The Benefits Of The Nursing Process :
The nursing process is a systematic problem solving approach to holistic nursing care in that it:
Stresses the independent and collaborative care function of the nurse Promotes accountability.
• Provides an orderly and systematic method for planning and providing evidence informed individualized care.
• Enhances nursing efficiency and effectiveness thus increasing quality of care.
• Facilitates standardization of nursing practice.
• Facilitates documentation of care thereby promoting continuity and preventing duplication of care as well as generating data for research.
• Emphasizes only two types of nursing diagnoses that are easier for nurses to conceptualize.
Summary of Steps/Phases In The Nursing Process:
The 5 steps of the global nursing process are often remembered by the acronym ADPIE or the mnemonic “A Delicious PIE”
1) Assessment (of patient’s needs)
2) Diagnosis (of human response needs that nursing can treat)
3) Planning (of patient’s care)
4) Implementation (of care)
5) Evaluation (of the success of the implemented care)
The Nursing Council manual of clinical procedures uses ADPIE+D to include Documentation which is an integral step in the nursing process for the nurses.
The steps phases of the nursing process are briefly explained below:
Phase 1: Assessment:
The systematic process of collecting, analyzing, and verifying holistic data from primary and secondary sources using various methods.
Phase 2: Diagnosis:
This is the second phase and involves holistic analysis and interpretation of data and subsequently formulating diagnosis.
Nursing diagnosis is defined by NANDA-I as a clinical judgment about individual, family, or community responses to actual or potential health problems/life processes that the nurse is authorized to treat.
Phase 3: Planning:
This is the third phase of the Nursing Process during which the identified nursing diagnoses in phase two are prioritized.
The client-centered goals and expected outcomes are determined and interventions with the respective scientific rationales are planned. The outcome of the planning phase is the nursing care plan.
Phase 4: Implementation:
This is the fourth phase and involves the actual execution plan. The skills required for the implementation phase are Cognitive or intellectual, Interpersonal, humanistic, and Psychomotor skills.
Phase 5: Evaluation:
This involves the measurement of the client’s response to nursing interventions and progress towards achieving goals.
It requires the nurse’s ability to interpret and summarize the findings. The nurse compares findings with the goals and outcome criteria in the nursing care plan.
The nurse indicates the extent to which the outcome criteria for concludes are met and subsequently whether the goals are met or not met with evidence.
Phase 6: Documentation:
In the context of Kenya Nursing process, this is the last phase or step of the nursing process.
It involves documenting the nursing care plan, recording all patient data obtained from assessment, or data relating to interventions and evaluations.
Documentation is dependent on the hospital policy but should be accurate, reflect all phases of the nursing process, and adhere to approved principles.