Nursing process Implementation

• Nursing Process


  1. Assessment

  2. Diagnosis

  3. Planning

  4. Implementation

  5. Evaluation
• ADPIE


  Acronym to remember the components of the nursing process
• Implementation


  1. Putting the plan into action

  2. Involves action or doing and the actual carrying out of nursing interventions outlined in the plan of care

  3. Consists of doing and documenting the activities
• Something that is not written is considered as not done
• 7 Fields of Nursing Interventions Classification system

  • Behavioral Nursing Interventions
  • Community Nursing Interventions
  • Family Nursing Interventions
  • Health System Nursing Interventions
  • Physiological Nursing Interventions - Basic
  • Physiological Nursing Interventions - Complex
  • Safety Nursing Interventions
• Behavioral Nursing Interventions


  • Interventions designed to help a patient change their behavior
• Behavioral Nursing Interventions


  • Encouraging stress and relaxation techniques
  • Providing support to quit smoking
  • Engaging the patient in some form of physical activity, like walking, to reduce the patient's anxiety, anger, and hostility
  • Encourage patient to join group interactions with the same problem on alcohol abuse
• Community Nursing Interventions

  • Interventions that refer to the community-wide approach to health behavior change
• Community Nursing Interventions


  • Implementing an education program for first-time mothers
  • Promoting diet and physical activities
  • Initiating HIV awareness and violence-prevention programs
  • Organizing a fun run to raise money for breast cancer research
• Family Nursing Interventions


  • Interventions that influence a patient's entire family
• Family Nursing Interventions


  • Implementing a family-centered approach in reducing the threat of illness spreading when one family member is diagnosed with a communicable disease
  • Providing a nursing woman support in breastfeeding her new baby
  • Educating family members about caring for the patient
• Health System Nursing Interventions

  • Interventions that are designed to maintain a safe medical facility for all patients and staff
• Health System Nursing Interventions

  • Following procedures to reduce the risk of infection for patients during hospital stays
  • Ensuring that the patient's environment is safe and comfortable, such as repositioning them to avoid pressure ulcers in bed
• Physiological Nursing Interventions - Basic

  • Basic interventions regarding the patient's physical health include hands-on procedures ranging from feeding to hygiene assistance
• Physiological Nursing Interventions - Complex

  • More complex physiological nursing interventions, such as the insertion of an IV line to administer fluids to a dehydrated patient
• Safety Nursing Interventions


  • Interventions that maintain a patient's safety and prevent injuries
• Safety Nursing Interventions

  • Educating a patient about how to call for assistance if they are not able to safely move around on their own
  • Providing instructions for using assistive devices such as walkers or canes, or how to take a shower safely
• Skills Used in Implementing Nursing Care

  • Cognitive Skills
  • Interpersonal Skills
  • Technical Skills
• Cognitive Skills


  Also known as Intellectual Skills, include problem-solving, decision-making, critical thinking, clinical reasoning, and creativity
• Interpersonal Skills


  Skills that involve believing, behaving, and relating to others
• Technical Skills


  Purposeful "hands-on" skills such as changing a sterile dressing, administering an injection, manipulating equipment, bandaging, moving, lifting, and repositioning clients
• Process of Implementing


  1. Reassessing the client

  2. Determining the nurse's need for assistance

  3. Implementing the nursing interventions

  4. Documenting nursing activities
• Independent Nursing Interventions


  A registered nurse can perform these on their own without the help or assistance from other medical personnel
• Independent Nursing Interventions


  • Routine nursing tasks such as checking vital signs
  • Educating a patient on the importance of their medication so they can administer it as prescribed
• Dependent Nursing Interventions


  Actions that require guidance or supervision from a physician or other medical professional
• Dependent Nursing Interventions


  • Prescribing new medication
  • Inserting and removing a urinary catheter
  • Providing diet
  • Implementing wound or bladder irrigations
• Interdependent Nursing Interventions


  A nurse performs as part of collaborative or interdependent interventions that involve team members across disciplines
• Interdependent Nursing Interventions


  • Post-surgery, the patient's recovery plan may require prescription medication from a physician and treatment by a physical therapist or occupational therapist
  • The physician may prescribe a specific diet to a patient. The nurse includes diet counseling in the patient care plan and enlists the help of the dietician
• Record what has been done as well as the patient's responses to nursing interventions precisely and concisely
• Evaluation


  • Goal met
  • Goal partially met
  • Goal not met
• Rationale of Nursing Orders

  • Independent (cite reference)
  • Dependent (cite reference)
  • Collaborative/Interdependent (cite reference)
• Nursing Actions and Nursing Orders

  • Independent
  • Dependent
  • Interdependent
• Goals and Outcomes Criteria


  • General
  • Specific (cite reference)
• Scientific Basis

  • Cite reference
• Nursing Diagnosis

  • Cite reference (NANDA)
• Cues


  • Subjective
  • Objective