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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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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.
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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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A program evaluation of the Patient CaringTouch System: A pre- and postimplementation assessment.

Sara T Breckenridge-Sproat1, Pauline A Swiger2, Donna L Belew3

  • 1United States Army, Regional Health Command Europe, Sembach, Germany.

Nursing Outlook
|July 30, 2017
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Summary

The Patient CaringTouch System (PCTS) improved medication safety and nursing care but saw increased patient falls. Further improvements are needed to sustain this patient-centric nursing framework.

Keywords:
Care delivery modelMilitary nursingPatient CaringTouch SystemPatient outcomesPractice environment

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Area of Science:

  • Nursing Science
  • Healthcare Management
  • Program Evaluation

Background:

  • The Patient CaringTouch System (PCTS) is a patient-centric framework developed by the Army Nurse Corps.
  • PCTS aims to standardize nursing care delivery, reduce variation, and enhance patient and nurse outcomes.

Purpose of the Study:

  • To conduct a program evaluation of the Patient CaringTouch System (PCTS).
  • To assess the impact of PCTS implementation on patient and nursing measures.

Main Methods:

  • A pre- and post-implementation design was employed.
  • Data were collected on patient and nursing outcomes before and after PCTS rollout.

Main Results:

  • Medication administration errors decreased, while falls with injury increased.
  • Pain reassessment and aspects of the nursing practice environment improved.
  • Despite increased patient acuity and decreased staffing, job dissatisfaction and intent to leave among nurses rose, though potentially preventable losses decreased.

Conclusions:

  • The PCTS demonstrated mixed results, with improvements in medication safety and nursing practices but challenges in patient safety and nurse retention.
  • Program evaluation findings will guide targeted improvements for the sustained implementation of PCTS.