The Nursing Process Paper

The ASPIRE framework, also referred to as the nursing process (Barratt, Wilson and Wollands, 2012) was used to structure and develop Susan’s care plan. Introduced by Barrett, Wilson and Wollands (2012), following on from APIE developed by Yura and Walsh (1967), ASPIRE stands for assessment, systematic nursing diagnosis, planning, implementation, recheck and evaluation. Hogston and Marjoram (2006) believe that systematic nursing diagnosis was added to offer direction and time for the nurse to reflect on gathered information and systematically develop a diagnosis. Also the aspect of rechecking is to enable the nurse to monitor and plot a patient’s progress contributing to the final stage of evaluation of care and if its successfulness (Barratt, Wilson and Wollands, 2012).

The purpose of this paper is to conduct an in depth exploration of the nursing care considerations of patients in a specific clinical area. Through the synthesis of prior knowledge, clinical experiences and skills, evidence based best practices, and care of patients a comprehensive care and teaching plan will be composed. Integration of critical thinking and clinical reasoning skills, combined with evidence-based research will provide confirmation of nursing process comprehension. The inclusion of reviewed literature will further support knowledge and understanding.

These potential psychosocial issues relevant to Jenny, create different nursing care interventions also relevant to Jenny. Education and emotional support for the patient and family is a necessary role for nurses to paediatric patients with cancer and chronic illnesses (Kieran, Meyler & Guerin 2010, p.16). It is important that nurses involve the appropriate health professional through referrals for social workers, psychologists, psychiatrists and more (Kieran, Meyler & Guerin 2010, p.16). When caring for Jenny, nurses and health professionals need to consider that the legal age for consent to medical treatment is sixteen (reference) and Jenny is nine. Therefore, her parents need to be involved and addressed in every decision throughout Jenny’s care. Family centered care is the dominant type of nursing care for children with cancer as it

The health care industry is experiencing a surge in the number of baby-boomers needing health care and increased demands on the physicians providing the care. This trend has made the role of Advanced practice providers more important (cite). It is imperative to understand the differences and similarities in the advanced practice provider roles as it pertains to healthcare. This paper will identify specialty nursing roles including advanced practice registered nurses (APRN). It will further compare and contrast the advanced practice nurse (APN) and physician assistant (PA) roles in practice.

This process paper will evaluate the complex relationship between disease pathophysiology and how it has progressed to the patient’s current state of health. It will include a comprehensive discussion of chronic and acute problems leading to the patient’s hospital admission, a complete description of interrelationships and pathophysiology for all medical diagnoses, a comprehensive discussion of the client’s signs and symptoms and results of all diagnostic studies to the underlying pathophysiology, and a comprehensive listing of all medications ordered at the time of admission with explanations of why each was ordered and identification of the most common side effects which may

The pre-operative stage is an important phase in patient’s surgery process. This is the time where the patients is experiencing a lot of anxiety issues and have questions regarding the impending procedure. To help ensure good patient outcomes, it is imperative to provide complete preoperative instructions and discharge instructions (Allison & George, 2014). It is the nurses’ duty to safe guard and protects the patient’s welfare during the surgical experience. Effective preoperative preparation is known to enhance postoperative pain management and recovery. Health professionals need to be cognizant of the contextual factors that influence patients’ preoperative experiences and give context appropriate care (Aziato & Adejumo, 2014).

Nursing care is focused on the assessment, nursing diagnoses, planning, implementation, and evaluation of patients. This nursing process can also be implemented in aspects outside of nursing and on the nursing field as a collective group. The nursing role is evolving, following the process the outcomes have to be evaluated and put into perspective. Research is being completed the conclusions are all the same, the higher education of nursing care the better the patient outcomes.

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 national league for nurses defines critical thinking in the nursing process as “a discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns” (Kozier, 2008). This definition is imperative to help a nursing student learn how to think in terms of nursing care. Nursing students must achieve a comprehensive understanding of critical thinking in order to understand the nursing process. The purpose for this paper is for nursing students to learn how to use the nursing process, how to properly document their findings and assessments, and correctly implement APA formatting in a formal paper.

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).

The standards of practice describe a competent level of nursing care as exhibited by the critical thinking model known as the nursing process. This practice includes the areas of assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The nursing process includes significant actions taken by registered nurses (RN) and forms the foundation of the nurse’s decision-making (“American Nurses Association,” 2010).

According to the Arslanian, Hicks, Whall and Algase (2005) nursing theories have unique views. Advanced Practice Nurses (APN) not only focus on diagnosis and medical intervention but also considers family, environment and patient responses in their plan of care. This makes them different from other health care providers like physicians and physicians assistants (Arslanian et al., 2005). I agree that it is important for us as an APN to use theories to guide our own advanced practice because theory gives identification to nurses, and distinguishes nurses from other profession by its unique contribution to the clinical practice. Nursing is an autonomous profession (Kenny, 2013). Nursing theory provides various information to understand the patient

The nursing process is a five stage systematic framework, and based on the problem solving approach; it forms the foundation for nursing practice to facilitate focussed, individualised care planning for patients (Yildirim and Ozkahraman 2011). This assignment will serve to identify the five stages of the nursing process: Assessment, Nursing Diagnosis, Planning, Implementation and Evaluation. The skills: Communication, Observation, Critical Thinking and Reflection involved within the nursing process in partnership with the patient will also be highlighted.

Nursing is a complicated profession requiring a broad knowledge base, discipline, and a deep desire to understand and interpret scientific data with a goal of obtaining the best possible patient outcomes. This can be very difficult to achieve, requiring the nurse to process a variety of information, prioritize, and problem solve at a critical level (Wilkinson, Treas, Barnett, Smith, 2016). The nursing process is a scientific approach, utilized by nurses to systematically improve patient care by following five steps: assessment, diagnosis, planning, implementation, and evaluation (Wilkinson et al., 2016). A good nurse is someone who understands these phases, continues to build on them, and uses the information to create the best possible, individualized, healthcare plan for the patient. It is a mastery of art to find a way to include all of these concepts with so many diverse medical diagnoses. Having a structural way, such as the nursing process, paves a strong foundation for the nurse to maintain a patient centered approach to implement exceptional nursing care (Goncalves, Spiri, Ortolan, 2017).

Nursing process discipline is a nursing theory developed by nursing theorist, Ida Jean Orlando. This theory, one of the first written about the nursing process, was written to help establish nursing as an independent function in providing health care for a patient. Through this independent nursing function, Orlando developed her theory on the concept of the nurse-patient interaction. During that interaction the nurse recognizes a patient behavior as an “… immediate need for help” (George, 2011, p. 165). This “immediate” need must be correctly identified by the nurse, so the nurse may provide care to relieve the need for help experienced by the patient. Orlando’s creation of the nursing process discipline helped to further establish