Theory and the Nursing Process

Nursing Process

 
Assessment

• Collection of provocative facts through observation and interview of challenges to the internal and external environment using four conservation principles
• Nurses observes patient for organismic responses to illness, builds rapport with the patient and explaining to him his needs for assistance and evaluates results for diagnostics.
• Assesses factors which challenges both in the internal and external environment of the patient. Assesses for:

1. Balance of energy supply and demand (Energy conservation)
2. Body's defense system or immunity ( Structural integrity)
3. Person's sense of self-worth (Personal Integrity)
4. Person's ability to participate in the society (Social Integrity)

          This is done through observation and collection of data, by collecting and citing the challenges to both the internal and external environment. From these, it will be based from the four conservation models. From here, you may now proceed to the judgment or diganoses that can address the problem.

Trophicognosis / Judgment

• Nursing diagnosis gives meaning to assessments / data collected
• A nursing care judgment arrived at through the use of the scientific process
• Judgment is made about patient’s needs for assistance
• Examples of which are: Pain, inadequate nutritional status, low self-esteem and others. From citing the diagnoses, the goal and ways to meet the goals are planned.

Hypothesis

• Planning
• Nurse proposes hypothesis about the problems and the solutions which becomes the plan of care
• Goal is to maintain wholeness and promoting adaptation
• The nurse seeks validation about the problem

Interventions

• Tests the hypothesis
• Interventions are designed based on the conservation principles
• Goal is to maintain wholeness and promoting adaptation
• These are measures in which nurses would provide in order for the patient to maintain or regain his integrity. 
• The interventions would also be based from the conservation models.

Evaluation

• Evaluating the response of the client with the interventions, if the goals were met or not.
• It assesses whether hypothesis is supported or not supported
• If not supported, the plan is revised, a new hypothesis is proposed
• This is the process of validating whether the goals were attained in the given period of time.