of interventions, factors influencing their selection, best practices for writing them, and nurses' roles in executing these interventions effectively. The document also provides standard protocols for nursing interventions and practical examples to illustrate correct application in clinical settings.

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