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Related Concept Videos

Planning Nursing Care I01:21

Planning Nursing Care I

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Nursing Evaluation01:15

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Planning Nursing Care II01:29

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A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
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A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
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Fundamentals of Nursing Process I01:27

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The nursing process is the core of practice for every registered nurse to deliver holistic, patient-focused care. The following are the five steps in the nursing process.
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Fundamentals of Nursing Process II01:25

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There are several characteristics related to delivering nursing care. One vital characteristic of the nursing process is that it can be used to protect nurses and justify the provided care. Productive use of the nursing process requires the knowledge and skills of nurses to assess and solve issues. Nurses should develop and strengthen their critical thinking skills and evidence-based nursing interventions to improve their skills in formulating nursing care plans. A well-defined approach to...
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Process evaluation of discharge planning implementation in healthcare using normalization process theory.

Sofi Nordmark1,2, Karin Zingmark3,4, Inger Lindberg3,5

  • 1Division of Nursing, Department of Health Science, Luleå University of Technology, Luleå, Sweden. sofi.nordmark@ltu.se.

BMC Medical Informatics and Decision Making
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Summary

Discharge planning processes are not fully normalized in practice, indicating a need for better integration. Evaluating existing practices is crucial before implementing new healthcare tools for sustainable improvement.

Keywords:
Discharge planning processImplementationNormalization Process TheoryQualitative research

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Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Health Services Research

Background:

  • Discharge planning is vital for patient care transitions but often suffers from information exchange deficits.
  • Despite numerous initiatives over 30 years, failures in discharge planning persist, leading to medical errors and adverse events.
  • Theoretical frameworks like Normalization Process Theory (NPT) can aid in evaluating complex healthcare processes.

Purpose of the Study:

  • To explore the embedding and integration of the Discharge Planning Process (DPP) from the perspective of healthcare professionals.
  • To understand how DPP has been incorporated into daily practice among registered nurses, district nurses, and homecare organizers.

Main Methods:

  • An explorative study design utilizing NPT as a theoretical framework.
  • Data collection involved workshops, analysis of adverse events and system failures, web-based surveys, and individual interviews.

Main Results:

  • After 10 years, staff agreed on the definition and evaluation of discharge planning (coherence and reflexive monitoring).
  • Consensus was not reached on role allocation (cognitive participation) or execution (collective action) within the process.
  • These findings suggest the discharge planning process has not been fully normalized into daily practice.

Conclusions:

  • There is a need to analyze the implementation of existing practices to inform the development of new ones.
  • Understanding current practice is essential for creating effective and sustainable supportive tools in healthcare.
  • NPT provides a robust framework for analyzing and guiding the implementation of healthcare practices and interventions.