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ADPIE: A Guide to
Understanding Nursing Process
PUBLISHED ON FEBRUARY 1, 2023 BY MATT VERA BSN, R.N.
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As a nurse, our primary responsibility is to provide the best possible care for our
patients. One way to ensure this is by using a systematic approach, such as the ADPIE
nursing process. In this article, we will explore what ADPIE is, its components, and how
to implement it in your practice.
What is ADPIE?
The ADPIE is an acronym used for the steps of the nursing process: Assessment,
Diagnosis, Planning, Implementation, and Evaluation. ADPIE nursing process is an
organized, systematic approach nurses used to meet the individualized health care
needs of patients.
Components of ADPIE
The following are the components of ADPIE nursing process:
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ADPIE: Nursing Process
Assessment
The assessment stage is the first step in the ADPIE process. During this step, the nurse
gathers information about the patient’s health status, including physical, psychological,
and social factors using different assessment techniques such as head-to-toe physical
assessment. This data is used to form an accurate diagnosis and develop a care plan.
The assessment stage is also an opportunity for the nurse to establish a rapport with
the patient and build trust. The nurse also identifies the patient’s needs and sets
priorities for care.
Diagnosis
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The diagnosis stage is the second step in the ADPIE nursing process. This is where the
nurse uses the information gathered in the assessment stage to determine the patient’s
health problems. The nurse must consider all aspects of the patient’s health, including
physical, psychological, and social factors, to make an accurate diagnosis. The nurse
uses critical thinking and problem-solving skills to determine the underlying cause of
the patient’s symptoms. Critical thinking abilities compel nurses to challenge
assumptions, question the context, look for new ways of doing and thinking, and
consider, filter, and evaluate ideas or solutions.
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Planning
The planning stage of the ADPIE nursing process is where the nurse develops a plan of
care for the patient. The nursing care plan should be based on the patient’s health
problems and needs, as well as the resources available. The nurse should also involve
the patient in the planning process to ensure that the plan of care meets their needs
and preferences. The care plan should be individualized to the patient and take into
account their unique circumstances and preferences. The nurse should also consider
any cultural or religious beliefs that may impact the care plan.
Implementation
The implementation stage is where the nurse carries out the plan of care. This may
involve administering medications, performing procedures, or providing education to
the patient. The nurse should closely monitor the patient’s response to treatment and
make any necessary adjustments to the care plan.
Evaluation
The evaluation stage is the final step in the ADPIE process. During this stage, the nurse
assesses the patient’s progress and determines whether the plan of care was effective.
The nurse may also make changes to the plan of care based on the patient’s progress
and needs.
What are the advantages of using
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ADPIE?
There are several benefits to using the ADPIE nursing process in patient care. These
include:
• Improved patient outcomes. By using a systematic approach to patient care,
nurses can ensure that all of the patient’s needs are addressed and that they
receive the best possible care.
• Enhanced critical thinking skills. The ADPIE nursing process encourages nurses
to use critical thinking and problem-solving skills, which can improve their overall
clinical judgment.
• Increased patient satisfaction. By providing comprehensive and individualized
care, nurses can improve patient satisfaction and build trust with their patients.
• Improved communication. The ADPIE nursing process can improve
communication between healthcare professionals, as it provides a clear
framework for discussing the patient’s care.
• Prioritization of action in NCLEX. The ADPIE can serve as a guide on which
interventions should be prioritized.
References and Sources
• Potter, P., Boxerman, S., Wolf, L., Marshall, J., Grayson, D., Sledge, J., & Evanoff, B. (2004). Mapping the
nursing process: a new approach for understanding the work of nursing. JONA: The Journal of Nursing
Administration, 34(2), 101-109.
• Yildirim, B., & Ozkahraman, S. (2011). Critical thinking in nursing process and education. International journal
of humanities and social science, 1(13), 257-262.
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Matt Vera BSN, R.N.
Matt Vera, a registered nurse since 2009, leverages his experiences as a former student struggling with
complex nursing topics to help aspiring nurses as a full-time writer and editor for Nurseslabs, simplifying
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the learning process, breaking down complicated subjects, and finding innovative ways to assist students in
reaching their full potential as future healthcare providers.
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