The document outlines the steps of implementing the nursing process. It discusses that implementing is the action phase where the nurse performs nursing interventions using cognitive, interpersonal, and technical skills like problem solving, communication, and procedures. The process of implementing involves reassessing the client, determining if assistance is needed, performing interventions while ensuring privacy and client participation, supervising delegated care, and documenting activities. Guidelines for implementing include using evidence-based practice, clearly understanding and adapting interventions, providing safe care, teaching, support, and respecting client dignity.

1. IMPLEMENTATION
STEPS OF NURSING
PROCESS

2. Introduction
 Nursing process is action oriented , client
centered and outcome directed
 Based on assessment and diagnosing phases the
nurse implements the interventions and
evaluating the desired outcome
 Implementing is the action phase in which the
nurse performs the nursing interventions
 Consist of doing and documenting the activities

3. Implementing
skills
Cognitive
skill
Interpersona
l skills
Technical
skills

4. Skills ………….
Cognitive skills
• Problem
solving
• Decision
making
• Critical
thinking
Interpersonal
skills
• Verbal non
verbal
communication
• Therapeutic
communication
Technical skills
• Manipulating
equipment
• Giving
injections
• Bandaging
• Moving ,lifting
and
repositioning
the client

5. Process of implementing..

6. Process…….
 1.Reassessing the client
Before implementing an intervention, the nurse must reassess the
client to make sure the interventions still needed.
 2.Determining the nurses need for assistance
When implementing some nursing interventions , the nurse may
require assistance for one or more of the following reasons
 Assistance would reduce the stress on the client
 The nurse unable to implement the nursing activity safely or
efficient alone
 The nurse lacks the knowledge or skills to implement a particular
nursing activity

7. Process…….
 3.Implementing the nursing interventions
 The nurses actions may be dependent or independent
 It is important to explain to the client what intervention will be done
 Ensure client privacy
 Guidelines
 Basic nursing interventions on scientific knowledge , nursing research ,and
professional standards of care (evidence based practice) when there exists
 Clearly understand the interventions to be implemented and question any
that are not understood
 Adapt activities to the individual client
 Implement safe care
 Provide teaching, support and comfort
 Be holistic
 Respect the dignity of the client and enhance the client self esteem
 Encourage client participation in care

8. Process………….
 4.Supervising the delegated care
 If care delegated to other health care personnel, the nurse
responsible for the clients overall care
 Ensure that the activities have been implemented according
to the care plan
 5.Documenting the nursing activities
 Nurse complete the implementing phase by recording the
interventions and client responses in the progress note
 Part of permanent client record
 Nursing actions are communicated through verbally as well
as writing

9. EVALUATION
STEPS OF NURSING
PROCESS

10. Introduction
 Evaluating is the fifth and last phase of the nursing process
 Evaluating is a planned ,ongoing , purposeful activity in
which clients and health care professionals determine
a) The client progress toward achievement of goals and outcomes
b) Effectiveness of the nursing care plan
 Help to determine whether the nursing interventions
should be terminated, continued or changed
 Evaluation is continuous
 Performed at specified intervals
 Through evaluating , nurses demonstrate responsibility
and accountability for their action

11. Process of evaluating

12. 1.Collecting the date related to the desired
outcomes
 Using clearly stated ,precise and measurable
desired outcomes as a guide
 Conclusions can be drawn about whether goals
have been met
 Collect both subjective and objective data
 Data must be recorded concisely and accurately to
facilitate the next part of the evaluating process

13. 2. Comparing data with
outcomes
 Both the nurse and client play an active role in
comparing the clients actual responses with the desired
outcome
 Three possible conclusions,
 The goal was met
 The goal was partially met
 The goals was not met
 After determining whether the goal met , the nurse
write an evaluative statement
 Evaluation statement
 Consist of two pats a conclusion and supportive data

14. 3.Relating nursing activities with
outcomes
 Determining whether nursing activities had any
relation to the outcome
 It is important to establish the relationship for the
nursing actions to the client responses

15. 4.Drawing conclusions about
problem status
 The nurses uses the judgments about goal achievement to
determine whether the care plan was effective in
resolving , reducing or preventing client problem
 Conclusions
 When goals met ,
 The actual problem stated in the nursing diagnoses has been
resolved
 The potential problem is being prevented
 The actual problem still exists even though some goals are being met
 When goals partially met or not met
 The care plan may need to be revised, since the problem is only
partially resolved
 The care plan does more not need revise , because the client merely
need more time to achieve previously established goals

16. 5. Continuing ,modifying or
terminating the nursing care plan
 After drawing the conclusion about the status of the
clients problem , the nurse modifies the care plan as
indicated

17. THANK YOU