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Related Concept Videos

Nursing Evaluation01:15

Nursing Evaluation

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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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Community Based Intervention01:30

Community Based Intervention

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
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Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation01:20

Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation

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Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
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Planning Nursing Care II01:29

Planning Nursing Care II

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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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Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation01:24

Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation

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Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
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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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Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India
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A process evaluation plan for assessing a complex community-based maternal health intervention in Ogun State,

Sumedha Sharma1, Olalekan O Adetoro2, Marianne Vidler1

  • 1Department of Obstetrics and Gynaecology and Child & Family Research Institute, University of British Columbia, Vancouver, Canada.

BMC Health Services Research
|March 30, 2017
PubMed
Summary

This study presents a novel methodology for evaluating complex maternal health interventions in Nigeria, focusing on implementation processes and impact mechanisms. The findings offer a guide for improving maternal and neonatal health outcomes in resource-limited settings.

Keywords:
Complex interventionsImplementation researchMaternal healthNigeriaOgunProcess evaluation

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Area of Science:

  • Public Health
  • Maternal Health
  • Implementation Science

Background:

  • Community-level maternal health interventions are under-evaluated, hindering understanding of outcomes.
  • Nigeria faces high maternal mortality (814/100,000 livebirths).
  • The Community Level Interventions for Pre-eclampsia (CLIP) study aimed to reduce maternal/neonatal mortality with a complex intervention.

Purpose of the Study:

  • To illustrate a methodology for evaluating complex intervention implementation processes.
  • To assess mechanisms of impact and identify unintended causal pathways.
  • To guide future evaluations in resource-constrained settings.

Main Methods:

  • A six-step evaluation approach was developed, focusing on context, implementation, and impact.
  • Mixed-methods data collection included surveys, interviews, focus groups, and case reports.
  • Data analysis utilized R and NVivo, guided by diffusion of innovations and realist evaluation theories.

Main Results:

  • Quantitative data from 32,785 visits and qualitative data from 43 focus groups and 38 interviews were collected.
  • Community engagement and pre-eclampsia case reports were also gathered.
  • Staggered data collection captured intervention feedback mechanisms.

Conclusions:

  • The developed approach provides a framework for evaluating complex health interventions.
  • It aids in measuring intervention 'effectiveness' beyond 'efficacy'.
  • This methodology is valuable for researchers and policymakers in resource-limited settings.