foundations study guide 1, chapter 20
the final step of the nursing process and determines whether the patient's condition or well-being improves and if expected outcomes and goals have been met after the nursing process has been applied.
determines the effectiveness of nursing care
criterion-based standards for evaluation are:
physiological, emotional, and behavioural responses.
Criterion-based standards are also
a patient's goals and expected outcomes.
Gather subjective data
what patient describes "tender or sore" as symptoms of wound infection. Wife is able to describe symptoms of "redness, more swelling around stitches, and drainage", ptient moves in chair by splintin incision.
Review expected outcome of: patient describes "tender or sore" as symptoms of wound infection.
Describe the signs and symptoms of wound infection.
Review expected outcome of: Wife is able to describe symptoms of "redness, more swelling around stitches, and drainage"
Explain how activity affects wound healing
Review expected outcome of: patient moves in chair by splinting incision.
Demonstrate a dressing change.
Reflect on previous clinical experiences
Tonya cared for patients who have demonstrated learning to follow post-op instruction and difficulty learning until able to practice a skill.
Apply critical thinking attitudes
RN instructed the family with confidence and is being creative in letting them assist with the next dressing change
Apply intellectual standards
RN wants the family's knowledge to be complete and asks mr Jacob about additional wound infection symptoms.
Criterion-based evaluation: Goals
goal is the expected behavior or response that indicates resolution of a nursing diagnosis or maintenance of a healthy state.
what will be accomplished when the patient has met all expected outcomes.
Goals are often based on
standards of care or guidelines established for minimal safe practice, EG when rn cares for a patient with a peripheral IV line, goal " the IV site remain free of phlebitis", is based on set standards. INS phlebitis scale.
an end result that is measurable, desirable, and observable and translates into observable patient behaviors.
Nursing-sensitive outcome is a measurable patient or family
state, behavior, or perception largely influenced by and sensitive to nursing interventions.
Interventions must be within the scope of
nursing practice and integral to the process of nursing care.
Examples of nursing-sensitive outcomes
reduction in pain frequency, incidence of pressure ulcers, and incidence of falls.
objective data is
what can be proven, "I think I have a fever", take the temp and it is 101 degrees then it is proven. Also tests that prove things.