nursing process essay

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StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.

StatPearls [Internet].

Nursing process.

Tammy J. Toney-Butler ; Jennifer M. Thayer .

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Last Update: April 10, 2023 .

Introduction

In 1958, Ida Jean Orlando started the nursing process that still guides nursing care today. Defined as a systematic approach to care using the fundamental principles of critical thinking, client-centered approaches to treatment, goal-oriented tasks, evidence-based practice (EDP) recommendations, and nursing intuition. Holistic and scientific postulates are integrated to provide the basis for compassionate, quality-based care. [1] [2] [3]

The nursing process functions as a systematic guide to client-centered care with 5 sequential steps. These are assessment, diagnosis, planning, implementation, and evaluation.

Assessment is the first step and involves critical thinking skills and data collection; subjective and objective. Subjective data involves verbal statements from the patient or caregiver. Objective data is measurable, tangible data such as vital signs, intake and output, and height and weight.

Data may come from the patient directly or from primary caregivers who may or may not be direct relation family members. Friends can play a role in data collection. Electronic health records may populate data and assist in assessment.

Critical thinking skills are essential to assessment, thus the need for concept-based curriculum changes.

The formulation of a nursing diagnosis by employing clinical judgment assists in the planning and implementation of patient care.

The North American Nursing Diagnosis Association (NANDA) provides nurses with an up-to-date list of nursing diagnoses. A nursing diagnosis, according to NANDA, is defined as a clinical judgment about responses to actual or potential health problems on the part of the patient, family, or community.

A nursing diagnosis encompasses Maslow's Hierarchy of Needs and helps to prioritize and plan care based on patient-centered outcomes. In 1943, Abraham Maslow developed a hierarchy based on basic fundamental needs innate to all individuals. Basic physiological needs/goals must be met before higher needs/goals can be achieved such as self-esteem and self-actualization. Physiological and safety needs provide the basis for the implementation of nursing care and nursing interventions. Thus, they are at the base of Maslow's pyramid, laying the foundation for physical and emotional health. [4] [5]

Maslow's Hierarchy of Needs

Basic Physiological Needs: Nutrition (water and food), elimination (Toileting), airway (suction)-breathing (oxygen)-circulation (pulse, cardiac monitor, blood pressure) (ABCs), sleep, sex, shelter, and exercise.
Safety and Security: Injury prevention (side rails, call lights, hand hygiene, isolation, suicide precautions, fall precautions, car seats, helmets, seat belts), fostering a climate of trust and safety (therapeutic relationship), patient education (modifiable risk factors for stroke, heart disease).
Love and Belonging: Foster supportive relationships, methods to avoid social isolation (bullying), employ active listening techniques, therapeutic communication, and sexual intimacy.
Self-Esteem: Acceptance in the community, workforce, personal achievement, sense of control or empowerment, accepting one's physical appearance or body habitus.
Self-Actualization: Empowering environment, spiritual growth, ability to recognize the point of view of others, reaching one's maximum potential.

The planning stage is where goals and outcomes are formulated that directly impact patient care based on EDP guidelines. These patient-specific goals and the attainment of such assist in ensuring a positive outcome. Nursing care plans are essential in this phase of goal setting. Care plans provide a course of direction for personalized care tailored to an individual's unique needs. Overall condition and comorbid conditions play a role in the construction of a care plan. Care plans enhance communication, documentation, reimbursement, and continuity of care across the healthcare continuum.

Goals should be:

Measurable or Meaningful
Attainable or Action-Oriented
Realistic or Results-Oriented
Timely or Time-Oriented

Implementation

Implementation is the step that involves action or doing and the actual carrying out of nursing interventions outlined in the plan of care. This phase requires nursing interventions such as applying a cardiac monitor or oxygen, direct or indirect care, medication administration, standard treatment protocols, and EDP standards.

This final step of the nursing process is vital to a positive patient outcome. Whenever a healthcare provider intervenes or implements care, they must reassess or evaluate to ensure the desired outcome has been met. Reassessment may frequently be needed depending upon overall patient condition. The plan of care may be adapted based on new assessment data.

Issues of Concern

According to a 2011 study conducted in Mekelle Zone hospitals, nurses lack the knowledge to implement the nursing process into practice and factors such as nurse-patient ratios inhibit them from doing so. Ninety percent of study participants lacked sufficient experience to apply the nursing process to standard practice. The study also concluded that a shortage of available resources, coupled with increased workloads due to high patient-nurse ratios, contributed to the lack of the nursing process implementation in the delivery of patient care. [6] [7] [8]

Clinical Significance

The utilization of the nursing process to guide care is clinically significant going forward in this dynamic, complex world of patient care. Aging populations carry with them a multitude of health problems and inherent risks of missed opportunities to spot a life-altering condition.

As explored by Salmond and Echevarria, healthcare is changing, and the traditional roles of nurses are transforming to meet the demands of this new healthcare environment. Nurses are in a position to promote change and impact patient delivery care models in the future. [9] [10]

Other Issues

Critical thinking skills will play a vital role as we develop plans of care for these patient populations with multiple comorbidities and embrace this challenging healthcare arena. Thus, the trend towards concept-based curriculum changes will assist us in the navigation of these uncharted waters.

Concept-Based Curriculum

Baron further explores this need for a concept-based curriculum as opposed to the traditional educational model and the challenges faced with its implementation. A direct impact on quality patient care and positive outcomes. Nursing practice and educational environments form a bond with clinical knowledge and expertise, and that bond facilitates the transition into the current workforce as an indispensable team player and leader in this new wave of healthcare.

Learning should be the focus and the integration into current practice. Learning is a dynamic process, propelled by a force that must coexist within the same learning milieu between educator and student, preceptor and novice, mentor, and trainee.

IN the future, nurses must be able to problem-solve in a multitude of situations and conditions to meet these new adversities: challenging nurse-patient ratios, multifaceted approaches to prioritization of care, fewer resources, navigation of the electronic health record as well as functionality within the team dynamic and leadership style.

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Maslow's Hierarchy of Needs for Nursing Contributed by Tammy J. Toney-Butler, AS, RN, CEN, TCRN, CPEN

Disclosure: Tammy Toney-Butler declares no relevant financial relationships with ineligible companies.

Disclosure: Jennifer Thayer declares no relevant financial relationships with ineligible companies.

This book is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) ( http://creativecommons.org/licenses/by-nc-nd/4.0/ ), which permits others to distribute the work, provided that the article is not altered or used commercially. You are not required to obtain permission to distribute this article, provided that you credit the author and journal.

Cite this Page Toney-Butler TJ, Thayer JM. Nursing Process. [Updated 2023 Apr 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.

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How to write a Nursing process Essay

Do you have a nursing process essay to write about but do not know where to start? Worry not. We understand that a nursing process essay might be challenging to write as it requires thorough research and technical knowledge, and the message must be well conveyed to the audience. This article provides a complete guide on how to write a nursing process essay.

Writing a nursing assessment process essay involves several basic steps. Each step is significant to the process. Before looking at the process, it is crucial to know what a nursing process essay is and other tips for writing a good nursing process essay.

What is a nursing process essay?

A nursing process essay is a piece of writing that explains the process of treating a patient from interviewing, diagnosis, treatment, and the healing process. A nursing process gives patient care focusing on the potential or actual alterations to health. It also involves planning and establishing what the patient needs and helping to deliver them by planning and implementing.

Importance of a nursing process

Nursing students need to learn about the nursing process. They should write an essay on the nursing process to understand the process. Your instructor can ask you to write a four or five-page essay on the nursing process.

To determine the client’s overall health and any current or anticipated healthcare issues or needs (through assessment).
To make preparations to address the needs that have been recognized.
To provide particular nursing interventions to achieve those requirements
To use the most up-to-date evidence in caring and to benefit human functions and reactions to health and illness
When the nursing process’ criteria are followed appropriately, nurses are protected from legal concerns relating to nursing care
To assist the nurse in performing their duties in an organized and coordinated manner
To create a database containing information about the patient’s health state, medical issues, sickness response, and ability to manage healthcare needs

What is the value of a nursing process essay?

Many students ask themselves, what is the value of the nursing process in relation to the nursing profession essay? The answer is simple. The nursing process involves steps that must be included in the nursing profession essay. The nursing process is essential to ensure quality care and the preferred outcome.

Nursing process essay outline

Introduction

As a healthcare provider, the nurse must address the patient’s overall needs, which must be done with care and caution because there is life at stake. Nursing is more concerned with a person’s psychological, spiritual, social, and physical well-being than their medical condition.

Solving challenges requires more than critical thinking. Critical thinking must be linked with scientific approaches to recognize patient problems and deliver appropriate care. The nursing process is the organization of review and performance.

The nursing processes

The plan of a nursing process is a crucial tool for patients who are being admitted to the hospital. It is a systematic, client-centered approach that allows the nurse to detect client-care issues. The efficient application of the nursing process assists the nurse in determining not only current but also potential future difficulties.

Being able to anticipate difficulties may help the client avoid complications and pains. Evaluation, diagnosis, planning, implementation, and evaluation are the five interconnected steps of the process of nursing. Each of the five steps depends on the effectiveness of the ones before it.

Each phase of the nursing process requires collaboration between the nurse and the patient. Because health circumstances vary over time, the nursing practice is also a continual activity. The nurse must evaluate, implement, introduce new interventions, and revise the process regularly.

The nursing process has no set duration; it might last for days, months, or years, depending on the patient’s present state. Every step of the nursing process relies on accurate and comprehensive information about the patient.

The steps in the nursing processes essay

The nursing process starts when a patient and a nurse create a bond. This nurse-client interaction will assist and dictate a portion of the outcome. The method of assessment begins with gathering information about the patient. Data can be collected from several different sources. The client is the primary source of information on personal health and sickness views and feelings.

Data collection methods

Interview about health

This is the most common method to gather important information about the patient. An interview is an intentional communication to obtain information about something. This section may include asking a patient about their medical history. It is at this stage that you develop a rapport with the patient.

Physical examination

Apart from interviews, a nurse can conduct a physical examination. This may include obtaining the patient’s health history, the family’s history and observing them generally. A successful physical observation provides an accurate diagnosis, evaluation, planning, and better interventions.

Observation

This assessment tool uses the five senses (hearing, sight, touch, taste, and smell) to get information about a patient. This information is related to the appearance of the patient’s functioning, appearance, environment, and primary relationships.

Many characteristics can be observed through sight, but you can use hearing, detecting any smell, listening to lung sounds, and feeling the pulse rate. This happens mostly in the aspire nursing process essay .

Data validation

Data validation includes verifying data to ensure it is factual and accurate. This can be done by double-checking. It allows a nurse to do the following activities:

Double-check, complete, and verify information
Ensure that related subjective and objective data is accurate and valid
Ensure that the source of information has adequate support
Clarify any vague statements and ambiguous information
Acquire extra details that may have been forgotten
Differentiate between inferences and cues

Data documentation

After collecting all the information, you should sort and record data. Good record-keeping is essential for accessibility to the entire healthcare team and cases of future reference. If you are writing a nursing essay on a nursing process slide share, be careful not to make some mistakes.

The diagnosis begins once the nurse has gathered and sorted the patient’s data. The North American Nursing Diagnosis Association (NANDA) maintains the official list of nursing diagnoses and treatments, which defines nursing diagnosis as “a clinical judgment focusing on applying medical skills that determine potential or actual experiences and responses to health problems and life processes.”

The nurse can determine real and future health concerns through nursing diagnosis. Existing needs will always take precedence over possible difficulties, not because they are unimportant, but because current needs must be addressed first to avert potential issues. The nurse evaluates data from the nursing assessment during the diagnostic stage.

These data assist the nurse in determining the patient’s capabilities and health issues. Data is processed, categorized, interpreted, and authenticated during this step. The nurse can manage the vast amount of data by classifying it. Organizing data into categories also aids the nurse in identifying data gaps that need to be addressed. The nurse uses interpreting to identify trends and patterns in the patients.

Validation allows the nurse to ensure that the data is accurate. Nursing diagnostic statements that are inappropriate for the patient might emerge from errors in the clinical diagnosis, such as faulty data interpretation, inadequate data, and a lack of knowledge or experience. The nurse can submit the findings to other health care professionals and collaborate with them to address the patient’s problem with the help of diagnosis. You should be aware of the distinction between nursing and medical assessment. Health assessment focuses more on curing than nursing diagnosis, identifying responses to health and illness.

When nurses obtain patient data and determine the strengths and health issues, they can plan for action. The nurse might consult with a specialist to determine the best form of a care plan for a specific patient. During planning, the nurse must collaborate with the patient and family to prioritize nursing diagnoses.

Educating the patient and answering questions about their doubts is beneficial at this phase since it provides a clear picture of what the patient requires to achieve their goals. Prioritizing includes determining the patient’s goals and expected outcomes, identifying nursing actions that may assist the patient in achieving their objectives, and communicating the care plan.

Planning is done incorrectly if an outcome is nurse-focused rather than patient-centered. The treatment plan would be pointless if the patient were not committed to accomplishing specified goals and outcomes. The patient’s participation as an active participant in the treatment plan will aid in fulfilling the goals.

Validation may be compromised if the patient refuses to participate in the treatment plan. The patient, family, and caregiver must collaborate to make the goals valuable and lead to a worthwhile care plan. The initial evaluation occurs as soon as the patient is admitted, and it may vary numerous times depending on the patient’s new diagnosis and goals. The assessment done by nurses who work with the client throughout the admission is known as ongoing planning. Once a patient is discharged from the hospital, the care plan is known as discharge planning.

Types of planning

Initial planning
Ongoing planning
Discharge planning
Implementation

After the nursing care plan has been prepared, the implementation phase begins. The effectiveness of the method of care is tested in this setting. The implementation goal is to help the patient achieve their desired health goals, including preventing disease and sickness, restoring health, and coping with changed functioning.

The nurse must assess the patient regularly to determine whether the interventions work. Working in conjunction with the patient and family is crucial when providing nursing care. Before taking any nursing activity, the nurse should reassess the patient to ensure that it is still necessary.

It is common for nursing actions to change due to health changes that may improve or deteriorate. After all, it is critical to confront the patient about their health state compassionately; the patient has the right to know what they are going through. This period is crucial for the patient and the nurse regarding documentation.

The nurse can assess and investigate the patient’s condition through documentation. In contrast, the patient can determine their progress and identify areas for improvement to meet goals. After completing the paperwork, the nurse should check with colleagues to determine if other techniques would be more effective.

Skills used in the implementation stage

Cognitive skills

These skills are also known as intellectual. The skills involve understanding and learning the basic nursing procedures and fundamental knowledge before caring for patients.

Cognitive ability also involves decision-making, clinical reasoning, creativity, and problem-solving skills.

Interpersonal skills

These skills involve behaving, believing, and relating to other people correctly. The effectiveness of a nursing process mainly depends on the nurse’s ability to communicate with the fellow health care team and the patients.

Technical skills

These include purposeful hand skills like administering injections, bandaging, lifting, moving, and repositioning clients. These activities need competence and safe performance.

The continuing evaluation process begins after all, care transition acts are completed. The nurse determines if the goals/outcomes mentioned in the care plan have been met, partially met, or not met through evaluation in conjunction with the patient. This procedure, in which new modifications might be added, determines the effectiveness of care.

The nurse can determine whether to discontinue the plan or continue the plan of care if more time is needed to achieve goals based on the patient’s response to the care plans and achievements. The objective of the evaluation is to determine the overall progress of the patient and the quality of nursing care in assisting patients in achieving their intended outcomes/goals.

The patient’s health condition can be compared to the monitoring tools in the nursing plan of care, which can be done at the end of the nursing process. If the patient has made little or no progress toward the goals/outcomes outlined in the care plan, the nurse must revisit each prior stage.

If the patient achieves the goal, the care plan can be amended again without including further goals in the nursing plan. The nurse’s proper communication with the patient and solid detective skills throughout the procedure can lead to an effective assessment. Evaluation can provide feedback; this feedback is used to determine whether the nurse is a competent caregiver or what can be done differently next time to make her a better caregiver.

When the nursing process is implemented correctly, it benefits both the patient and the nurse. From a nurse’s perspective, the clinical practice allows you to decide whether your nursing care benefits the client. The nursing process also aids the nurse in avoiding mistakes and inadequacies in the care plan.

The nurse can improve communication with other healthcare professionals and patients by employing the care plan. Conversely, the client is an active participant who understands involvement in their health state. As a result, the patient gains a sense of ownership.

When the nursing procedure is carried out correctly, it is effective and yields satisfactory results. This is why nurses are encouraged to utilize this procedure as frequently as feasible. It can be challenging to implement the nursing procedure for each patient effectively. Wards are often overly chaotic due to opposing patients or a lack of personnel, making it difficult for a nurse to focus on each patient individually.

Nurses are human, and as such, they are not flawless, despite their best efforts to meet the requirements of their patients. Even after all their hard work, nurses are rewarded with a fantastic sense of accomplishment when they witness how they contributed to making a positive difference in the lives of others.

Importance of writing a nursing process essay

It helps in improving patient care and ensuring you get the expected results.
It helps improve students’ critical thinking skills by recognizing a problem and finding a solution.
The process helps in improving the condition of the patient
It helps in identifying the health status of patients
It allows nurses to be responsible and efficient

Characteristics of the process of nursing

Patient-centered

The nursing process approach needs respectful care and response to the patient’s preferences, values, and needs. The nurse should keep the patient’s rights when making decisions concerning treatment.

Interpersonal

The therapeutic process is founded on nursing, in which the nurse and patient respect each other, learning and growing as a result of interactions. It entails a collaborative effort between the nurse and the patient to achieve a common aim.

Collaborative

The process must function effectively in interprofessional teams and nursing. It must also promote mutual respect, shared decision-making, and open communication to provide the best quality care to the patient.

Cyclical and dynamic

The process is dynamic and cyclical as each phase interacts with the other and is influenced by the different stages.

Must require critical thinking

The nurse involved in the nursing process must apply critical thinking skills to identify the issue and promote intervention for desirable outcomes.

Nursing process essay examples

We have covered almost all the basics of a nursing process essay. You can talk to us or visit our website if you need to read more nursing clinical essay examples. It is important to read many examples to understand the concept better.

If you want a free essay on the nursing process to read, you can also get it online. We provide a free five-page essay on the nursing process, among other pieces, to help students understand the nursing process.

Writing a nursing process essay is not as simple as it may sound. It involves understanding all the processes involved in the nursing process, which many students lack the idea of writing. This article provides a complete guide on how to write a nursing process essay.

A process essay has seven sections: introduction, evaluation, diagnosis, planning, implementation, evaluation, and conclusion. Each stage has essential activities that take place.

If you still need help writing a nursing process essay, worry not. We provide essay writing services to all level students at a reasonable rate. Contact us for more information.

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What is the Nursing Process?

Characteristics of the nursing process, history of the nursing process.

Understanding the nursing process is key to providing quality care to your patients. The nursing process is a cyclical process used to assess, diagnose, and care for patients as a nurse. It includes 5 progressive steps often referred to with the acronym:

Planning/outcomes
Implementation

In this article, we’ll discuss each step of the nursing process in detail and include some examples of how this process might look in your practice.

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The nursing process is a patient-centered, systematic, evidence-based approach to delivering high-quality nursing care. It consists of five steps: assessment , diagnosis , outcomes/planning, implementation, and evaluation.

The Nursing Process (ADPIE)

1. Assessment

To begin the nursing process, assessment involves collecting information about the patient and their health. This information is used to identify any problems, or potential problems, that may need to be addressed while you’re caring for a patient.

Example: If you’re admitting an older patient who is falling and getting injured at home, you’ll want to do a thorough physical and mental health assessment, including a medical history to try and determine why this is happening.

Some important things you’ll want to find out are:

What medications and over-the-counter products is the patient taking
History of alcohol and recreational drug use
Where the person lives and the layout of their home, including scatter rugs they may be tripping over: clutter, pets, stairs, slippery tubs they’re climbing into or out of, fluid or food spills on floors, lighting, mobility aids they use, etc.

2. Diagnosis

The Nursing Diagnosis is the second step in the nursing process and involves identifying real or potential health problems for a patient based on the information you gathered during the assessment.

Example: Using the falls patient example above, you may identify from your assessment that the patient is falling because they’re tripping on things in their environment that they don’t see, like their pet cat lying on the floor and loose scatter rugs.

Based on this, you might form a diagnosis such as “Falls related to poor vision, cluttered environment, unsteady gait, Lt. hip pain due to previous fall.”

3. Outcomes/Planning

Planning or Outcomes is the third step in the nursing process. This step involves developing a nursing care plan that includes goals and strategies to address the problems identified during the assessment and diagnosis steps.

Example: Continuing with the example above, you will likely recommend that the patient keep their environment,

Free of scatter rugs
Check to ensure the cat is not underfoot before they mobilize
Suggest the patient use a walker for support when mobilizing
Recommending that the patient schedule an eye exam to get their vision checked if they have not had one in the last year or two would also be a good idea or if they’ve noticed any changes in their vision lately.

4. Implementation

As the fourth step of the nursing process, implementation involves putting the plan of care into action.

Example In the above example, this would include:

Making sure the patient’s environment is free of clutter and tripping hazards while in the hospital or a skilled nursing facility.
Teaching the patient to wear proper footwear before mobilizing.
Assisting the patient with mobility as needed, including putting proper footwear on the patient if needed.
Speaking to the patient and family about removing scatter rugs from the patient’s home, scheduling an eye exam, and ensuring proper footwear is worn for mobilizing at home.
Discussing with the patient and family about getting the patient a walker to assist with mobility on discharge and providing one while the patient is admitted.

5. Evaluation

The last step of the nursing process is evaluation , which involves determining whether or not the goals of care have been met.

Example Here you would look back at the patient’s medical record to see if the patient has had any further falls since implementing the preventative actions above.

If so, you would repeat the nursing process over and reassess why this is still happening and plan new actions to prevent future falls.

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The nursing process is also characterized by the following elements.

1. Dynamic and Cyclic

The nursing process is an evolving process that continues throughout a patient’s admission or illness and ends when the problems identified by the nurse are no longer an issue.

2. Patient-Centered and Goal-Directed

The entire nursing process is sensitive to and responsive to the patient's needs, preferences, and values. As nurses, we need to act as patient advocates and protect the patient’s right to make informed decisions while involving the patient in goal setting and attainment.

3. Collaborative and Interpersonal

This describes the level of interaction that may be required between nurses, patients, families and supports, and the interprofessional healthcare team. These aspects of the nursing process require mutual respect, cooperation, clear communication, and decision-making that is shared between all parties involved.

4. Universally Applicable

As a widely and globally accepted standard in nursing practice, the nursing process follows the same steps, regardless of where a nurse works.

5. Systematic and Scientific

The nursing process is also an objective and predictable process for planning, conducting, and evaluating patient care that is based on a large body of scientific evidence found in peer-reviewed nursing research.

6. Requires Critical Thinking

Most importantly, it’s essential that nurses use critical thinking when planning patient care using the nursing process. This means as nurses, we must use a combination of our knowledge and past experiences with the information we have about a current patient to make the best decisions we can about nursing care.

The nursing process was introduced in 1958 by Ida Jean Orlando. Today, it continues to be the most widely-accepted method of prioritizing, organizing, and providing patient care in the nursing profession.

It’s characterized by the key elements of:

Critical thinking
Client-centered methods for treatment
Goal-oriented activities
Evidence-based nursing research and findings
The nursing process helps nurses to provide quality patient care by taking a holistic view of each patient they plan care for.
The nursing process is an evidence-based approach to caring for patients that helps nurses provide quality care and improve patient outcomes.
Ida Jean Orlando introduced the nursing process in 1958.
The primary focus of the nursing process is the patient or client. The process is designed to meet the real and potential healthcare needs of the patient/client and to prevent possible illness or injury.

Leona Werezak BSN, MN, RN is the Director of Business Development at NCLEX Education. She began her nursing career in a small rural hospital in northern Canada where she worked as a new staff nurse doing everything from helping deliver babies to medevacing critically ill patients. Learning much from her patients and colleagues at the bedside for 15 years, she also taught in baccalaureate nursing programs for almost 20 years as a nursing adjunct faculty member (yes! Some of those years she did both!). As a freelance writer online, she writes content for nursing schools and colleges, healthcare and medical businesses, as well as various nursing sites.

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How to Write a Great Nursing Process Essay: Format and Steps

A nursing process essay is one of the myriad nursing school assignments . Although some students find it easy, most nursing students find it challenging . A process essay should demonstrate your research and writing capabilities. When explaining a nursing process, you must infuse nursing knowledge and professional practice standards. As a number one nurse writing resource for nursing students at various levels of study, we have helped many students write nursing process essays to the thousands count. So, if you can't figure out the steps for writing a nursing process essay, this easy-to-follow guide will ensure you succeed in clinicals and exams.

Before we delve deep into the process, let’s understand what a nursing process essay is so the steps and tips for writing a great nursing process essay can flow naturally.

What is a Nursing Process Essay?

A nursing process essay discusses all the critical steps of a nursing process and a step-by-step model for what you will do as a nurse when attending to patients.

Usually, a typical nursing process can be treating a patient with a specific issue. For instance, you can deal with a case study where a patient presents to the ER with severe burns. You are supposed to highlight the entire nursing process, including interviewing, assessments, diagnosis, care planning, treatment, follow-up process, etc. You will need to be patient-centered while adhering to professional nursing standards.

The nursing process essay is based on the standards of Professional Nursing Practice that all nurses, irrespective of their role, population, specialty, and setting, adhere to according to the required standard.

Examples of professional standards include the American Nurses Association (ANA) Professional Standards (USA), The Nursing and Midwifery Council's (NMC) Standards (UK), and the Nursing and Midwifery Board of Australia Professional Standards etc.

Remember, the nursing process helps profile the client's overall health by assessing current and future needs. It also helps make clinical decisions to address the client’s needs. It also helps come up with patient-centered interventions or care plans.

Steps for Writing a Nursing Process Essay

Generally speaking, a nursing process essay highlights the steps you must include in your nursing professional essay. Here are a few steps to follow to write a nursing process essay.

Understand Nursing Process Essay

A nursing process essay is an academic paper highlighting the critical process nurses follow to identify and provide essential care to patients. Writing this essay involves comprehensively discussing all the key areas of the nursing process, including:

Gathering critical health information about the patient through assessment.
Analyzing the information through diagnosis.
Developing the best possible action through planning.
Implementing the identified actions.
Regularly monitor and evaluate the effectiveness of these actions.

If you need to remember these steps, use the ADPIE . Each letter represents all the above components.

By understanding all these phases, nurses can identify existing and future problems in patients' health and use evidence-based intervention to treat and manage them.

Read the Prompt

Carefully read and understand the writing prompt before diving into the writing process. In most cases, your instructor will provide a scenario in a hospital setting and ask you to use the nursing process to provide effective nursing care to patients. For instance, a patient walks into a clinic complaining of severe headache and nausea. As an attending nurse, you must follow the nursing process to provide critical care to patient s.

You must connect the topic of the nursing process when writing a nursing process essay.

As you read the prompt, check the keywords such as the topic, word count, assignment deadline, and other guidelines the professor gave. These are crucial in ensuring you stay within the topic and effectively communicate all your ideas.

Develop an Outline

A good outline will act as a roadmap for how you will effectively write the essay. A good outline should contain the following components:

Introduction - begin with an attention-grabbing statement and introduce the essay's topic.
Body paragraph - Nursing process - Go into detail about each step. Remember, the process begins when you establish a relationship with the patient until they are discharged from the hospital. You must be as clear as possible in communicating each step.
Conclusion - summarize what you have discussed throughout the essay and leave readers with something to ponder.
Review and proofread - Finally, ensure your essay is error-free before submitting it to the instructor.

Having this outline will help you organize your thoughts and know how to write a nursing process essay.

Write a good introduction.

This introduces the topic the essay will address and summarizes the nursing process and its relevance in patient care.

You don’t need to go into detail about the components. Leave that to the body paragraphs. The goal is to let the reader know what is to come and convince them to read the rest of your paper.

Additionally, identify the thesis statement on which you will base your arguments and the nursing processes.

Write the Nursing Process

Discuss each step of the nursing process in separate paragraphs. The steps are as follows:

Assess (What Type of Data is Gathered?)

As the first step of the nursing process, assessment is key in ensuring that pertinent care is given to the patient. Knowing how to assess a patient properly will set you apart as a nurse. Regardless of their profession, any person can give an injection or medications, but your skills during the assessment will help you stand out from the crowd.

So, what exactly is assessment? It is the systemic, continuous collection, validation & communication of a patient's objective and subjective data. There are three types of assessment:

Initial assessment- performed immediately after the patient is admitted to a health facility.
Focused assessment- this is done to gather information about the identified problem.
Emergency assessment- performed on the physiological or psychological crisis to identify the issues threatening the patient's life.
A time-lapsed assessment was performed to compare the patient's current health status to the data obtained earlier.

When assessing, you are gathering key information about the patient, such as:

Vital signs
Family history
Surgical and medical history
Psychological health
Safety concerns
Environmental concerns
Cultural and spiritual values

Assessment involves three steps: Interviewing, observation, and physical examination to understand what's happening. All these are essential to apply critical thinking skills at each stage to understand what could be wrong and what you need to assess further. These skills can help you notice even the slightest changes in the patients, including how they answer questions and behave physically. In other words, you become aware of anything that feels off about the patient.

As you perform the head-to-toe assessment, analyze and document the data in the health facility database with the help of an efficient software system. Good record-keeping ensures that all the vital information is easily accessed by any healthcare professional attending to the patient.

Diagnosis (What is the Problem?)

Diagnosis is about identifying what's going on with the patient. In other words, nursing diagnosis is the patients’ responses to what is happening in them. Please note that a nursing diagnosis is different from a medical diagnosis. While a medical diagnosis identifies the patient's illnesses, for instance, asthma, nursing diagnosis focuses on unhealthy responses to health and illness, e.g., anxiety, wheezing, etc.

Diagnosis utilizes your experience and clinical judgment as a nurse to develop the right judgment about the patient. According to the North American Nursing Diagnosis Association (NANDA) , nursing diagnosis is based on applying clinical knowledge to determine possible or actual patient experiences and responses to health problems or life processes.

Thus, through proper diagnosis, nurses can determine current and future health problems based on the assessment. Actual health problems always precede future issues because they are not currently important.

Diagnosis is important for various reasons: 1.) it helps you view the patient holistically, 2.) it leads to a higher standard of care since treatment is based on what is outlined in the diagnosis step, 3). Aids in increasing your awareness and further strengthening your role as a nurse.

Therefore, the main objective of this phase is to:

Identify the main problem that brought the patient to the hospital.
Identify any risk factors arising from the patient’s health diagnosis.
Compile, validate, and analyze all data gathered during assessment to support the right diagnosis. Validation allows you to determine the accuracy of data.
Develop a unique perspective about the patient's health issue and possible health measures to improve their outcome.
Finally, establish a nursing diagnosis that can help develop the right care plan.

Diagnosis involves these parts: Problem and etiology. The problem is a clear statement describing the health condition of the patient. On the other hand, etiology highlights all the physiological, psychological, social, spiritual, and environmental factors related to the problem.

There are five types of nursing diagnosis:

Actual nursing diagnoses : Represent an issue that the presence of its characteristics can describe. For example, impaired physical mobility
Risk nursing diagnosis - is a judgment that an individual or group of people are at risk of developing a certain condition.
Possible nursing diagnosis – represents what is suspected to be the problem with the patient.
Wellness diagnosis - a clinical judgment that a person or particular group in a community is transitioning from one level of wellness to another.
Syndrome nursing Diagnosis - a cluster of events or risks that will likely occur due to certain events.

Nursing diagnosis provides the foundation for key interventions to achieve the right outcomes. Errors occurring at this stage, such as incomplete data, inaccurate interpretation of these data, and inefficiency, can lead to wrong diagnoses.

Planning (How Do You Manage the Problem?)

Nursing planning is the third step of nursing, determining the best course of action for achieving health goals. They include all the best interventions to help the patient get better, such as mitigating symptoms and preventing diseases.

For instance, a good intervention for a stroke patient with impaired swallowing could be demonstrating techniques to prevent aspiration when eating. In this stage, it's essential to consult a specialist for the best care plan.

Some of the activities that take place during planning include:

Establishing priorities
Identification of expected patient outcome.
Selecting the best evidence-based nursing intervention.
Communicate the plan of care to the patient and their family members.

Educating the patient and their family members on what is needed will help them achieve their goals.

There are three stages of planning in the nursing process:

Initial planning - this is done by the nurse who administers the patient to the hospital.
Ongoing planning - this occurs to keep all healthcare professionals up to date on the patient's condition. In case of any changes to the patient, the plan can be updated to ensure it is more accurate.
Discharge planning - This is done by the nurse who’s worked closely with the patient and their family throughout their admission.

If planning is done incorrectly, patient health will not improve and could lead to further problems.

All nurses must have strong communication skills, time management skills, and a willingness to work with others.

Implementation (Putting the Identified Plan into Action)

Nurses initiate the interventions identified during the planning stage. It involves focusing on accomplishing the identified goals and ensuring continuous progress.

Good decision-making skills are highly essential at this stage. Nurses must decide on the best course of action to help the patient. If the patient is sick, the goal is to treat and heal them or slow the progression of the disease. Thus, nurses must only apply the best choices for the patient. There is a lot of consideration and weighing of options to decide what works or not that occurs at this point.

Nursing implementation involves the following:

(a) Reassessing the Patient

Before implementing the interventions, it's crucial to reassess the patient to ensure they are still necessary for the particular health issues.

(b) Delegating tasks to relevant personal

When a nurse handles a particular patient and implements the strategies, they don't have to work on other nursing duties. These can be delegated to non-RN healthcare team members, such as caregivers.

To implement nursing interventions, nurses must possess substantial knowledge based on sciences, nursing theory, practice, and legal parameters.

(d) Documentation

Finally, these interventions and how the patient responds to them will be documented.

Just like in planning, involving the patient and their family for its success is essential. Nurses should explain, discuss, and analyze how these interventions will benefit the patient.

Nurses must possess high cognitive skills to understand the interventions and assess them regularly to know whether they are working. Nurses should also possess interpersonal skills to ensure they relate well with the patients and those around them. Technical skills such as administering injections, bandaging, lifting, and moving the patient are also key in properly implementing the identified plans.

Evaluation (Did the Intervention Plans Work)

Evaluation is an ongoing process that helps determine whether the interventions are working. This step is crucial as it will determine the effectiveness of care. Even though it is the final part of the nursing process, it should not be considered the end of the nursing process. Evaluation should occur at every stage.

Based on the outcome, nurses can determine whether to adjust or terminate those interventions. This is achieved by comparing the patient's health status with the outcomes identified in the planning stage.

The main objectives of the evaluation stage include:

Determine if the planning standards were met- the nurse can determine any changes to the patient’s health status by using implementation strategies.
Data collection- The same data collection techniques used in the implementation stage will be necessary for recollecting data to measure and evaluate patient outcomes comprehensively.
The data collected must answer this question, “Did the patient achieve the treatment goals and expected outcomes in the nursing care plan." The outcome could be as follows: 1.) the goals were met, 2.) the goals were partially met, and 3.) the goals were not met.
Identifying factors that resulted in the success or failure of the interventions- Different factors could contribute to the achievement of the goals. For instance, the patient or their family were not involved in achieving the goals.

If the evaluation stage does not progress, nurses could revise the care plan to ensure it does. The registered nurse assigned to the patient is responsible for the evaluation. However, any nurse assigned to the nursing care team can do this.

Please note that it is common for nursing interventions to change because patient health could improve or deteriorate. Proper evaluation techniques will help tell whether the patient's health is improving.

Write Your Conclusion

After following the nursing process, summarize the essay with a conclusion for the discussed topic. Ensure this part is clear and concise.

Proofread and Edit Your Essay

Wait to submit your essay; review it repeatedly to check for errors. Use online software to check for grammar and spelling errors. Also, check for plagiarism.

Characteristics of Nursing Process Essay

A good nursing process essay must possess the following features;

Patient Oriented

Nurses should keep the patients needs, values, and preferences in mind throughout the nursing process.

Interpersonal

The healing of a patient is dependent on their relationship with nurses. This relationship should be based on mutual respect between the two.

Collaborative

For the nursing process to be effective, there must be collaboration between the nurse and the patient. There should be open communication and shared decision-making for the best care.

The nursing process essay is dynamic. Each step interacts and is influenced by another.

The Bottom Line

Writing a good nursing process essay is never a walk in the park. However, with a comprehensive understanding of all the key steps involved, good critical thinking skills, and effective communication, you will be on your way to writing an effective essay. That said, follow all the above guidelines to tackle the assignment before you. You don't jump to implementation or evaluation when writing the essay but begin with assessment, diagnosis, planning, implementation, and evaluation.

We've got you if you need help writing a nursing process essay. We’re a leading online nursing essay service . Please fill out the Order Form for us to help. We help thousands of nursing students tackle challenging essays, and we can do the same for you at a reasonable fee. A qualified nursing writer will write your paper with an appropriate practice background, training, and certification.

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How to write a successful nursing process essay.

In this blog, you will learn about what is a nursing process and why it is important to have a nursing process. Additionally, you will learn how to write a top-notch nursing process essay. Read the full blog to find out how.

What is the nursing process?

The Nursing Process is a scientific method used by nurses to ensure quality patient care. This process consists of five steps: assessment, diagnosis, planning, implementation, and evaluation. By following these steps, nurses can provide the best possible care to their patients.

Assessment is the first step of the nursing process. During this phase, nurses collect data about their patients through observation, interviews, and physical examinations. This information is used to identify the patient’s problems and needs.

Diagnosis is the second step of the nursing process. During this phase, nurses use the data from the assessment phase to develop a plan of care. This plan is aimed at solving the patient’s problems and meeting their needs.

Planning is the third step of the nursing process. During this phase, nurses develop a detailed plan of care that includes the goals and objectives for the patient. This plan is then used to guide the implementation of care.

Implementation is the fourth step of the nursing process. During this phase, nurses carry out the plan of care. This includes providing treatments and therapies, as well as teaching patients and their families about their condition.

Evaluation is the fifth and final step of the nursing process. During this phase, nurses assess the patient’s progress and determine whether the goals of care have been met. This information is then used to revise the plan of care, as needed. Nursing process essay.

The Importance of the Nursing Process

The nursing process is an essential tool for nurses to provide high-quality, individualized care. It is a flexible framework that can be adapted to meet the needs of any patient. By using the nursing process, nurses can ensure that they are providing the best possible care to their patients.

The nursing process is a systematic approach to providing high-quality nursing care. It is a framework that nurses can use to ensure that they are providing the best possible care to their patients. The nursing process includes four main steps: assessment, diagnosis, planning, and implementation.

Assessment is the first step of the nursing process. During the assessment phase, nurses gather information about their patients’ health status. This information is used to identify patients’ needs and to develop a plan of care. Nursing process essay.

Diagnosis is the second step of the nursing process. During the diagnosis phase, nurses use the information gathered during the assessment phase to develop a plan of care. The plan of care is individualized to each patient and is based on the patient’s diagnosis.

Planning is the third step of the nursing process. During the planning phase, nurses develop a plan of care that is individualized to each patient. The plan of care is based on the patient’s diagnosis and is designed to meet the patient’s specific needs.

Implementation is the fourth and final step of the nursing process. During the implementation phase, nurses carry out the plan of care. This phase includes providing nursing care to patients and monitoring their progress. Nursing process essay

The Five Steps of the Nursing Process

The nursing process: assessment, the nursing process: diagnosis, the nursing process: planning, the nursing process: implementation, the nursing process: evaluation.

The nursing process is a systematic approach to delivering high-quality nursing care. It begins with assessment, which is the gathering of information about the patient’s health status. This information is used to develop a plan of care, which is then implemented and evaluated. The nursing process is an important tool for nurses to use to ensure that they are providing the best possible care to their patients.

The Nursing Process is a scientific method used by nurses to ensure quality patient care. The first step of the Nursing Process is diagnosis. In order to make an accurate diagnosis, nurses must first assess the patient’s symptoms and medical history. Nursing process essay

Once the assessment is complete, the nurse will develop a plan of care based on the diagnosis. The plan of care will include the treatments and interventions necessary to help the patient recover.

The planning phase of the nursing process is the most important and time-consuming phase. During this phase, the nurse develops a plan of care based on the assessment data and the patient’s goals. The plan of care is a detailed, individualized plan that outlines the nursing interventions that will be used to achieve the patient’s goals.

The implementation phase is when the nurse carries out the plan of care. This includes carrying out nursing interventions and monitoring the patient’s response to them. The nursing process is an important tool for ensuring that patients receive the best possible care. Nursing process essay

After completing the assessment and diagnosis phases of the nursing process, nurses move on to the evaluation stage. This is when nurses determine whether or not the patient’s condition has improved after implementing the nursing care plan. To do this, nurses must collect data from the patient and compare it to the data collected during the assessment phase. This data can be collected through patient interviews, physical exams, and laboratory tests.

Once the data is collected, nurses can determine if the patient’s condition has improved, worsened, or stayed the same. If the patient’s condition has improved, nurses can continue with the care plan. If the patient’s condition has worsened, nurses may need to modify the care plan. If the patient’s condition has stayed the same, nurses may need to re-evaluate the care plan.

Final Remarks.

To write a successful nursing process essay, students must first understand the nursing process. Once they have a good understanding of the nursing process, they can then begin to brainstorm ideas for their essay. Nursing process essay

When brainstorming ideas, students should keep in mind the purpose of the essay. The purpose of the nursing process essay is to describe how the nursing process can be used to provide quality patient care. Nursing process essay

Once students have brainstormed ideas, they can then begin to write their essay. When writing their essay, students should keep the following tips in mind:

Be sure to include an introduction and a conclusion.
Be sure to describe each step of the nursing process in detail.
Be sure to provide examples of how the nursing process can be used to provide quality patient care.
Be sure to proofread and edit their essay before submitting it.

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How to Write a Nursing Essay with a Quick Guide

Ever felt the blank-page panic when assigned a nursing essay? Wondering where to start or if your words will measure up to the weight of your experiences? Fear not, because today, we're here to guide you through this process.

Imagine you're at your favorite coffee spot, armed with a cup of motivation (and maybe a sneaky treat). Got it? Great! Now, let's spill the secrets on how to spin your nursing tales into words that not only get you that A+ but also tug at the heartstrings of anyone reading. We've got your back with nursing essay examples that'll be your inspiration, an outline to keep you on the right path, and more!

What Is a Nursing Essay

Let's start by dissecting the concept. A nursing essay serves as a focused exploration of a specific aspect of nursing, providing an opportunity for students to demonstrate their theoretical knowledge and its practical application in patient care settings.

Picture it as a journey through the challenges and victories of a budding nurse. These essays go beyond the classroom, tackling everything from tricky ethical dilemmas to the impact of healthcare policies on the front lines. It's not just about grades; it's about proving, 'I'm ready for the real deal.'

So, when you read or write a nursing essay, it's not just words on paper. It's like looking into the world of someone who's about to start their nursing career – someone who's really thought about the ins and outs of being a nurse. And before you kick off your nursing career, don't shy away from asking - write my essay for me - we're ready to land a professional helping hand.

How to Start a Nursing Essay

When you start writing a nursing essay, it is like gearing up for a crucial mission. Here's your quick guide from our nursing essay writing service :

Choosing Your Topic: Select a topic that sparks your interest and relates to real-world nursing challenges. Consider areas like patient care, ethical dilemmas, or the impact of technology on healthcare.

Outline Your Route : Plan your essay's journey. Create a roadmap with key points you want to cover. This keeps you on track and your essay on point.

Craft a Strong Thesis: Assuming you already know how to write a hook , kick off your writing with a surprising fact, a thought-provoking quote, or a brief anecdote. Then, state your main argument or perspective in one sentence. This thesis will serve as the compass for your essay, guiding both you and your reader through the rest of your writing.

How to Structure a Nursing Essay

Every great essay is like a well-orchestrated performance – it needs a script, a narrative that flows seamlessly, capturing the audience's attention from start to finish. In our case, this script takes the form of a well-organized structure. Let's delve into the elements that teach you how to write a nursing essay, from a mere collection of words to a compelling journey of insights.

Nursing Essay Introduction

Begin your nursing essay with a spark. Knowing how to write essay introduction effectively means sharing a real-life scenario or a striking fact related to your topic. For instance, if exploring patient care, narrate a personal experience that made a lasting impression. Then, crisply state your thesis – a clear roadmap indicating the direction your essay will take. Think of it as a teaser that leaves the reader eager to explore the insights you're about to unfold.

In the main body, dive into the heart of your essay. Each paragraph should explore a specific aspect of your topic. Back your thoughts with examples – maybe a scenario from your clinical experience, a relevant case study, or findings from credible sources. Imagine it as a puzzle coming together; each paragraph adds a piece, forming a complete picture. Keep it focused and let each idea flow naturally into the next.

Nursing Essay Conclusion

As writing a nursing essay nears the end, resist the urge to introduce new elements. Summarize your main points concisely. Remind the reader of the real-world significance of your thesis – why it matters in the broader context of nursing. Conclude with a thought-provoking statement or a call to reflection, leaving your reader with a lasting impression. It's like the final scene of a movie that leaves you thinking long after the credits roll.

Nursing Essay Outline

Before diving into the essay, craft a roadmap – your outline. This isn't a rigid skeleton but a flexible guide that ensures your ideas flow logically. Consider the following template from our research paper writing service :

Introduction

Opening Hook: Share a brief, impactful patient care scenario.
Relevance Statement: Explain why the chosen topic is crucial in nursing.
Thesis: Clearly state the main argument or perspective.

Patient-Centered Care:

Definition: Clarify what patient-centered care means in nursing.
Personal Experience: Share a relevant encounter from clinical practice.
Evidence: Integrate findings from reputable nursing literature.

Ethical Dilemmas in Nursing Practice

Scenario Presentation: Describe a specific ethical challenge faced by nurses.
Decision-Making Process: Outline steps taken to address the dilemma.
Ethical Frameworks: Discuss any ethical theories guiding the decision.

Impact of Technology on Nursing

Current Trends: Highlight technological advancements in nursing.
Case Study: Share an example of technology enhancing patient care.
Challenges and Benefits: Discuss the pros and cons of technology in nursing.
Summary of Key Points: Recap the main ideas from each section.
Real-world Implications: Emphasize the practical significance in nursing practice.
Closing Thought: End with a reflective statement or call to action.

A+ in Nursing Essays Await You!

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Nursing Essay Examples

Here are the nursing Essay Examples for you to read.

Writing a Nursing Essay: Essential Tips

When it comes to crafting a stellar nursing essay, a few key strategies can elevate your work from ordinary to exceptional. Here are some valuable tips from our medical school personal statement writer :

Connect with Personal Experiences:

Approach: Weave personal encounters seamlessly into your narrative.
Reasoning: This not only adds authenticity to your essay but also serves as a powerful testament to your firsthand understanding of the challenges and triumphs in the nursing field.

Emphasize Critical Thinking:

Approach: Go beyond describing situations; delve into their analysis.
Reasoning: Nursing essays are the perfect platform to showcase your critical thinking skills – an essential attribute in making informed decisions in real-world healthcare scenarios.

Incorporate Patient Perspectives:

Approach: Integrate patient stories or feedback into your discussion.
Reasoning: By bringing in the human element, you demonstrate empathy and an understanding of the patient's experience, a core aspect of nursing care.

Integrate Evidence-Based Practice:

Approach: Support your arguments with the latest evidence-based literature.
Reasoning: Highlighting your commitment to staying informed and applying current research underscores your dedication to evidence-based practice – a cornerstone in modern nursing.

Address Ethical Considerations:

Approach: Explicitly discuss the ethical dimensions of your topic.
Reasoning: Nursing essays provide a platform to delve into the ethical complexities inherent in healthcare, showcasing your ability to navigate and analyze these challenges.

Balance Theory and Practice:

Approach: Connect theoretical concepts to real-world applications.
Reasoning: By bridging the gap between theory and practice, you illustrate your capacity to apply academic knowledge effectively in the dynamic realm of nursing.

Highlight Interdisciplinary Collaboration:

Approach: Discuss collaborative efforts with other healthcare professionals.
Reasoning: Acknowledging the interdisciplinary nature of healthcare underscores your understanding of the importance of teamwork – a vital aspect of successful nursing practice.

Reflect on Lessons Learned:

Approach: Conclude with a thoughtful reflection on personal growth or lessons from your exploration.
Reasoning: This not only provides a satisfying conclusion but also demonstrates your self-awareness and commitment to continuous improvement as a nursing professional.

As we wrap up, think of your essay as a story about your journey into nursing. It's not just about getting a grade; it's a way to share what you've been through and why you want to be a nurse.

Imagine the person reading it – maybe a teacher, a future coworker, or someone starting their nursing journey. They're trying to understand your passion and why you care about nursing.

So, when you write, remember it's more than just an assignment. It's your chance to show why nursing matters to you. And if you ever need help – there's always support from our essay writer online .

Ready to Excel in Your Nursing School Essay?

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How to Write a Nursing Essay?

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Why Is the Nursing Process Important?

The nursing process is one of the most important aspects of any nursing procedure. Nurses need a plan, and they need to know what things they are looking for before they start examining or caring for their patients.

For some nursing students, this is an easy process, but it may take several clinical rotations to make it second nature for others. It is still necessary for student nurses to put a lot of effort into writing a good care plan. First, they must fully understand the Nursing Process.

In this blog post, we will explore why the nursing process is important at all stages of a person’s life cycle, including neonatal, pediatric, adult health, senior health as well as end-of-life care.

We will also highlight how various healthcare settings have different approaches to implementing.

What is the Nursing Process?

The nursing process is a term that can be interpreted in many ways. Some may think it’s the process of giving care to medically fragile patients , while others may believe it’s the method of planning and providing nursing care within a specific scope of practice.

According to the US National Library of Medicine , “The nursing process, which is the most important tool for putting nursing knowledge into practice, is a systematic problem-solving method for determining the health care needs of a healthy or ill individual and for providing personalized care.”

In reality, the nursing process refers to any sequence of actions used by nurses during their delivery or provision of patient care , with the goal being a practical outcome for both patients and nurses.

To provide the best care for a patient, nurses must understand and follow the nursing process. The key components of this process are assessment, diagnosis, planning, implementation, and evaluation.

Why Is the Nursing Process Necessary?

The first step is to assess the patient. This will help them figure out what care they need and how much that care might cost. It also allows nurses to find any problems or concerns while establishing rapport with their patients.

Next, most nursing procedures involve a plan for caring for a specific condition or problem such as medication administration, wound dressing changes, assisting in feeding and mobility exercises, etc. Nurses often use checklists to ensure all aspects are covered before moving on to the next task on the list.

Additionally, there may be an order sheet listing medications prescribed by doctors which need to be administered when filling prescriptions at pharmacies or other locations off-site from hospitals (i.e., clinics).

In this case, the nurse must pull up that order sheet, find out which medications need to be given at a specific time or place.

Once this is done, nurses will review the patient’s chart and update it as necessary with information about the medication administration (i.e., when it was given).

Finally, they may check in on their patients periodically during rounds to ensure everything goes well – using established nursing assessment skills such as checking vital signs.

Some Nursing Steps for Nurses

Nurses use these five steps to work with patients in various clinical settings such as hospitals or doctors’ offices. They help ensure that the assessments are accurate and that the plan is appropriate for each individual’s needs.

The five basic nursing steps are listed below, with more detailed descriptions provided underneath each one.

History and Physical Examination

A history is taken from the patient and examines their respiratory, cardiovascular, neurologic, gastrointestinal, and genitourinary systems.

Assessment: This step involves examining data to determine what interventions are needed for a particular situation or problem. It also includes considering other factors such as psychosocial needs.

Plan Development: Plans are made to address all aspects of the care required for each individual’s condition or need.

Implementation/Implementation Checklist: Actions are taken according to the plan created in Step Three while ensuring that everything is carried out with efficiency and effectiveness, which will lead to quality nursing care.

A checklist ensures no steps have been missed during implementation (for example, checking skin integrity).

Evaluation, Follow Up, Discharge Plan: Provides a summary of what is essential in this process and an overview to help identify areas that could be improved upon or scrapped altogether.

It shares information about how these steps are used in different clinical settings such as hospitals or doctors’ offices to ensure accurate assessments and appropriate plans for individual needs.

Accurate Vital Signs Critical

Obtaining a complete set of vital signs is critical to the assessment process. These include temperature, blood pressure, oxygen saturation levels, and pain score.

The frequency with which vital signs are assessed varies in different acute surgical settings (Zeitz, 2003) . At Trillium Health Partners in Mississauga, Ontario, clinical order sets guide nurse behavior related to wound care, medications, laboratory monitoring, and vital signs.

These clinical order sets are reviewed and updated every two years to ensure they meet current standards of care and best practice recommendations.

During the biannual revision process, both literature reviews and external site surveys are conducted. Recently, this included verifying the clinical order sets regarding how frequently nurses are instructed to take vital signs following surgery.

Additionally, there is some mention made towards other considerations when it comes to assessing patients.

Who Developed the Nursing Process?

Florence Nightingale developed the process in nursing in 1859.

In 1881, the process was further developed by Louisa Alcott that expanded to include assessment of the patient’s nutritional status and elimination pattern as well as careful observation for any signs of problems in these two areas.

Nurses’ Role

Nurses have a clear role in this process because they are responsible for assessing patients before initiating treatment, such as administering medications, providing bedside care during examination or surgery, checking vital signs including blood pressure, temperature, respiratory rate, and pulse, monitoring IV fluids continuously throughout the hospital stay while keeping records on intake/output measurements (daily weight), daily food consumption, bowel movements and urination patterns among others.

Conclusion:

In summary, following proper procedures while administering care shows respect for your work and ensures the safety of yourself and all those involved. It can also help prevent mistakes from happening due to oversight by ensuring you have taken adequate steps before moving on.

This article hopes that we have helped convey why the nursing process is integral to quality patient care and what good nursing practice looks like.

About The Author

Brittney wilson, bsn, rn, related posts.

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Nursing Process

The nursing process is described as being an individualised problem solving approach in which patients receive nursing care. The nursing process consists of four distinct phases, each having a discreet role in the process, theses phases of the process are: assessment, planning, intervention and evaluation. (Oxford Dictionary of Nursing 2003) It is important that the four stages of the process from assessment to evaluation are carried out sequentially because each phase follows logically from one to the other.

As a result the maximum well-being of the patient is always the key issue and the nurse is aware and confident of action to be taken during intervention.

This essay will describe the nursing process and the importance each of the phases in turn. It will highlight the significance of each element not only in ensuring the physical and general well-being of the patient but also treating the patient as an individual. Finally the importance of evaluating the complete process will be discussed in order that nursing staff may reflect on the success of their actions.

Assessment is the initial and a very important stage of the nursing process. It involves the gathering of information on the patient’s overall state of health from which a care plan may be created (Oxford Dictionary of Nursing 2003). It is suggested that the ability to assess a patient is to find out their health needs, and to highlight fears and expectations that the patient may have. Questions will focus on the medical, social, psychological, spiritual and cultural needs of the patient, rather than just focusing upon medical and physical needs as each patient is different (Nursing Midwifery Council (NMC 2010)).

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That may be resolved through additional questioning of family or friends if required, examining medical records and taking into account the doctor’s diagnosis. This is vital to the nursing process to allow a high standard of care to be reached for each patient. Assessment is important as it helps the nurse gain knowledge and understanding and the ability to identify the patient’s needs (Linda Nazarko 2008). However it has been proposed that in certain care setting in depth assessments are not carried out resulting in the patient not receiving holistic care.

Sometimes elderly patients in a care home may need continual assessment which may not always be possible due to lack of staff. (Dingwall L 2008). The NMC (2010) recommend that nurses refer and adhere to the code of conduct at all times when carrying out assessments in order to offer support to the patient and to recognise that treating each patient as an individual is essential and respecting their dignity is vital in maintaining a high standard of care. A high standard of assessment will ensure the efficiency of the next element, planning.

Planning consists of the nurse working with the patient and other members of the multi-disciplinary team, in developing a care plan to assist the patient and staff in reaching short-term and long-term goals that were identified in the earlier assessment process. Its focus is holistic and is based on the clinical judgement of the nurse and other medical staff, using assessment information such as the patient’s individual needs and wishes in relation to their health (Royal College of Nursing (RCN)).

According to the International Journal of Palliative Nursing (March 2007) as nurses are in a unique position to assist in the planning process, they require knowledge, skills and resources to provide the highest level of care. This could become a major issue if the nurse does not have the appropriate information about the patient. According to John McKinnon (2004) the involvement of patients in decision-making to improve patient compliance with medical advice between a practitioner and patient, can be regarded as having a positive sequential link with patient-centred care planning.

It is suggested to be a process of co-operative care that underpins the principles of patient centeredness and partnership working. This shows the importance of working along with a patient when creating a care plan in the planning stage of the nursing process. However this may lead to conflict as the nurse and the patient may have different priorities from each other, for example, if the patient requires a blood transfusion but they are a Jehovah witness.

It has been accepted that planning is a process which offers patient’s active involvement in deciding, agreeing and knowing how their health will be managed, thus allowing the patient’s ethical belief to stay intact. (Department of Health 2006 (DH)). Once the planning stage of the nursing process is completed the next stage is intervention. The intervention phase of the nursing process is the beginning of the practical nursing care to the patient. Details of treatment are clearly given to and are acknowledged by the patient.

Thus goals laid out in planning will be achieved by the patient and nursing staff. Throughout this phase the nurse will continually review the patient to ensure that the interventions are successful (Jyoti Beck 2011). It has been suggested that the early phase of intervention is time consuming. However as soon as the procedures are integrated into daily standard care they become more manageable even when they are in addition to the current workloads as long as the goals are in suitable practice (Maria Dunckley et al 2005).

This suggests that the nurse must ensure that they never undermine the care of a patient’s everyday needs as these are as important as the action plan is in part of the nursing process. Furthermore, another important part of the intervention phase is documentation. As the intervention stage is an accurate, up-to-date account of the patient’s progress, it must be signed by each nurse engaged in delivering the care as detailed in the care plan. (NMC Code 2010). Nursing interventions are designed to promote and maintain holistic wellbeing of the patient.

In order to prevent further ill health, the nurse carries out these interventions by using a range of knowledge and skills acquired using evidence based practice (British Journal of Nursing 2010). Evaluation is the final stage of the nursing process, it is the final phase in the previous stages of care. It reviews how assessment, planning and intervention have identified the specific needs of the patient, how successful the delivery of nursing care has been. (www. rcn. org. uk). It will also examine patient satisfaction.

Evaluation is on-going and is an active process which may involve the change in the patient’s health, resulting in further planning of care or indeed discontinuation of the treatment at the intervention stage. When nurses carry out evaluation they should analyse the previous phases of the nursing process in order to determine whether expected outcomes for the patient have been met. This will define the level of recovery the patient has reached and their ability to cope with their own health care needs independently.

Evaluation is a feed -back mechanism for judging the quality of care given on the patient’s progress. It specifies if the patient’s problems have been resolved and if there is a need to re-assess, re- implement and re-evaluate the care plan. In conclusion this essay has demonstrated the four different stages of the nursing process and its value to practice. It is of utmost importance that a professional working relationship exists between the patient and other members of the multi-disciplinary team in order for the patient to receive the best outcomes for their health and well-being.

The nursing process enables nurses to continually question the care they give to patient and acquire better knowledge and understanding of working for benefit and safety of the patient. It can be seen that each phase of the process of nursing is essential, as each part contributes to the patient having maximum holistic health outcomes and patient satisfaction from the treatment that they receive from nurses. The nursing process encourages nursing practice to improve the effectiveness and quality of healthcare to be beneficial to the patient.

This assignment also discussed the issues where the nursing and patient may have their differences of opinion when receive treatment in clinical practice, and the nurse must adhere to respecting the patient’s dignity in every case. Without the nursing process the efficiency and quality of care that the patient would receive may not be patient centered as nursing care would rarely involve the patient but focus on the illness. The process of nursing helps to keep nursing practice current as nurses apply Evidence Based Practice in the care they provide.

It is the nurse’s duty to stay currently informed and educated on any treatments as nurses must provide a high standard of practice and care at all times by using the best available evidence. Each section of the process helps the nurse to contributes to improved patient outcomes because nurses must make decisions on a regular basis on what is the appropriate care to provide for the patient. The four elements comprising assessment, planning, intervention and evaluation will help reduce the negative outcomes since the care is based on a plan incorporating the use of evidence-based practice and ensures patient satisfaction.

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The Nursing Process

Introduction.

The nursing process is an essential tool that guides nurses in providing patient-centred care. One aspect of this process is the development of a teaching plan, which is designed to meet the educational needs of patients. A teaching plan is a comprehensive and organized approach to educating patients and their families about their health conditions and the steps they can take to manage them. This essay will describe how the nursing process is applied to developing a teaching plan for a patient diagnosed with type 2 diabetes.

A 25-year-old female patient has been diagnosed with type 2 diabetes and has been referred to the diabetes education program by her primary care physician. She has had difficulty controlling her blood sugar levels and is not achieving her A1C goals. The patient works full-time and is the primary caregiver for her two young children. She has limited knowledge of diabetes and its management and has expressed frustration and confusion about the diabetes self-management education she has received.

Learner’s assessment

The first step in the nursing process is assessment. In order to develop an effective teaching plan, it is essential to assess the patient’s current knowledge and understanding of diabetes, as well as their readiness to learn. This includes identifying any barriers to learning that the patient may have, such as limited literacy or language skills or other factors that may make it difficult for the patient to understand or retain information. In the case of our patient, a 25-year-old female diagnosed with type 2 diabetes, it is essential to assess her current knowledge of the disease, her readiness to learn, and any barriers to learning she may have. It is also important to assess her current self-management behaviours and routines, such as her diet, physical activity, and medication regimen. This information can be gathered through patient interviews and observation.

The patient’s anticipated or expected needs

Based on the assessment, the patient’s anticipated or expected needs can be identified. In this case, the patient needs to learn about the causes and symptoms of diabetes and how the disease affects her body. She also needs to learn about the importance of blood sugar control and how to achieve her A1C goals (Bright et al., 2022). Additionally, she needs to learn about healthy eating, physical activity, and weight management for diabetes self-management. Finally, she needs to learn about diabetes medications, their side effects, and how to take them safely.

Evidence-based teaching strategies

To meet these needs, evidence-based teaching strategies must be selected and prioritized. One effective teaching strategy is the patient-centred approach, which involves the patient in the education process and tailors the education to meet their specific needs. This approach is particularly effective for adult learners and has been shown to improve patient outcomes. Another evidence-based teaching strategy that can be used is the teach-back method, which involves having the patient explain the information back to the educator to ensure understanding. This method is particularly useful in evaluating the patient’s understanding of the information and ensuring that they have retained the key information (Bright et al., 2022). Additionally, using visuals such as diagrams, videos, and illustrations can be very helpful in making education more understandable and engaging.

In addition to the teaching strategies, the patient should be provided with resources that will help to enhance their learning. This can include written and verbal materials, such as pamphlets and handouts that are relevant to their specific needs (Toney-Butler & Thayer, 2022). Providing a list of diabetes education resources, such as local support groups and online resources, can also be beneficial. Additionally, providing the patient with a diabetes self-management logbook to track their blood sugar levels, diet, physical activity, and medications can help to promote self-management and independence.

Methods that would be used to evaluate learning outcomes

There are several methods that can be used to evaluate learning outcomes in the development of a teaching plan for a patient with diabetes. These methods can be divided into two main categories: formative evaluation and summative evaluation.

Formative evaluation is an ongoing process that takes place throughout the teaching plan and is used to evaluate the patient’s understanding of the information as it is being presented. Formative evaluation methods include:
The teach-back method: This involves having the patient explain the information back to the educator to ensure understanding (Toney-Butler & Thayer, 2022). This can be done immediately after the information has been presented or at a later time.
Self-report questionnaires: These are used to assess the patient’s understanding of the information and their level of engagement with the education process.
Self-monitoring tools: These include self-management logbooks, blood sugar monitoring logs, or other tools that help the patient track their progress in relation to the learning objectives of the teaching plan.

It’s also worth noting that the patient and family evaluation can provide feedback on the teaching process, which could help to improve the next teaching plan for a different patient. In order to ensure that the teaching plan is effective, it’s important to use a combination of both formative and summative evaluation methods. This can provide a more comprehensive assessment of the patient’s understanding of the information and their ability to apply it to their diabetes self-management.

The rationales for the elements of the teaching plan are as follows :

Assessment of Learner: Assessing the patient’s current knowledge and understanding of diabetes, as well as their readiness to learn and any barriers to learning, is essential to developing an effective teaching plan. This information can be used to identify the patient’s specific learning needs and tailor the education to meet those needs. By assessing the patient’s current self-management behaviours and routines, the nurse can also identify any areas where the patient needs additional support or education.
Anticipated or Expected Learner Needs: By identifying the patient’s anticipated or expected needs, the nurse can ensure that the education addresses the most important and relevant information for the patient. In this case, the patient needs to learn about the causes and symptoms of diabetes and how the disease affects her body. She also needs to learn about the importance of blood sugar control and how to achieve her A1C goals. Additionally, she needs to learn about healthy eating, physical activity, and weight management for diabetes self-management. Finally, she needs to learn about diabetes medications, their side effects, and how to take them safely.
Evidence-based Teaching Strategies: Using evidence-based teaching strategies, such as the patient-centred approach, the teach-back method, and the use of visuals, can ensure that the education is effective and engaging for the patient. The patient-centred approach, in particular, has been shown to improve patient outcomes and promote patient involvement in the education process. The teach-back method is effective in evaluating the patient’s understanding of the information and ensuring that they have retained the key information.
Resources: Providing resources such as written and verbal materials, diabetes self-management logbooks, and a list of diabetes education resources can help to enhance the patient’s learning and promote self-management. These resources can also provide the patient with ongoing support and information, even after the formal education process is complete.
Evaluation of Learning Outcomes: It is essential to evaluate the effectiveness of the teaching plan to determine whether the patient has achieved the desired learning outcomes. This can be done through a variety of methods, such as assessing the patient’s understanding of the information, reviewing their diabetes self-management logbook, monitoring their A1C levels, and conducting a post-education survey. This allows the healthcare provider to identify what the patient understands and what areas need further reinforcement, leading to an improvement in the patient’s health outcomes.

All these elements are supported by the nursing process and references from required course reading assignments which provide the framework for planning and delivering patient education that is tailored to the patient’s unique needs. By assessing the patient’s current knowledge, readiness to learn, and barriers to learning and selecting and prioritizing evidence-based teaching strategies, nurses can develop an effective teaching plan that helps the patient achieve their goals. This can result in improved patient outcomes, increased self-management and independence, and greater satisfaction with the education process.

In conclusion, the nursing process provides a crucial framework for planning and delivering patient education that is tailored to meet the unique needs of patients diagnosed with type 2 diabetes (Lilley et al., 2022). By using the nursing process to assess the patient’s current knowledge and understanding of diabetes, readiness to learn, and any barriers to learning, nurses can identify the patient’s anticipated or expected needs. Once identified, they can select and prioritize evidence-based teaching strategies that best meet those needs. Resources like written materials, diabetes self-management logbooks, and diabetes education resources can help enhance learning and promote self-management (Lilley et al., 2022). Additionally, it is crucial to use both formative and summative evaluation methods to evaluate the effectiveness of the teaching plan and identify areas for improvement. By following this process, nurses can develop an effective teaching plan that helps patients achieve their goals, resulting in improved patient outcomes, increased self-management and independence, and greater satisfaction with the education process.

Bright, A. M., Hennessy, T., & Doody, O. (2022). The role and key activities of Clinical Nurse Specialists and Advanced Nurse Practitioners in supporting healthcare provision for people with intellectual disability: An integrative review. International Journal of Nursing Studies , 104207.

Lilley, L. L., Collins, S. R., & Snyder, J. S. (2022). Pharmacology and the nursing process E-Book . Elsevier health sciences.

Toney-Butler, T. J., & Thayer, J. M. (2022). Nursing process. In StatPearls [Internet] . StatPearls Publishing.

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Nursing Process Essays

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When first entering into the world of nursing, the nursing process essays writing is one of the fundamental concepts that a student should understand.

The nursing process is a key part of any treatment, and the knowledge will help you become an efficient, intellectual, and nurturing nurse.

The nursing process concept can be confusing for nursing students to grasp.

When writing a nursing process essays, there are vital aspects that should be included. You may also lose valuable points if the proper structuring is ignored.

Below is a guide on how to write a nursing process essay. It includes the proper structure that should be followed as well as all the considerations for a practical nursing process essay.

What is A Nursing Process Essay?

A nursing process essay is a type of essay whereby a student analyzes the steps of knowing the patients on a personal level.

This helps in planning and establishing their needs so that I can facilitate the delivery of the needs by developing, implementing, and evaluating a treatment plan.

The nursing process provides a systematic , organized, and rational approach to nursing care that helps enhance the positive outcomes of the patient.

It also creates a common language for the nursing professions and facilitates the documentation and continuity of care.

Nursing students are asked to write the nursing process essay to ensure that they have a deep understanding of the appropriate patient care process.

How to Write a Nursing Process Essay Introduction

First, you need to outline an understanding of the nursing process topic. What should you begin with? How? And why?

The essay introduces the nursing process as a series of structured steps designed for nursing professionals to deliver proper care.

Ensure that you have a good understanding of what you want to achieve by the end of the essay.

While the introduction is short, it represents the most critical part of the essay.

If it is not well developed, the body paragraphs and conclusion will be of poor quality.

The Discussion of the Process Essay

The body of a nursing process essay should include the five phases of the nursing process, including assessment, diagnosis, planning, implementation, and evaluation.

Introduce assessment as the first step of the nursing process, followed by what is included in the assessment.

This segment should include data collection about the patient, community, or family that the nursing profession is working with.

It should including details about both subjective and objective data .

Diagnosis is the second part of the nursing process.

You should demonstrate how the subjective and objective data collected helped to identify the patient’s problem. At this point, a list of the patient’s current problems is established.

The third phase includes the nurse prioritizing the diagnosis to focus on and identifying the patients’ goals.

At this point, the nursing process essay should highlight your plan to attain the patients’ goals and create an individualized intervention plan.

Implementation

At this point in the nursing process essay, you should highlight how the individualized intervention plan will be implemented.

The nurse should understand the rationale behind the plan, and it should be based on the current research.

You should indicate the specific client processes nursing activities that should be done.

The final phase of the nursing process is evaluation. It entails establishing the effectiveness of the nursing intervention in meeting the patients’ goals.

Demonstrate whether the treatment plan should be stopped, modified, or maintained at this stage.

The final part of the nursing process essay is the conclusion. It entails summing up all the thoughts and ideas discussed in the essay and giving it a logical ending. Our nursing writing service will write cutting edge process essays for cheap.

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Essay: Reflective essay: nursing process and how it was applied

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Reflective Essay to Discuss the Nursing Process and how it was Applied in the Clinical Area in which I was Placed INTRODUCTION This is a reflective essay to demonstrate the nursing process and how it was applied in the clinical area in which I was placed. Atkinson et al (1983, p2) describes “The nursing process is a system of planning the delivery of nursing care, consisting of four steps: Assessment, Planning, Implementation and Evaluation”. This is a client focused assignment; therefore I will choose a client whom I have participated in providing nursing care for. I will discuss the nursing process, how it was applied and the context in which it was done. I will use reflection to compare my findings to how literature states it should be done. I plan to show an understanding of holistic care and how it is used in each stage of the nursing process. Holistic care is an approach to healthcare which treats the individual as a whole person in relation to their needs (Hinchliff et al, 1998). In order to maintain confidentiality I have provided my client with a pseudonym (Nursing and Midwifery Council, 2002). I based this assignment on Mary, who is a 72 year old lady and suffers with osteoarthritis which is a degenerative disorder in bone and cartilage (Hinchliff et al, 1996). She had fallen at home and was presented at the Accident and Emergency department by emergency services. After a short stay on Medical Assessment she was transferred to the unit for rehabilitation following her fall. I spent seven weeks on a large intermediate care ward. The ward is nurse led with very little medical intervention. The NSF for Older People (2001 p.3) defines intermediate care “to provide integrated services to promote faster recovery from illness, prevent unnecessary acute hospital admissions, support timely discharge and maximise independent living”. There is a great deal of input from a large team including physiotherapists, occupational therapists, social workers as well as nurses. Initially an assessment is made through Intermediate Care Assessment Team (ICAT) in order to find whether clients meet criteria to be accepted on this particular unit. Its aim is to provide a multi-agency, integrated service approach to meeting the needs of vulnerable older people who have complex health and social care needs. ICAT follows up referrals from both acute and community settings and assessments are made relating to clients physical, social and mental health. Clients on the unit will be over 65 years and live within the trust area. They will be medically fit for discharge from acute settings, although must have needs which affect their activities of living (AL’s). The unit uses Roper-Logan-Tierney’s (1996) ‘Activities of Living’ model as a basis for assessing and identifying needs. ASSESSMENT Mosby’s Nurse’s Pocket Dictionary defines assessment as ‘An appraisal or judgement made about one particular situation or circumstances, A stage of the nursing process involving the collection of information and data relating to patients and their healthcare needs’ (Mosby 2002, p.31). Why do we assess? The purpose of assessment is manifold but is essentially undertaken to identify risk and highlight problem areas in order to provide a platform for possible future intervention (Hinchcliffe et al, 1998). After the decision was made by ICAT and Mary came to the ward, I participated in her admission process. As per trust policy I collected the relevant data collection documents and produced Mary’s folder ensuring each document was in the correct order. My mentor and I referred to the client’s case notes which contained past medical history, investigations and doctors notes etc. We transferred information from recent documents, such as full name, date of birth, address and next of kin. Under supervision of my mentor I was instructed to gather information by assessing Mary based on documents which made her personal file. Both myself and my mentor introduced ourselves to Mary who was sitting at her bed side in a cubicle. In an attempt to establish a therapeutic relationship with my client I firstly orientated her with new surroundings such as visiting times, lounge, dining areas. Involvement and relationship with another is both necessary for the enactment of orientation and development of the therapeutic relationship (Glasser, 1965, cited by Perry et al, 1991). Using an informal manner I went through each part of the assessment. I used skills in observation, open ended questions and listening in an attempt to retrieve as much information possible, particularly in Activities of Living. This helped to build a composite picture of my client and allowed her to introduce new facts that might be pertinent. The questions posed by assessing in the individuality component of the model (such as how, how often, why and when) furnished information not only about the way in which the person carried out each activity of living but also the knowledge and beliefs she held about it (Newton, 1991). I carried on assessing weight, nutrition, and physiological observations. Due to the nature of the ward the new single assessment process has recently been introduced. DoH (2002a) states that “single assessment will provide better and more efficient access to cares services. It will minimise duplication of assessments by agencies and save older people from having to repeat their personal details and needs to a range of professionals. On gathering individualised data, it then must be interpreted. The needs identified were specifically related to mobility and pain, both of which affect AL’s. Strengths identified such as family support are also a valuable resource when proceeding through the next stage of the nursing process which is care planning. CARE PLANNING This stage of the nursing process is to develop a plan of care and determine what approach should be used to help with identified problems. During the planning phase, the nurse applies the skill of problem solving and decision making. Setting priorities, writing goals and planning nursing actions also make up this phase (Atkinson et al, 1983). The ward held a care plan file, which held care plans for a range of different problems. These could be used as a guide and had to be individualised relating to each specific client and their needs. On reflection, I felt this was a good idea, particularly for myself as a student to refer to, however it could present an opportunity for care plans to become less individualised should they be used incorrectly, which consequently, could have an adverse effect and defeat its objective. Archibald (2000) explains that Nursing models have been used to provide systematic care delivery stemming from a desire to organise care coherently, enabling the plan of care to be used and continued by others. He goes on to suggest that since the introduction of models, nursing practice has become more patient centred and holistic. Daws (1998) agrees that the nursing care plans play a vital role in promoting a holistic and individualised approach to care delivery and providing an essential tool for documenting needs and preferences. With reference to Mary, goals were set to increase mobility, increase confidence in mobilising and to reduce pain caused by osteoarthritis. Due to the nature of this ward care plans usually determine discharge outcomes. Targets are set for a maximum rehabilitation period of 28 days. Reasons for this are due to the fact that patients are not acutely ill and need very little medical attention. Instead, they have a great deal of input from physiotherapists, occupational therapists who work closely with clients both individually and in small groups. Newton (1996 p.29) states “Goals of Nursing care must be realistic and achievable and reflect the patients goals for living, so they must be set in close partnership with the patient and based on assessment of the individuals AL’s and on the nursing knowledge associated with them”. The care plan is initially implemented by nursing staff who will also take into account client centred outcomes. The easy care (single assessment) document allows the client to say what they would like to achieve. All key players will acknowledge care plans at some point, therefore they must have easy access to the information they need, laws and standards mandate that care plans be specific, clear and legible (Alfaro-LeFevre, 1998). In order to keep Mary involved in her care, goals were agreed with her. This is to ensure patient autonomy but also to give Mary a clear picture of what will be expected of her during her rehabilitation period. It was established that the goal set for pain was highly prioritised and so analgesia was reviewed by a doctor. This ensured Mary could proceed concentrating on client centred outcomes. IMPLEMENTATION The Oxford Dictionary for Nurses (1998, p.313) defines implementation as “the stage of the nursing process in which the patients individual care plan is utilized and executed, in collaboration with other members of the healthcare team” . Hand over was a good source of information used in order to find whether the care being given is right for the patient. The ward used pre written handover sheets which were kept updated by the ward clerk, this allowed more time to write important details in a short space of time. Sometimes nurses do not have enough time to read charts and look up common problems during their shift. When you have time to prepare for the shift, you feel more confident, more competent and can begin giving care in a timely fashion (Alfero-LeFevre, 1998). With reference to Mary care was continued to be monitored and assessed, this mostly happened via handovers but also from every patient encounter. I would see this as an opportunity to assess both physical and mental health, I found that myself as a student could make a valuable contribution to the care being given. All care was documented and signed and Mary’s assessment/care plan file was kept at the foot of the bed. All of the contents are legal documents and can be referred to by health professionals who participate in the care being given but can also be viewed by Mary and her family. DoH highlights this within the essence of care document (benchmarks for record keeping) (2001, p.3) stating that “patients are able to access all their current records if and when they choose to in a format that meets their needs”. It is safe to say that the stages in the nursing process are not in complete isolation from each other, I found from observing care given that each stage overlaps the next. It is at this stage that clear direction is given about what is to be done for the client and by whom it should be done. Since the entire MDT was based in the same unit, the communication was excellent. This ensured a timely advantage for patients and for tasks to be delegated to the correct healthcare professional. Handovers were essential tools in this phase as information could be exchanged between nursing staff and the rest of the MDT, and further strengths and weaknesses could be highlighted. Tasks were allocated to each member of the team on specific days at specific times. The patient was also kept well informed of their care via a board in her room which gave the days and times and activities to be held. All input from therapy staff was documented by form of report and handed over to nurses on completion. Weekly MDT meetings were held, which allowed the team as a whole to discuss plans of care. At this point social workers are updated relating to their area of care and look into the possibility of services post discharge. Mary was kept updated of this information which can only be implemented on her consent. EVALUATION This is the final stage in the nursing process, which occurs continuously while providing care. Evaluation refers to goals which were set, any reassessment and documentation relating to specific goals. In Mary’s case this was her care plans. Therefore the questions would be asked: Is the client in pain? How well does the client mobilise? Is the client confident in mobilising alone? This phase also involved re-assessing Mary in relation to AL’s, and so by using the Roper, Logan and Tierney (1996) model, a staff nurse updated this information by explaining the process to my client and asking her views on each topic relating to AL’s. Tierney (1998) suggests that this particular model is positively balanced, and has been one of the most popular in the United Kingdom”. Wimpenny (2001) agrees stating “It is certainly the best known and most widely used model in this country”. Generally the model had worked well as a basis for Mary’s care planning, and proved in the evaluation stage that progress was made and the model was excellent in relation to most physical and social aspects of care. It was documented and handed over that my client had appeared to have progressed in all that was set. Newton (1991, p.181) confirms this by stating “Value is also placed on observable behaviour as an indication of the need for nursing and the basis of evaluation of the effects of nursing”. On reflection, I found that the care plans were maintained well. The intervention of therapy staff and their role in meeting the specific goals was a key factor in Mary’s progression. At this point and in order to encourage a timely discharge my client and her family were informed of a home visit. This would prove to the MDT whether her progression in hospital reflected on her own living environment, therefore determining an expected discharge date and which services/equipment if any are needed to ensure the discharge is safe. Archibald (2000) believes evaluation should take place in collaboration with the patient and family. This happened on the unit via progress reports or case conference which were organised by members of the MDT in a private setting and family were welcomed to be involved on consent of the client. The evaluation of care was fully documented by the nurse and the MDT agreed that goals had been met. Therefore the plans were discontinued as it had been established how my client would manage at home and the only risks identified were eliviated by equipment provided by occupational therapy. After a discharge date was set the nurse made appropriate arrangements for transport via an ambulance and liaised with a family member in order ensure a safe arrival at home. CONCLUSION As both care giver and observer, I found that the care planned matched the care given. Collaboration between the Multidisciplinary Team and working closely with patient and family enabled outcomes to be achieved. This experience has taught me the importance of holistic care in relation to the nursing process and how an effective therapeutic relationship between patient and healthcare professional allows more information to be retrieved, thus creating a more precise and individualised care plan. To care for a person holistically requires ongoing assessments – utilizing knowledge, attitudes and skills. Improving assessments and patient involvement in care is highlighted in the essence of care document (DoH, 2001b). The fact that the MDT were based within the same unit allowed a more timely advantage for both patient and staff , allowed maximum communication to all concerned and worked well in relation to discharge planning. My client had commented how she enjoyed the 4 weeks on the ward. I think that the social aspect of the ward helped a great deal. Mary was encouraged by the whole team and maintained as much independence possible throughout her stay. I have benefited as a result of this placement, as it has taught me the importance of the nursing process. I have become more efficient in collecting information from the client and utilising it appropriately in order to care for the client in a holistic way.

Archibald, G (2000). A Post Modern Nursing Model. Nursing Standard . Vol 14 (34) p40-42. Alfero-Lefevre, R (1998) Nursing Process: A Step by Step Guide . 4 th Edition. Philadelphia: Lippincott. Arnold, A. (1991) . Nursing : A Knowledge Base for Practice, London: Hodder & Stoughton. Atkinson D and Murray M. (1983) Understanding the Nursing Process. New York: Macmillan Publishing Co., Inc Daws, J. (1998). An Enquiry into Attitudes of Qualified Nursing Staff towards the Use of Individualised Nursing Care Plans as a Teaching Tool. Journal of Advanced Nursing 13:134-146 Department of Health (2001) Single assessment process , http:// www.doh.gov.uk/PolicyAndGuidance/HealthAndSocialCareTopics/ SocialCare/SingleAssessmentProcess Department of Health. (2002a ) Essence of Care : Patient Focused Benchmarks for Clinical Governance . London: Department of Health, Department of Health (2002b) National Service Framework for Older People: Intermediate Care: Moving Forward . London: Department of Health. Glasser, W. (1965) Reality Therapy . New York: Harper & Row, Hinchliff, S. Norman, S and Schober J. (1998) Nursing Practice and Healthcare: A Foundation Text , 3rd Edition. London: Arnold Publishers Ltd Hinchliff, S., Montague, S and Watson, R. (1996) Physiology for Nursing Practice, 2 nd Edition. London: Balliere Tindall, Mosby’s Nurses Pocket Dictionary. (2002), 32 nd Edition. London: Mosby, Newton, C. (1991) The Roper-Logan-Tierney: Model in Action. Basingstoke: Palgrave M c Millan. Nursing and Midwifery Council (2002) Code of Professional Conduct . London: Nursing and Midwifery Council. Oxford Minidictionary for Nurses (1998), 4th Edition. Oxford: Oxford University Press. Roper, L. Logan, W and Tierney, A. (1996) The Elements of Nursing 4 th Edition. Edinburgh: Churchill Livingstone. Tierney, A.J. (1998) Nursing Models:Extant or Extinct? Journal of Advanced Nursing. Vol 28 (1) p77-85. Wimpenny (2002) The Meaning of Models of Nursing to Practising Nurses . Journal of Advanced Nursing. Vol 40 (3) p346-354

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