Wednesday, November 21, 2018

Nursing Process Related to Pediatric Nursing

Nursing Process Definition:
The nursing process has traditionally been defined as a systematic method for assessing health status, diagnosing health care needs, formulating a plan of care, imitating plan and evaluating the effectiveness of a plan. 
Nursing process in child health care
Fig: Nursing process in child health care
Nursing Process in Child Health Care:
The nursing process has been described by many authors as having five basic steps. Those are-

  1. Assessment,
  2. Diagnosis (Nursing diagnosis),
  3. Planning,
  4. Implementation (Intervention),
  5. Evaluation.

All the above five 5 phases of the nursing process have explained in the below:

1. Assessment:
Assessment includes the gathering of subjective and objective data. It is done by the collection of data through-

  • History taking,
  • Physical assessment,
  • Review of investigations reports and record analysis,
  • It comprises the comparison of data with the normal value and analysis of the data gathered to ascertain the client’s conditions and identify problems.

2. Nursing Diagnosis:
Nursing diagnoses are judgments and conclusions made by the nurse after analyzing the database. It indicates the actual or potential problem or unmet need of the child or patient. It differs from the medical diagnosis. Medical diagnosis refers to the disease, whereas nursing diagnosis refers to the difficulty experienced by the patient due to the disease process.

3. Planning:
Planning includes establishing goals, setting priorities, determining resources, stating nursing strategies and assigning care. It is a written document with intervention strategies and outcome of nursing actions as the nursing care plan, which should be available for all the members of the nursing team. Client’s participation in the planning of care is an important aspect in terms of effectiveness.

4. Implementation:
It is putting the plan into action to achieve the goals. It includes performance, assistance or assignment of nursing actions and completion of a plan of care. This phase involves decision-making, observation, and communication among the client, nurse, and other team members. It requires up-to-date and correct knowledge with skill and competency to perform the activities.

5. Evaluation:
Evaluation helps to measure the extent of achievement of goals and effectiveness of nursing interventions. Attention should be given to the client’s response in the planned nursing action. During this step, the nurse also will be able to identify omissions from the assessment, planning and implementation phases of the process. A decision can b made to continue, modify or terminate all or part of the nursing care plan.

The nursing process provides an organized nursing assistance to the child and the family towards the better outcome.