Chapter 6

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Nursing process: planning interventions
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1

Nursing interventions are:

actions, based on clinical judgment and nursing knowledge, that nurses perform to achieve client outcomes

2

Direct care interventions are:

performed through interaction with clients

3

Indirect-care intervenitons are:

performed away from the client but on behalf of a client or group of clients

4

Independent interventions:

interventions that register nurses are licensed to prescribe, perform or delegate based on their knowledge and skills; does not require a provider's order

5

dependent interventions:

interventions that is prescribed by the physician or advanced practice nurse, but carried out by the bedside nurse

6

Collaborative interventions:

interventions that is carried out in collaboration with other healthcare team members

7

As a nurse, you will be responsible for:

choosing nursing interventions; nursing assistive personnel are not responsible for this.

8

Theory:

is a set of interrelated concepts (ideas) that describes or explains something.

9

According to QSEN one competency you should achieve in nursing school is to:

differentiate clinical opinion from research and evidence summaries

10

What are types of research-based support?

Single studies, critical pathways and protocols

11

Evidence-based practice is:

an approach that uses firm scientific data rather than anecdote, tradition, intuition or folklore in making decisions about medical and nursing practice

12

Evidence reports are:

state-of-the-art, systematic reviews of clinical topics for the purpose of providing evidence for practice guidelines, quality improvement, quality measures and insurance coverage decisions

13

Clinical practice guidelines are:

statements developed by a systematic review of evidenced and an assessment of the benefits and harms of care options

14

What process can you use for generating and selecting interventions:

review the nursing diagnosis, review the desired patient outcomes, identify several interventions of actions, choose the best interventions for the patient, and individualize standardized interventions

15

How can you review the nursing diagnosis?

choose strategies you expect will reduce or remove the etiological factors of actual problems or that will reduce or remove risk factors for potential problems

16

How can you review the desired patient outcomes?

For each goal on the care plan, ask "what intervention(s) will help to produce this patient response?

17

How can you identify several interventions or actions?

Think of several nursing activities that might achieve the desired outcomes; don't try to narrow your list at this point; include unusual and creative ideas

Ask yourself: what assessments/observations do I need to make? What do I need to do for the patient?

18

How can you choose the best interventions for the patient?

Based on research and scientific principles

19

How can you individualize standardized interventions?

You need to consider all the individual factors that contribute to a problem or that might affect the effectiveness of an intervention

20

What is the Nursing Interventions classifications?

First comprehensive standardized classification of nursing interventions

21

The Omaha system was developed for:

community health nurses to use in caring for individuals, families and aggregates (community groups or entire communities.

22

When you are caring for a healthy client:

the client is the primary decision maker; you will function mainly as a teacher and health counselor

23

Nursing orders are:

instructions that describe how and when nursing interventions are to be implemented.

24

What are the components of a nursing order?

Date, subject, action verb, times and limites, and signatures