Nursing Process

        Nursing process is generally defined as an approach in a systematic problem-solving to provide nursing care to every person.

The characteristics of the nursing process include:

    
* It is a framework of thinking in providing nursing care to clients, families, and communities.
    
* As a regular and systematic.
    
* Being interdependent with others
    
* Provide individual nursing care
    
* Clients become the center and appreciate the power of the client
    
* Can be used under any circumstances

In the nursing process there are four stages namely:

  
1. Assessment

Basically the purpose of assessment is to collect objective and subjective data from the client. The data collected includes clients, families, society, environment, or culture. (Mc Farland & mc Farlane, 1997)

As for the things that need to be considered during the assessment include:

  
1. Understand the overall situation being faced by the client in a way considering the physical, psychological, emotional, sosialkultural, and spiritual that can affect their health status.
2. Collecting all relevant information with the past, present even something potentially even a problem for the client to create a comprehensive database. Data collected from the nurse-client for interacting and other sources. (Gordon, 1987; 1994)
3. Understanding that the client is the primary information source.
4. Secondary information sources including family members, people who play an important role and the client's health record.

Data collection methods include: 

    
* Conducting interviews / interviews.
    
* Medical history / nursing
    
* Physical examination
    
* Collecting data supporting the results of laboratory and other diagnostic and health record (medical record).

  
2. Nursing Diagnosis

     
Nursing diagnosis is to analyze the subjective and objective data to make a nursing diagnosis. Nursing diagnosis involves complex thought processes of data collected from clients, family, medical record, and providers of other health services.

    
The North American Nursing Diagnosis Association (NANDA, 1992) defines the kind of nursing diagnoses that include clinical decision-clients, families, and communities respond to something yan potential health problems in the process of life.

    
* In making nursing diagnoses needed good clinical skills, including the process and the formulation of nursing diagnoses in nursing making a statement.
    
* The nursing diagnoses are divided into groups to ensure the accuracy of interpretation and diagnosis of the nursing process itself. Formulation of nursing diagnoses statements have some requirements that are have knowledge that can distinguish between the actual things, risks, and potential nursing diagnoses.

  
3. Intervention

      
Is the prescription of nursing interventions for specific behaviors expected of the patient and the actions to be performed by nurses. Intervention to assist patients in achieving the expected results.

     
Nursing interventions must be specific and clearly stated. Pengkualifikasian like how, when, where, frequency, and amount to give the contents of the planned activities. Nursing interventions can be divided into two, namely that is conducted by an independent and collaborative nursing is done by other caregivers.

  
4. Evaluation

      
Evaluation refers to the assessment, stages, and repairs. At this stage the nurse found the cause of why a nursing process may succeed or fail. (Alfaro-LeFevre, 1994)

      
The nurse found the client's reaction to the nursing interventions that have been given and determine what the target of the plan can be diterima.Perencanaan nursing is the foundation that supports an evaluation.

      
Setting back the new information given to the client to change or delete the nursing diagnoses, goals, or nursing interventions.

      
Determining the target of an outcome to be achieved is a joint decision between the nurse and the client (Yura & Walsh, 1988)

      
Evaluation focuses on individual clients and groups of clients themselves. Evaluation process requires some skill in determining nursing care plan., Including the knowledge of nursing care standards, a normal response to the client nursing actions, and knowledge of the concept model of nursing.

REFERENCES

Chase, S. (1994). Clinical Judgment by critical care nurses: An Ethnographic study. In R. M. Carroll-Johnson 7 Pacquette (Eds), Classification of nursing diagnosis: Proceedingof the ninth conference, North American Nursing Diagnosis Association (pp. 367-368). Philadelphia: J.B. Lippincott.

Lunney; M. (1992). Divergent thinking productie factors and accuracy of nursing diagnoses. Research in Nursing and Health, 15 (4), 303-312.
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