What are the benefits of having Nursing Process in

Care Planning?


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The nursing care-planning process is an important tool in creating an organised and systematic plan
that guarantees each patient gets the best opportunityfor a full recovery through an assessment and
personalised plan, which will be used by health care professionals. The nurse planning process proves
to be advantageous when it is used effectively. Here are several advantages of the nurse planning
process:
This planning process is personalised based on each patients need.
The patient is involved in the nursing planning process, which gives them the sense of control and
independence, as well as responsibility in the outcome of their health.
The nursing planning process is centred on the patient, which guarantees focus on the patients
problem.
It serves as a guide for the patient, as well as all the health care professionals, as to the goal of
the treatment, since it is a summary of what is specifically needed by the patient.
The nursing planning process encourages the evaluation of results because it is focused on the
outcome.
Since the planning process is an itemised guide, it minimises the risk of omissions as well as
errors in care-planning.
Because it encourages accountability for nursing activities, it ensures the quality of work by each
health provider.
This planning process involves decisionmaking, problem solving, as well as critical thinking for the
betterment of the patient.
Have you ever wondered what the nursing care-planning process is based on? The nursing care-
planning process involves the scientific method used in solving problems. It involves the following:
Statement of the problem
Formulation of a hypothesis on the possible solution for the problem
Development of procedures to test the hypothesis
Collection of data results from the test
Analysis of the data
Making a conclusion on the hypothesis
Most of us are not aware that we use the scientific method as we go about our daily lives. In solving
problems that are common to us, we follow steps which guide us in finding solutions to our problems.
This is similar to what the nursing process step is all about. The nursing process involves:
1. Assessment of the problem
2. Treatmentanalysis
3. Planning of treatment
4. Implementation
5. Evaluation of the result of the treatment
The steps mentioned above should be done in their proper order so that there is a guarantee of proper
prioritisation of patient care.
It is specially needed as a guide by nursing students who are still learning how to handle patients. It
also helps ensure that health providers are well informed about the important details regarding the
patient.
When properly used, it may also serve as a basis for decisions in case the need for changes in
treatment may arise, or if new problems occur.
Since the nursing care plan is personalised, it is discontinued when the outcome has been achieved.
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The Nursing Process
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The common thread uniting different types of nurses who work in varied areas is the nursing
processthe essential core of practice for the registered nurse to deliver holistic, patient-focused
care.

Assessment
An RN uses a systematic, dynamic way to collect and analyze data about a client, the first step in
delivering nursing care. Assessment includes not only physiological data, but also psychological,
sociocultural, spiritual, economic, and life-style factors as well. For example, a nurses
assessment of a hospitalized patient in pain includes not only the physical causes and
manifestations of pain, but the patients responsean inability to get out of bed, refusal to eat,
withdrawal from family members, anger directed at hospital staff, fear, or request for more pain
mediation.
Diagnosis
The nursing diagnosis is the nurses clinical judgment about the clients response to actual or
potential health conditions or needs. The diagnosis reflects not only that the patient is in pain, but
that the pain has caused other problems such as anxiety, poor nutrition, and conflict within the
family, or has the potential to cause complicationsfor example; respiratory infection is a
potential hazard to an immobilized patient. The diagnosis is the basis for the nurses care plan.
Outcomes / Planning
Based on the assessment and diagnosis, the nurse sets measurable and achievable short- and
long-range goals for this patient that might include moving from bed to chair at least three times
per day; maintaining adequate nutrition by eating smaller, more frequent meals; resolving
conflict through counseling, or managing pain through adequate medication. Assessment data,
diagnosis, and goals are written in the patients care plan so that nurses as well as other health
professionals caring for the patient have access to it.
Implementation
Nursing care is implemented according to the care plan, so continuity of care for the patient
during hospitalization and in preparation for discharge needs to be assured. Care is documented
in the patients record.
Evaluation
Both the patients status and the effectiveness of the nursing care must be continuously
evaluated, and the care plan modified as needed.
The nursing process is a series of organized steps designed for nurses to provide excellent care. Learn
the five phases, including assessing, diagnosing, planning, implementing, and evaluating.
Purpose of Nursing Process
What is the nursing process? In nursing, this process is one of the foundations of practice. It offers a
framework for thinking through problems and provides some organization to a nurse's critical thinking
skills. It's important to point out that this process is flexible and not rigid. It is a tool to use in nursing
care, but one that should allow for creativity and thinking outside of the box.
Let's look a little more closely at the five steps. Here is an acronym to help you: ADPIE, which stands for
assessing, planning, diagnosing, implementing and evaluating. For this lesson, we will be thinking of
each part of the process as a slice of pie. All of the pieces added together give you the whole pie, or
ADPIE.
Assessing
The first step in the nursing process is assessing. In this phase, data is gathered about the patient,
family or community that the nurse is working with. Objective data, or data that can be collected through
examination, is measurable. This includes things like vital signs or observable patient behaviors.
Subjective data is gathered from patients as they talk about their needs, feelings and perspectives
about the problems they're having. In this step, information about the patient's response to their current
situation is established.
Let me introduce you to Mrs. Apple and we will start with assessing. The nurse takes her blood
pressure, pulse and oxygenation level, which are abnormal. She also notes that Mrs. Apple is sweating
and pale. These are examples of objective data. Mrs. Apple states, 'I feel like an elephant is sitting on
my chest' and 'I am scared'. These are examples of subjective data.
Diagnosing
The second phase of the nursing process is diagnosing. The nurse takes the information from the
assessment, analyzes the information and identifies problems where patient outcomes can be improved
through the use of nursing interventions.
Nursing diagnoses are different from medical diagnoses because they address patient problems that
result from the disease process while medical diagnoses focus on the disease process alone. The nurse
takes the information he gathered during the assessment of Mrs. Apple and makes a list of her current
problems. These include pain and fear, among others.
Planning
This moves us to the third phase of the nursing process, planning. The nurse prioritizes which
diagnoses need to be focused on. The patient can, and should, be involved in this process. Planning
starts with identifying patient goals. Goals are statements of what needs to be accomplished and stem
from the diagnoses - both short and long term goals should be established. Next, the nurse plans the
steps needed to reach those goals, and an individualized plan with related nursing interventions is
created.
Let's go back to Mrs. Apple. The nurse, along with Apple, sets goals for her pain management and
plans steps to take. Although the nurse recognizes that Mrs. Apple is afraid, she prioritizes the pain first,
knowing that addressing her pain may make her anxiety lesson.
Implementing
Professional nurses use the first three steps of the nursing process in order to provide excellent,
thoughtful and purposeful nursing care. If we skipped straight to step four, the things that are best for
the patient may not occur. The fourth phase of the nursing process, implementing, occurs when the
nursing interventions, or plan, are actually carried out.
Common nursing interventions include pain management, preventing complications following surgery,
teaching and educating patients, and procedures that are part of nursing care. In our scenario with Mrs.
Apple, the nurse offers pain medication, teaches deep breathing and relaxation techniques, darkens the
room and plays soft music for her.
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