Nursing process
Adult Health Nursing
351
Rawhia Salah
2015/2016
Outline
• Definition of nursing process
• Purposes of nursing process
• Steps of nursing process
Definition of Nursing process
The Nursing Process is:
• A systematic method of planning that
providing individualized nursing care.
• A G O S H approach (goal-oriented, organized,
systematic and humanistic care) for efficient
and effective provision of nursing care.
Purpose of nursing process
• It provides a basis for problem solving,
clinical decisions, and individualized patient
care
• It uses to evaluate the needs of patients and
their families
• It provides an organized and universal
method of communication for nurses in
education, practice, and research
Steps of nursing process
O
V
E
R
V
I
E
W
1. ASSESSING
a. Collect data
b. Organize data
c. Validate data
d. Analyze data
e. Document data
2. DIAGNOSING
a. Analyze data
b. Identify health problems, risk, and
strengths
c. Formulate diagnostic statements
3. PLANNING
a. Prioritize problems/diagnoses
b. Formulate goals/desired outcome
c. Select nursing interventions
d. Write nursing orders
4. IMPLEMENTATION
a. Reassess the client
b. Determine the nurse’s need for
assistance
c. Implement the nursing interventions
d. Document nursing activities
5. EVALUATION
a. Collect data related to outcomes
b. Compare data with outcomes
c. Relate nursing actions to client goals/outcomes
d. Draw conclusions about problem status
e. Continue, modify, or terminate the client’s care plan
Assessment
• Assessment is the first step in nursing process
• It Includes systematic collecting, organizing
validating, and documenting client data.
• To establish a database about the client/patient
through
observation,
interview,
examination, and medical record
physical
Nursing diagnosis
• Second step of the Nursing Process
• It is the identification of actual or potential
health
problems
assessment data
as
indicated
by
the
Nursing diagnosis
Nursing Diagnosis Has Three Components:
1. P = problem (diagnostic label)
2. E = etiology (cause) or the related cause
contributor to the problem
3. L = link (related to, due to)
Planning
• Third step of the Nursing Process
• During this phase the nurse organizes a
nursing care plan based on the nursing
diagnoses.
Planning
It consists of 4 steps
1. Set priorities
2. Establish expected outcomes.
3. Select nursing intervention.
4. Write a nursing care plan.
Implementation
• The fourth step in the Nursing Process
• This is the “Doing” step
• Carrying out nursing interventions (orders)
selected during the planning step
Evaluation
• Final step of the Nursing Process
• It is the measurement of the effectiveness of
assessing,
implementing
diagnosing,
planning,
and