The Nursing Process

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

 The Nursing Process

• An organizational framework for the practice

of nursing
• Orderly, systematic
• Central to all nursing care
• Encompasses all steps taken by the nurse in
caring for a patient

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

 The Nursing Process

• Assessment
• Nursing Diagnosis
• Planning
• Implementation
• Evaluation

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

 The Nursing Process

Assessment
• Data collection
(subjective, objective, environmental)
• Medication history
• Nursing assessment
• Data analysis

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

 The Nursing Process

Nursing Diagnosis
• Judgment or conclusion about the risk for—or actual
—need/problem of the patient
• NANDA format

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

 The Nursing Process

Planning
• Identification of goals and outcome criteria
• Prioritization
• Time frame

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

 The Nursing Process

Implementation
• Initiation and completion of the nursing care plan
as defined by the nursing diagnoses and outcome
criteria
• Follow the “five rights” of medication administration

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

 The “Five Rights” of
Medication Administration
• Right drug
• Right dose
• Right time
• Right route
• Right patient

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

 The “Sixth Right”—System Analysis

• The entire “system” of medication

administration:
• Ordering, dispensing, preparing,
administering, documenting

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

 The Nursing Process

Evaluation
• Ongoing part of the nursing process
• Determining the status of the goals and
outcomes of care
• Monitoring the patient’s response to drug therapy

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

 Instructors may wish to use
EIC Image #9:

Nursing Process and Holistic Needs

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.