A nursing diagnosis may be part of the nursing process . Nursing diagnosis is defined as “a clinical judgment about individual, family, or community experiences/responses to actual or potential health problems/life processes. A nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability.” (Herdman, 2012, p. 515). Critical evaluation- Personal life: With the course of caring for my patient, assessment done. Detailed information is collected , available records are reviewed and corrected .
According to Youngson (1999) Nursing is the application of medical and humanitarian principles, by a person ancillary to the medical profession, so as to maintain health and fitness, assist in recovery from mental or physical illness or injury, relieve pain or distress or ease the process of dying. (All Nurses 2014) states that the medical record is a permanent collection of legal documents that should have an accurate report concerning a patient 's health condition. Physicians, nurses, and other members of the multi-disciplinary team contribute to each patient 's medical record to reveal a patients current status, past history, any care that has been accomplished and any problems that they are facing. Documentation in nursing consists of Assessment Documents, Vital Sign Charts, Fluid Balance Charts, Observation Charts, Medicine/Drug Chart, Informed Consent, Incident/Accident Forms and Nursing Notes. In an article from (Nursing Times 2007) it explains, Good record-keeping is an
Professional nurses provide many different services to patients in a variety of settings, furthermore, they also help people in every level of society and provide care for them. Nurses help individuals from before birth to the last moment of life, and even comfort family members to cope with the loss of a close member after death. Therefore, professional nurses are there for virtually every imaginable situation involving the well-being or illness of an individual (Nurse Career Tips - 2017). According to the Royal College of Nursing, nursing is the use of clinical judgement in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best possible quality of life, whatever
Koenig and Gate-Williams (1995) defined heritage as the degree at which a person reflects his or her own culture as he/she refers to the lifestyle. Heritage assessment is one of the diverse section of nursing assessments that community nurses must conduct in their profession. The formulation of heritage assessment allows the community nurses to gather relevant information relating to a patient’s culture which defines his/her beliefs. The information gathered during the assessment include the patient’s beliefs, family beliefs, religious and ethnic communities. Heritage assessment of a family is conducted to help in enhancing health protection, health restoration and health maintenance of a patient as per the cultural requirements.
Nursing is a science, an art, a helping service and a technology. It is a unique human science and focuses on phenomena related to human health. Nursing science provides the basic of professional nursing care practice. Nursing science will help to analyse and understand the nursing theory, concept and goals of care practice. Goal of nursing is to provide the patient or family member of meeting the patient ‘s self care needs, maintain patient health, recover or regain normal state of health in the event of disease and to stabilize, control or minimize the effect of chronic poor health.
Nursing assessment is a fundamental nursing capacity which gives establishment to quality nursing consideration and intercession. It distinguishes the qualities of the patient in advancing health. The appraisal likewise recognises patient's needs, clinical issues or nursing findings and to assess reactions of the individual to health issues and intercession. A precise and intensive health assessment reflects the information and aptitudes of an expert medical caretaker. In the current medical institution, nursing professionals are meant to be known for their services in regards of their patients.
She helps make important decisions and uses her unique view as a nurse leader to help guide other managers and leaders at the hospital. The other nurse leader that I followed was Ashley Hensch. Ashley is the medical/surgical clinical manager and she is also the scheduler for the
They play a crucial role in the maintenance, collection, and analyzing of data that is received by doctors, nurses, and other healthcare players. In return these healthcare data contributors rely on the information to deliver quality healthcare. Managers must work with a group of information technicians to guarantee that the patient's medical records are accurate and are available when
In nursing profession, nursing staff are ranked according to hierarchy of authority which ranges from the head of nursing services to the nursing staff. The head nurse allocates the duty and supervises nursing services while the subordinates perform the roles and report accordingly to the senior nurses. This ensures respect and good flow of nursing services to achieve great care of patients. Nursing services are also organized based on specialization and segmentation for optimal nursing care experience to the patients. These specializations include theatre nursing, intensive care nursing, accident and emergency etc.