The Nursing Process Definition of Nursing Process Systematic

Definition of Nursing Process Systematic patient centered method � for Structuring the delivery of

Five Phases of Nursing Process 1 - Assessment � 2 - Planning � 3

Phase one: Assessment Steps: 1 - Collecting Data 2 - Organizing 3 - Validating

Step one: Data Collection Data Bases which are used to collect � data about

Types of collected data 1 - Subjective data = Symptoms � 2 - Objective

Sources of Collected Data 1 - Primary source : client only � 2 -

Data Collection Methods 1 - Observation � 2 - Interview �

Observation as data collection method Examples: � 1 - Respiratory distress symptoms � 2

Interview as a data collection method Approaches of Interview 1 - Directive approach 2

Types of Questions in Interview 1 - Closed Ended Questions � 2 - Open

Elements when planning an interview 1 - Timing � 2 - Place � 3

Stages of Interview 1 - Opening ( rapport and orientation) � 2 - Body

Pay Attention to practice tips � at the bottom of page 90 : communication

Step 2 of Assessment: Organising When a nurse uses written or � computerized format

Next lecture will be from page 91 to 95 � 1 - validating data

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The Nursing Process

Definition of Nursing Process Systematic patient centered method � for Structuring the delivery of nursing care �

Five Phases of Nursing Process 1 - Assessment � 2 - Planning � 3 - Diagnosing � 4 - Implementing � 5 - Evaluating

Phase one: Assessment Steps: 1 - Collecting Data 2 - Organizing 3 - Validating 4 - Documenting

Step one: Data Collection Data Bases which are used to collect � data about client include: � 1 - History � 2 - Physical exam findings � 3 - lab results � 4 - diagnostic results � 5 - data from other health professionals �

Types of collected data 1 - Subjective data = Symptoms � 2 - Objective data = Signs �

Sources of Collected Data 1 - Primary source : client only � 2 - Secondary source : file, records, � family, nursing literature, etc Examples of records: medication sheets, lab sheets, medical records like consultation sheets, etc.

Data Collection Methods 1 - Observation � 2 - Interview �

Observation as data collection method Examples: � 1 - Respiratory distress symptoms � 2 - Threats to client safety � 3 - Functionality of intravenous lines, � drips, pumps, machines 4 - Immediate environment of the client �

Interview as a data collection method Approaches of Interview 1 - Directive approach 2 - Nondirective approach 3 - Combined approach

Types of Questions in Interview 1 - Closed Ended Questions � 2 - Open Ended Questions �

Elements when planning an interview 1 - Timing � 2 - Place � 3 - language � 4 - seating arrangement � 5 - distance �

Stages of Interview 1 - Opening ( rapport and orientation) � 2 - Body � 3 - Closing ( offering help, questions, � conclusions, etc)

Pay Attention to practice tips � at the bottom of page 90 : communication during an interview

Step 2 of Assessment: Organising When a nurse uses written or � computerized format that organises the assessment data in a systematic way which could be easily referred to. For example: nursing daily assessment sheets.

Next lecture will be from page 91 to 95 � 1 - validating data � 2 - documenting data � 3 - diagnosing ◦