It should occur throughout the nursing process as well as at the end. It allows the nurse to evaluate the patient’s response to the nursing interventions that were provided and the progress the patient is making with their treatment. The nurse can then plan further care based on what worked well and what didn’t work for this patient (Ackley and Ladwig, 2014). The nurse evaluated the care that was provided to John. The goal was not met entirely and as a result the care plan was revised by the nurse.
10 Validity Validity is the degree to which instrument measures what is intended to measure, (Polit & Beck, 2004). In this study content validity was achieved by having the questionnaire reviewed by the professional nurses in the field of critical care and trauma and research experts to assess relevance of tool items and study objectives. To ensure face validity the researcher discussed together with professional nurse specialists if the questionnaires are clearly worded, well explained and if it addresses what it is meant to address. 3.11 Reliability Reliability is the consistence or constancy of a measuring instrument (Polit & Beck, 2004). To ensure reliability of instrument, the questionnaire was pre-tested among nurses who were not included in the study, pre-tested was done to 17 nurses at Mnazi Mmoja Hospital (MMH) Zanzibar, it is a 10% of the sample size to check the clarity
Once the issues are clearly stipulated, each one will be addressed. An acuity-based staffing (ABS) approach can be used to assign patients and nurses, according to patient acuity (Trapier, Lee, & Kerfoot, 2017, p. 185). According to The Affordable Care Act of 2010, reimbursement from Medicare and Medicaid are founded on quality of care; how the facilities performs by means of using evidence-based practice, along with patient satisfaction (Trapier, Lee, & Kerfoot, 2017, p. 185). This is why nurses need to be involved with decisions. Once the nurses issue has been dealt with, the following can be
The reflection process begins with thinking about an incident and how the situation can be utilised in future situations. The process consists of being open, this would involve an individual looking at things from a different perspective. In addition, the process would involve being inquisitive, desiring knowledge. With reflection it is important that the individual is honest, which needs to be reflected in written record keeping, this enables others to easily understand what has occurred (Williams et al, 2012). Reflective practice is mainly used to assist nurses and healthcare professionals to gain an
This step allows the nurse to determine whether the application of the nursing process was effective. It also helps the nurse to know whether the condition of the patient will improve because every nursing diagnostic has got its desired results (Fischbach, F, 2004). Through evaluation the nurse can therefore know whether the expected results have been achieved. In the care plan the nurse is also required to document whether he/she believes whether the diagnoses,assessment, planning and the implementation were correct. In addition to support his/her position the nurse will also have to include
Application of information based on the real observation of the patient with the combination of subjective and objective data that lead to conclusion making is regarded as clinical judgement. Its developed through practicing, experience, knowledge and continuous critical analysis. (Kienle & Kiene, 2011). It continuously expand to all medical fields: diagnosis, therapy, communication, and decision making. Clinical judgement is of complex because nurses are needed to have prior training in that he/she can have a better understanding of the subject.
This framework is designed to help the nurse with gathering information and identifying potential challenges of the community. After collecting the data, the nurse will be able to examine the information to create a plan based on the identified issue. Once the plan is implemented, the nurse will have an opportunity to evaluate the effectiveness of the plan by verifying if the desired health outcomes are attained (Yui, 2016). When assessing a community, the nurse can use various methods on how to collect data such as environmental scan, needs assessment, problem investigation, and resource evaluation (Yui, 2016). These four methods are used in combination to assess the Sunset community such as collecting information from various government websites, and articles which contain statistics that has quantitative and qualitative data (Yui, 2016).
Diagnostic reasoning is a process of generating and testing hypotheses (Stolper et al., 2011), which is done by transforming medical data into an actionable diagnosis that is important for the functioning of a nurse practitioner (Rajkomar & Dhaliwal, 2011). According to Pelaccia, Triby, and Charlin (2011), clinical reasoning refers to ‘the cognitive process that is necessary to evaluate and manage a patient 's medical problem’. That helps the clinician to make diagnoses and decisions. The diagnostic reasoning process is done by two cognitive systems, the first is called an intuitive system that occurs automatically based on the past experiences and knowledge (Rajkomar & Dhaliwal, 2011). The second system is explained as analytical, in which
Nursing theories provide a framework for nurses to address different health care problems of their patients, especially for nurses who are lacking nursing experience. Nurses can modify from different models and develop their own philosophy when they have more experience. Different nursing theories have different strength and limitations. Here is a brief discussion of Hildegard E Peplau’s Theory of Interpersonal Relations. Description of Hildegard E Peplau’s Theory of Interpersonal Relations There are four major assumptions in Peplau’s Theory of Interpersonal Relations.
The expected outcomes are standards against which nurse judges if goals have been met. Evaluation of client response to nursing care requires the use of evaluative measure simply as the reassessment of patient symptoms. Vital signs and auscultation of breath sounds. Observation of client skill performance and discussion of how they feel. Lab results such as chest x-ray to confirm whether pneumonia diagnosis is still present.
Write a synopsis about the development of nursing research and knowledge. Nursing research is developed on the foundation of evidence-based practice (EBP). Nurse researchers evaluate EBP accordingly to ensure the best practice. Researchers usually use a PICOT question format to develop research questions. The PICOT stands for population, intervention, comparison, outcome, and time.
The five steps for evidence based practice are: 1. Ask questions that are focused on client situation in relation to nursing practice – To effectively apply an Evidence Based Practice approach (EBP) The nurse must first decipher an appropriate question to gathering the evidence from the client. The nurse must consider what they need to know and what has already not worked in the past. Asking the right question is critical to ensure the clients, practitioners and nurses values and beliefs are upheld as all the opinions are valuable and support the EBP approach. 2.