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Role of Communication in the Nursing Process III: Evaluation and Documentation

Role of Communication in the Nursing Process III: Evaluation and Documentation

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:

Role of Communication in the Nursing Process I: Assessment and Diagnosis

Role of Communication in the Nursing Process I: Assessment and Diagnosis

The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...

Role of Communication in the Nursing Process II: Planning and Implementation

Role of Communication in the Nursing Process II: Planning and Implementation

Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...

Guidelines for Nursing Documentation I

Guidelines for Nursing Documentation I

Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
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Documentation of Nursing Diagnosis

Documentation of Nursing Diagnosis

The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
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Communication

Communication

Sharing information, concepts, and emotions to foster mutual understanding is communication. The sender, recipient, and transaction must be considered in this manner. The sender is the person who shares the message, the recipient is the person who receives and understands the message, and the transaction is the method used to deliver the message and the variables that affect the communication's context and surroundings. The nurse-client connection is built on therapeutic communication.

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Related Experiment Video

Updated: Aug 26, 2025

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

How do medication errors occur in the nursing communication process? Investigating the relationship between error

Haizhe Jin¹, Zhibin Xiao¹, Mingming Li¹

¹Department of Industrial Engineering, School of Business Administration, Northeastern University, Shenyang, China.

Work (Reading, Mass.)

|October 10, 2022

Summary

This summary is machine-generated.

Understanding the link between human error types and error factors in medication administration is key to preventing future errors. This study quantifies these relationships to improve patient safety and reduce medication errors.

Keywords:

Medication error error factor error type healthcare nursing communication process

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Last Updated: Aug 26, 2025

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Area of Science:

Nursing
Patient Safety
Human Factors Engineering

Background:

Human error analysis involves understanding error types and factors.
The relationship between error types and factors is crucial for error analysis, statistics, identification, and prevention.
Medication communication errors pose a significant risk in healthcare settings.

Purpose of the Study:

To quantitatively explore the relationship between error types and error factors in medication communication.
To provide evidence and guidance for preventing and improving medication communication errors.

Main Methods:

Collected self-reported medication administration errors from nurses across three institutions.
Identified error types using the systematic human error reduction and prediction approach and human cognition.
Extracted error factors via root cause analysis and Berlo's communication model.
Quantitatively analyzed the relationship using partial least-squares regression.

Main Results:

Analyzed 303 error cases, identifying six error types and 12 error factors in nursing medication communication.
Quantitatively determined 20 correlation patterns between error types and error factors.
Path coefficients ranged from 0.088 to 0.467, indicating varying degrees of relationship strength.

Conclusions:

Provides a statistical basis for understanding medication errors in nursing.
Identifies key error factors related to specific error types for targeted interventions.
Offers insights for establishing effective countermeasures to prevent recurrent errors.