Nursing Process- Evaluation

1. Nursing Process- Evaluation

2. Evaluation Evaluation measures the client’s response to nursing actions and progress toward achieving health care goals. The emphasis is on client outcomes.

3. Dynamics of Evaluating Nursing Process • Compares the observed results of the interventions • Uses critical thinking to analyze the results • Evaluation process continues until problems are resolved

4. Evaluation of Goal Achievement • Why evaluate? • Evaluate initial assessment (baseline) to determine whether desired changes have occurred • Determines if the goals purpose was accomplished • Varying degrees of goal achievement may occur

5. Evaluative Measures and Sources • Simply the assessment skills and techniques used to collect data • Primary source is the client

6. Expected Outcomes and Goals • Expected outcomes are the step by step responses or behaviors of the client to remove or modify the nursing diagnosis • Goals are the summary statement of what is to be accomplished

7. Care Plan Revision • Unmet and partially met goals require revision of the nursing care plan • Discontinuing a care plan • If a client and nurse agree that the expected outcomes and goals have been met then the care plan is discontinued

8. Care Plan Revision • Modifying the care plan • Reassess • Nurse then reevaluates all nursing diagnoses and determines whether the diagnostic statements were accurate • Re-evaluate the goals and expected outcomes • Evaluate the nursing interventions

9. Evaluation of Health Care Facilities • Hospitals and health facilities have and need ways to evaluate the effectiveness of their organizations and the care given within the organization • JACHO • Defines QA (quality assurance) as planned and systematic process for the monitoring and evaluating the quality and appropriateness of client care and for resolving identified problems • QI= Quality Improvement • QA and QI are used to evaluate clinical practice and management of their facilities