ACTIVITY NO.
1. Explain how implementing relates to other phases of the nursing process.
The implementing phase provides the actual nursing activities and
client responses that are examined in the final phase, the evaluating phase.
Using data acquired during the assessment, the nurse can individualize the
care given in the implementing phase, tailoring the interventions to fit a
specific client rather than applying them routinely to categories of clients.
2. Describe three categories of skills used to implement nursing interventions.
Cognitive skills
Problem-solving, decision-making, critical thinking, clinical
reasoning, and creativity.
Interpersonal skills
Conveying knowledge, attitudes, feelings, interest, &
appreciation of the client's cultural values & lifestyle.
Technical skills
Hands-on skills, manipulating equipment, giving injections,
bandaging, moving, lifting & repositioning clients. Psychomotor
skills.
It requires knowledge and, frequently, manual dexterity.
3. Discuss the five activities of the implementing phase.
Reassessing the client
Make sure intervention still needed, new data may indicate a
need to change the priorities of care or the nursing activities.
Determining the nurse's need for assistance
Nurse may require assistance due to lack of knowledge or skill,
would reduce stress on the client, unable to implement nursing
activity safely.
Implementing the nursing interventions
It is important to explain to the client what interventions will be
done, what sensations to expect, what the client is expected to
do, and what the expected outcome is.
Base interventions on research, understand interventions, adapt
activities to client, safe care, provide teaching support and
comfort, be holistic, respect dignity of client, and encourage
clients to participate actively.
Supervising the delegated care
If care has been delegated, the nurse responsible for the clients
overall care must ensure the activities have been implemented
according to care plan.
Documenting nursing activities
After carrying out the nursing activities, the nurse completes the
implementing phase by recording the interventions and client
response in the nursing process notes.
4. Identify guidelines for implementing nursing interventions.
Implementation of interventions requires the RN to use critical thinking and
clinical judgment. After the initial plan of care is developed, continual
reassessment of the patient is necessary to detect any changes in the patient’s
condition requiring modification of the plan.
5. Explain how evaluating relates to other phases of the nursing process.
The successful evaluation depends on the effectiveness of the steps
that precede it. Assessment data must be accurate to formulate nursing
diagnoses & desired outcomes, desired outcomes must be stated concretely
to evaluate client responses, without implementing phase there would be
nothing to evaluate.
6. Describe five components of the evaluation process.
Collecting data related to the desired outcomes
Comparing the data with desired outcomes
Relating nursing activities to outcomes
Drawing conclusions about the problem status
Continuing, modifying, or terminating the nursing care plan
7. Describe the steps involved in reviewing and modifying the client’s care plan.
Purpose statement
Strategies to meet the client’s needs
Service to be provided
Goal
Identifying responsibility
Time and duration
Reassessment
8. Describe three components of quality evaluation: structure, process, and
outcomes.
Structure evaluation
Focuses on the setting in which care is given.
It answers questions such as: what effect does the setting have
on the quality of care?
Process evaluation
Focuses on how the care was given.
It answers the question such as these: is the care relevant to the
client’s needs? Is the care appropriate, complete, and timely?
Outcome evaluation
Focuses on demonstrable changes in the client’s health status
as a result of nursing care.
Written in terms of the client’s response or health status, just as
they are for evaluation within the nursing process.
9. Differentiate quality improvement from quality assurance
Quality improvement
It is serious national efforts are currently underway to
evaluate and improve the quality of healthcare based on the
internal assessment by healthcare providers and increasing
awareness by the public that medical errors are not
uncommon and can be lethal.
Quality assurance
Follows client care rather than organizational structure,
focuses on process rather than individuals, and uses a
systematic approach with the intention of improving the
quality of care rather than ensuring the quality of care.
