11/12/2012 Components of a Nursing Care Plan A nursing care plan is a set of guidelines that directs nursing activities for a patient. It details the entire steps needed from beginning to end of a patient’s care. The nursing care plan is also a framework that allows for evaluation of the effectiveness of the plan and it promotes continuity after the patient has left the healthcare facility. The four main components of a nursing care plan are: nursing diagnosis; expected outcomes; interventions; and evaluations. Documentation of the nursing care plan is important in order for the patient to receive proper care.
The most important part of the plan is the outcome that the individual wants to achieve; the whole of the plan is geared to making progress towards these outcomes. One of the key ways in which care plans reflect person-centred values is that the service provider does not structure services around what the providers do in order for individuals to receive services. But instead, are structured around 'outcomes'- what the individual receiving the service as achieved. When planning for delivering service using person-centred values, we should think about their
Change theory will be utilized to implement the plan. A failure mode and effects analysis (FMEA) will project the likelihood that the process improvement plan suggested will not fail. Additionally the role of the professional nurse in functioning as a leader in promoting quality care and influencing quality improvement activities will be discussed. A.Root Cause Analysis A root cause analysis (RCA) is “a process for identifying the basic or causal factors that underlie variation in performance, including the occurrence or possible occurrence of a sentinel event” (Cherry & Jacob, 2011, p. 442). The people involved in the RCA should be the people involved in the scenario: the RN (Nurse J), the LPN, the physician (Dr. T.), the emergency room manager, and a figure from administration (Chief Nursing Officer?).
In this paper I will apply the Ida Jean Orlando’s Nursing Deliberate Nursing Process Theory to patient boarding in the Emergency Department (ED), a current issue at the facility I am employed. Orlando's Deliberate Nursing Process Theory emphasizes the shared relationship between patient and nurse. It describes the responsibility of the nurse is to find out and meet the patient's immediate needs for assistance. Nurses have to use their discernment, thoughts about perception, and the feelings produced from their ideas to explore the meaning of the patient's behavior. This method assist the nurse in discovery out the root of the patient's suffering and offer the aid they require.
RTT1 Organizational Systems and Quality Leadership Task 1 WGU ALLEN SMITH A. Understanding Nursing Sensitive Indicators Nursing sensitive indicators include the configuration, process and outcomes of nursing care. The configuration of nursing care concludes the nursing staff, their nursing skills, and the level of education that each nurse holds. The process of nursing care concludes the nursing assessments, intervention and implimentation. The outcome of nursing care either positive or negative depends on the quantity and quality of the care provided to the patients by the nursing staff ("Nursing world," 2013) Each nurse should hold proper information and knowledge of nursing care such as knowledge of pressure ulcers.
ERIKSON'S STAGES OF DEVELOPMENT - HLTEN503B Contribute to Client Assessment and Developing Nursing Care Plans Knowledge of wellness, pathophysiology and clinical skills allow nurses to provide care with the goal of maintaining, improving or returning the patient to health as well as providing for the needs of patients with chronic illnesses. These aspects of nursing care along with the growth and developmental needs of hospitalised individuals across the lifespan combine to enable nurses to construct nursing care plans which apply to the physical health of the client and the psychological, cognitive, maturity, social and moral needs of each individual client. Nurses caring for clients in the hospital environment can be guided in their practice by relating the approaches of theorists such as Erik Erikson to address their clients' social and personality needs (Funnell, Koutoukidis, Lawrence 2010, pp. 184-185). Erikson's theory of the 'Eight Stages of Development' describes a lifelong process through which human personality evolves as the individual responds to their environment, psychological experiences, biological influences and social interactions.
The nurse must execute this process through selection, performance, management and evaluation of nursing actions. The nurse is responsible for assessing the health status of the patients. The RN is a provider for health counseling and teaching patients. The nurse is responsible for administering medications, treatments, and other health regimens that are ordered by a licensed provider. With the practice of the scope of RN, there are also standards that every RN needs to follow.
The structure indicators are related to nursing staff characteristics such as the skill mix, experience, certification and education of the nurses. The process indicators are those that measure the interactions of health care personnel and the patient such as nursing assessments and interventions. Moreover, RN job satisfaction falls under the process. Nursing Sensitive patient outcomes are the desired or undesired changes that are impacted the most by nursing care such as patient falls and pressure ulcers. Nursing-sensitive indicators are important to use to achieve optimal nursing care.
This paper will describe a core concept that can be found in two theories and describe their commonalities and how they can be applied to nursing practice. Dorothea Orem's theory used four related concepts: self care, self-care agency, therapeutic self-care demand and self-care deficit, and two nursing concepts: Nursing agency and nursing system. Her theory states that nursing has special concern for the person's need for self-care action and provision and maintenance of the action on a continual basis to sustain health, recover from disease, and cope with the effects of the disease. Orem's definition of nursing identifies the creativity and analysis of information that contributes to the development of nursing systems to assist the patient. The validation of the requirement of nursing is that the person cannot maintain health and be free from injury and disease, and have the quality of self-care (Green, 2011).
I am responsible in making sure the care of the patient has been seen through to the end of their stay and to report any observations of the patient ,to the midwife in charge of that said shift and if anything needs reporting to act accordingly,ie frequent observations. Communication is key with regard to any issues which need addressing about the patients health and well being and contribute to the overall care that they have received. Standards of care can come from these values: • We treat people how we would like to be treaded • We do what we say we are going to do • We focus on what matters the most • We are one team and we are best when we work together • We are passionate and creative in our work. By contributing to all these values makes us all a better team and helps to create a professional work force for all to see. OUTCOME 2 To improve the quality of service provided it is essential to reflect on things that have already been done in order to see if there is a need to change so that they can be made better for future reference.