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NURSING PROCESS
 The term
NURSING PROCESS
was first used/mentioned byLydia Hall, a nursing theorist, in 1955 wherein she introduced 3 STEPs:observation, administration of care and validation.Since then, nursing process continue to evolve: it used to be a 3-step process, then a 4-step process (APIE), then a 5-step (ADPIE), nowa 6-step process
(ADPIE) ASSESSMENT, DIAGNOSIS, PLANNING,IMPLEMENTATION and EVALUATION.
NURSING PROCESS
 
is a systematic, organized method of planning, and providingquality and individualized nursing care.
 
it is synonymous with the PROBLEM SOLVING APPROACH thatdirects the nurse and the client to determine the need fornursing care, to plan and implement the care and evaluatethe result.
 
it is a
G O S H
approach (goal-oriented, organized, systematicand humanistic care) for efficient and effective provision of nursing care.
 
Goal-oriented
– nurse make her objective based on client’s healthneeds.
Remember 
: Goals and plan of care should be base according toclient’s problems/needs NOT according to your own problemas the nurse.
Organized/Systematic
– the nursing process is composed of 6sequential and interrelated steps and these 6 phases follow a logicalsequence.
Humanistic care
•
plan to care is developed and implemented taking intoconsideration the unique needs of the individual client.
•
plan of care therefore is individualized (no 2 person has thesame health needs even with same health condition/illness)
•
in providing care, it involves respect of human dignity
Efficient
– plan of case is relevant/related to the needs of the clientthereby promoting client satisfaction and progress.
 
Effective
– in planning care, utilized resources wisely (staff, time,money/cost)Aside from GOSH, other characteristic of Nursing Process
Cyclic and Dynamic in nature
– data from each phase provides theinput into the next phase so that is becomes a sequence of events(cycle) that are constantly changing (dynamic) base on client’s healthstatus.
Involves skill in Decision-making
– nurse makes importantdecisions related to client care, she choose the best action/steps tomeet a desired goal or to solve a problem. She must make decisionswhenever several choices or options are available.
Uses Critical Thinking skills
– the nurse may encounter new ideasor less-than-routine or non-ordinary situations where decisions must bemade using critical thinking.
PURPOSE OF NURSING PROCESS
1.To identify a client’s health status; his Actual/Present andpotential/possible health problems or needs.2.To establish a plan of care to meet identified needs.3.To provide nursing interventions to meet those needs.
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