Solutions
hand-off reporting, student care plans, care plans for community
setting
what are some systems for planning nursing care?
in preparation for impenetation
the following are questions you should ask yourself when?
-is the patient physically ready for?
-is the patient psychologically ready for?
-are you focused?
-have you set aside appropriate time to implement?
poor quality of patient care
inadequate nursing time contributes to what?
high costs of care
excess nursing time contributes to what?
physical, psychological, sociological
what are the 3 components of time devoted to nursing care?
disinterest
delayed and hurried responses convey what?
care and concern
timely interactions convey what?
,physically comfortable, psychologically comfortable, noise
control, appropriate room temperature and lighting
when you are treating a patient that has sensory issues, what are
some things that you should consider to ensure that the patient is
comfortable before the implementation phase?
cognitive, interpersonal, and psychomotor
nursing (implementation) skills require what 3 things?
Cognitive
what skill comes with critical thinking and decision making
remember:
-no nursing action is automatic
-observe and interpret
-anticipate patient response
-individualize care
-know what is normal and abnormal
-know the latest evidence-based practice
interpersonal
what is essential for effective nursing action
-allows you to develop trust with patient and family
-helps communicate clearly and keep patient engaged
-express that you care
-be perceptive of verbal and nonverbal comunication
psychomotor
what is the integration of cognitive and motor activities?
-this is critical in establishing trust
, -assess your level of competency
-obtains appropriate resources to give adequate care
if your patients met the expected outcomes
when you are going to evaluate your patient, you are to
determine what?
-you are not measuring task completed
steps to objectively evaluate the degree of success in achieving
outcomes of care
1) examine the outcome criteria to determine patient response
2) evaluate that response
3) compare established outcome VS actual outcome
4) judge the degree of agreement
5) if there is no agreement, what is the reason why?
have an open mind, actively pursue trust, be patient and
confident, engage in self-reflection
if there are errors or unmet outcomes during the evaluation
period, what should you do?
identifying factors that interfere with achievement
when modifying a care plan, you should look for what?
an error in nursing judgement or failure to follow each step of
the nursing process
often lack of goal achievement for the patient is due to what?
Because nursing diagnoses are based on patient responses, not
just clinical findings.