Ethics In Nursing Practice

The second step that I used in the nursing process was diagnosing. Based on my results from my assessment, I was able to use that information to come up with a couple nursing diagnoses. This step is used to offer effective nursing care because it helps me set an intervention and plan of care to help my patient’s health outcomes for the better.

Assessment of a patient is a big process of decision making, it is about the collection of information which will contribute to an overall judgement of a person and the illness they may have. Lloyd (2010) states that assessment is one of the first steps which is needed to be done in the nursing process, it is a building block for a relationship and an ongoing process which lets health professionals gather the correct information to help them understand the problems and needs that the patient is going through. Most of the nursing assessment which are in use today will all have very similar aims. The difference is that how the assessment’s are carried out is where the differences come from.

Assessment is the first step in the nursing process. There are four steps in assessment of a patient these include, collection of subjective data, collection of objective data, validation of data and the documentation of data. These four steps are incorporated in holistic health assessment because the patients needs to tell the nurse what their problems are and how they feel, medical history, symptoms and physiological factors. The nurse also needs

The first stage of the process is assessment. Roper et al (2001) refer to this process as ‘assessing’ indicating an ongoing activity; this encourages nurses to recognise the on-going nature of this initial phase. The assessing stage includes gathering information about a patient, reviewing this information, identifying actual and potential problems and prioritising (Roper et al 2001). Roper et al (2001) explain the importance for assessing, as early as possible in the patient’s stay. Extensive, in-depth information may not be gathered on an initial assessment, however any information obtained contributes towards individualised care (Roper et al 2001). Ambrose and Wittig (1998) explain that the initial assessment becomes a foundation for ongoing assessing and holistic care. Barrett, Wilson and Woollands (2009) concord with Roper et al and Wittig in that assessing is an ongoing process and elaborate on this explaining that assessment should not be confused with admission. They state “an admission tends to be a one-off process when you first meet the patient, whereas assessment carries on throughout your relationship with the patient” (pg22). Assessment enables the nurse and patient to identify actual and potential problems. Although, some problems can be directly related to biological needs, holistic needs must be considered, i.e. psychological state and cultural/social standing

Closely linked to this decision-making model is the ubiquitous nursing process. The nursing process includes data collection and documentation, analysis of the data to determine current condition and real or potential health related issues, development of an individualized plan of care to deal with these issues, implementation of that plan of care, and evaluation of the plan of care to determine its effectiveness and adjust the plan as needed. (Blais, Hayes, Kozier, & Erb, 2006)

The fifth and final step of the nursing process is evaluation. This is the time the nurse evaluates the patient to see if the care plan the patient and nurse have processed has been effective. The patients overall status should be reevaluated and the nurse should look for any improvements and/or new

The assessment process, according to Dougherty and Lister (2015), requires nurses to collect comprehensive and accurate information on not only the physical aspects of the individual, but also taking in to consideration the psychological and social aspects.

The nursing process as a framework helps the nurses to organize the behavior of their client based on a hierarchy of competence. Assessment, planning, implementation, and evaluation are the four categories of the nurses’ process as a framework (CNO, 2014, p. 4). The nurse can begin the process by asking an open-ended question to gather the information about her client Janine’s health history and current health conditions (Ross-Kerr, Wood, Astle, & Duggleby, 2014, p. 154). Based on her client’s HIV diagnosis, the nurse can do the planning to set priorities, goals, and interventions to provide care for her client, which is the next step to implementation (Ross-Kerr, Wood, Astle, & Duggleby, 2014, p. 154). During implementation, the nurse can provide information as well as emotional support to help Janine to reduce the stress and anxiety about her condition (CNO, 2009, p. 15). In the end, the nurse can evaluate the care plan for her client to check if the client needs to be reassessed or need to create a new plan if the results are not satisfactory (CNO, 2009, p. 16).

Answer = During the working phase, the group works towards; 1st during the initial phase the nurse should identify the purpose of the group. During the initial phase, the nurse should discuss termination of the group. During the initial phase the nurse should set the tone of the group including an expectation of the confidentially. (RN mental health nursing educational 10.0 chapter 8).

The second phase in nursing process is formulating a nursing diagnosis and examination and combination of data (CamillieriM, 2013). Nurses diagnose human responses to actual or potential health problems after analyzing and interpreting the data they collect from their assessment (LearningExpress Editors, 2009).NANDA (North American Nurses Diagnosis Associations) that was established in 1973 to identify standards and classify health problems treated by nurses defines nursing diagnosis as a clinical judgment about individual, family, or potential health problems/life processes. (Smith J)

To fully comprehend the concept of the nursing process, one must first understanding what nursing is and the history of nursing. Nursing has evolved over the years from a basic system of care to a well-developed professional system in which special ways of think are applied in order to efficiently maximums patient care. The base of nursing is patient care, thus the nursing process is the foundation for nursing practice and key to ensuring the needs of the patient are met.

Diagnosis is the phase where the health status of the patient is distinguished. The information that has been gathered about the patient has to be grouped, classified and analyzed. Performing these task will lead to recognition of the current health status of the patient. Issues regarding the current health status of a patient should be illustrated accurately in the nurse’s statement. Associate all the grouped data that had been brought together. The nurse has to determine which diagnoses corresponds with all the research from the information. With the correct diagnosis, the nurse can carry on the third step which is called Planning goals and desired outcomes of the patient.

Nursing Process is a method of problem solving which incorporates assessment, diagnosing, prioritizing, planning, implementing, and evaluating nursing care by gathering data and identifying needs.

It teaches nurses to deliver holistic, patient-focused care by running through a 5 step process: Assessment, Diagnosis, Outcome/Planning, Implementation and Evaluation. I recall hearing the term “Nursing Process” not only in clinical training but as I was learning how to make Nursing Care plans which were a major emphasis of my training (www.NursingWorld.org)

The nursing process is a method that combines both the science and art aspects of nursing. Nursing is a science because every action that a nurse partakes in is evidence based. This means that only methods that have been proven effective are practiced, improving patient outcomes. While nursing is a science it is also an art, in the since, that every nurse develops their own way