NURSING PROCESS-
IMPLEMENTING
PREPARED AND PRESENTED BY
[Link],
VICE PRINCIPAL CUM HOD OBG NURSING,
[Link] COLLEGE OF NURSING,
HALAGA, BELGAUM.
Introduction
• It is the phase in which the nurse
implements the nursing
interventions.
• Definition: Implementing consist of
doing & documenting the activities
that are the specific nursing actions
needed to carry out the
interventions.
• The degree of participation depends
on the client’s health status.
• For Eg. an unconscious man,
Ambulatory client.
• The first 3 steps of nursing process,
provide basis for the nursing actions
performed during the implementing
step.
Implementing skills
• Need cognitive, interpersonal & technical
skills.
– Cognitive: - includes problem solving,
decision making, critical thinking & creativity .
– Interpersonal: - Verbal & nonverbal.
– Technical Skills: - “Hands on” skills like
manipulating equipments giving Injections &
bandaging, moving lifting & repositioning.
Other use called “Psychomotor skills”
Process of
Implementing
• Reassess the client
• Determining the nurse’s need for
assistance
• Implementing nursing
interventions
• Supervising delegated care
Assessing
a. Collect data
b. Organize data
c. Validate data
d. Document data
Diagnosing
a. Analyze data
b. Identify health
problems, risks and
strength,
c. Formulating
nursing diagnosis
Implementing
a. Reassess client
b. Determine the nurses Planning
need for assistance a. Setting priorities
c. Implementing nursing b. Establishing client
interventions goals, desired
d. Supervising delegated outcomes
care c. Selecting nursing
e. Documenting nurses interventions
activities d. Writing nursing
orders
1) Reassessing the client
• Before implementing the nurse must
reassess the need.
• Even order written on the care plan, the
client’s condition may have changed.
• Eg. Mr. A has nursing diagnoses of
disturbed sleep pattern related to anxiety &
unfamiliar surroundings.
• During rounds, the nurse discovers that Mr.
A is sleeping & therefore defers the back
massage that have been planned as a
relaxation strategy
• New data may indicate a need to change
the priorities of care of the nursing activities.
2) Determining the nurses need for
assistance
• When implementing some nursing interventions, the
nurse may require assistance for one of the following
reasons.
- The nurse is unable to implement the nursing activity safely
alone (Eg. Ambulating on unsteady obese client)
- Assistance would reduce stress on client (Eg. turning a
person who experiences acute pain when moved)
- The nurse lacks the knowledge or skills to implement a
particular nursing activity.
Free template from [Link] 11