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Related Concept Videos

Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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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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Guidelines for Writing Outcome01:11

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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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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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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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Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

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Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
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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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Measuring Implementation Outcomes Change Over Time Using an Adapted Checklist for Assessing Readiness to Implement

Beth Bourdeau1, Mary A Guzé2, Greg M Rebchook2

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This study evaluated the rapid implementation of HIV interventions using a new measurement tool. The tool showed reliable results, with outcomes improving most in the first six months, highlighting context

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Area of Science:

  • Implementation Science
  • Public Health
  • Health Services Research

Background:

  • The Health Resources and Services Administration's HIV/AIDS Bureau funded an Evaluation Center (EC) to assess rapid implementation of 11 evidence-informed interventions.
  • The evaluation focused on 25 HIV care and treatment providers across the U.S.

Purpose of the Study:

  • To conduct an implementation science-based evaluation of rapid intervention implementation.
  • To longitudinally assess implementation outcomes using an adapted measure based on the Implementation Outcome Framework (IOF).

Main Methods:

  • An adapted implementation readiness measure was used to capture seven implementation outcomes.
  • The measure was administered to site leadership every six months throughout the initiative.
  • The study assessed longitudinal changes and relationships between implementation outcomes.

Main Results:

  • The adapted measure demonstrated adequate internal consistency across time periods.
  • Individual implementation outcomes improved over time, with significant growth in the first six months.
  • Longitudinal relationships between outcomes were not evident; instead, significant relationships existed within time periods.
  • Site context characteristics influenced the trajectory of implementation outcomes.

Conclusions:

  • The adapted measure is a valuable tool for assessing implementation outcomes across diverse settings and interventions.
  • The findings provide insights into the dynamics of implementation outcomes during rapid intervention rollout.
  • Understanding site context is crucial for successful intervention implementation in HIV care.