Nursing process consists of 5 stages
1. Assessment
Assessment is the collection of data related to the patient fully and systematically studied and analyzed so that the health problems faced by patients and nursing, physical, mental, social, and spiritual can be determined. The assessment includes data collected through interviews, the collection of medical history, physical examination, laboratory and diagnostics.
2. Nursing Diagnosis
Nursing diagnosis is the analysis of the data collected to identify, focus and address the specific needs of patients and response to actual problems and high risk. NANDA Nursing Diagnosis Type 3 that there is:
The actual nursing diagnosis is the current human response to their health or life processes are supported by a group of the defining characteristics (signs and symptoms) and includes factors related (etiology), which has contribution to the development or maintenance of health.
Nursing Diagnosis Risk is showing a human response that can occur in a person or group who are vulnerable and supported by risk factors that contribute to the increased susceptibility.
Nursing Diagnosis Welfare is describing the human response to the health of individuals or groups who have the potential for a high degree of health improvement.
Nursing Diagnosis Statement components are:
A problem (a problem or need) is the name or label diagnoses were identified from the NANDA list.
2. Risk factors / factors related to the suspected cause or reason of the responses that have been identified from the assessment.
3. Definition of characteristics (signs and symptoms):
manifestation identified in the assessment which underpins nursing diagnoses.
3. Planning
There are two planning processes:
Objectives and desired outcomes of patients to improve health problems or needs that have been studied, the expected results should be specific, realistic, measurable, shows a definite time frame.
The goal of nursing is made in accordance with the problems that arise.
Objectives are divided nenjadi two general categories:
Long-term goal is a goal not achieved prior to discharge, but requires constant attention from the patient and / or others.
Short-term goal is a goal that usually must be achieved prior to discharge or transfer to a less acute level of care.
Goals set should lead to problems, whether to prevent, reduce or eliminate
Appropriate nursing interventions to assist patients in achieving the expected results.
4. Implementation
Implementation is the realization of the plan of management and nursing that have been prepared at the planning stage (Effendy, 1995).
At the time of nursing actions will be implemented, nurses perform a contract with the client by explaining what he would do as well as the expected role of the client.
5. Evaluation
The evaluation is to determine the patient's progress toward achieving the expected results and patient response to the effectiveness of nursing interventions. Then change the treatment plan if necessary.
The five stages are interrelated and can not be separated. These stages together in a circle of thought and action are continuous.
1. Assessment
Assessment is the collection of data related to the patient fully and systematically studied and analyzed so that the health problems faced by patients and nursing, physical, mental, social, and spiritual can be determined. The assessment includes data collected through interviews, the collection of medical history, physical examination, laboratory and diagnostics.
2. Nursing Diagnosis
Nursing diagnosis is the analysis of the data collected to identify, focus and address the specific needs of patients and response to actual problems and high risk. NANDA Nursing Diagnosis Type 3 that there is:
The actual nursing diagnosis is the current human response to their health or life processes are supported by a group of the defining characteristics (signs and symptoms) and includes factors related (etiology), which has contribution to the development or maintenance of health.
Nursing Diagnosis Risk is showing a human response that can occur in a person or group who are vulnerable and supported by risk factors that contribute to the increased susceptibility.
Nursing Diagnosis Welfare is describing the human response to the health of individuals or groups who have the potential for a high degree of health improvement.
Nursing Diagnosis Statement components are:
A problem (a problem or need) is the name or label diagnoses were identified from the NANDA list.
2. Risk factors / factors related to the suspected cause or reason of the responses that have been identified from the assessment.
3. Definition of characteristics (signs and symptoms):
manifestation identified in the assessment which underpins nursing diagnoses.
3. Planning
There are two planning processes:
Objectives and desired outcomes of patients to improve health problems or needs that have been studied, the expected results should be specific, realistic, measurable, shows a definite time frame.
The goal of nursing is made in accordance with the problems that arise.
Objectives are divided nenjadi two general categories:
Long-term goal is a goal not achieved prior to discharge, but requires constant attention from the patient and / or others.
Short-term goal is a goal that usually must be achieved prior to discharge or transfer to a less acute level of care.
Goals set should lead to problems, whether to prevent, reduce or eliminate
Appropriate nursing interventions to assist patients in achieving the expected results.
4. Implementation
Implementation is the realization of the plan of management and nursing that have been prepared at the planning stage (Effendy, 1995).
At the time of nursing actions will be implemented, nurses perform a contract with the client by explaining what he would do as well as the expected role of the client.
5. Evaluation
The evaluation is to determine the patient's progress toward achieving the expected results and patient response to the effectiveness of nursing interventions. Then change the treatment plan if necessary.
The five stages are interrelated and can not be separated. These stages together in a circle of thought and action are continuous.
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