Professional Documents
Culture Documents
Establishing priorities-rank ND in
order of importance
– Urgency, safety, pt. desires,
treatments
Determining client-centered goals
and outcomes
Selecting nursing interventions
Priorities
– High- basic needs
– Intermediate-non-life threatening
– Low-may not be directly related to the
identified problem
– Reordering of priorities may be
needed at he beginning of each shift,
day, hourly,
Mosby items and derived items © 2005 by Mosby, Inc.
Planning (cont'd)
– Progressive steps
Specific measurable change in
status
– Linked to goals and nursing
diagnoses
Specific Results achieve the General
goal
Response/result to an intervention
– Guidelines-measurable
Mosby items and derived items © 2005 by Mosby, Inc.
Goals and Outcomes
Guidelines
– Client centered- “Client will…”-
– Singular- one response only
– Observable- by nurse
– Measurable- be specific
– Time limited- must evaluate/reasonable
– Mutual-increases client
motivation/cooperation
– Realistic – can be achieved
Mosby items and derived items © 2005 by Mosby, Inc.
Mosby items and derived items © 2005 by Mosby, Inc.
Nursing Interventions
Types
– Nurse initiated-autonomous
actions based on scientific
rationale
– Physician initiated-treats/manages
a medical diagnosis
– Collaborative-multiple health care
support
Selection criteria
– Characteristics of nursing diagnosis-
altering/palliative?
– Expected outcomes-NIC/NOC
– Research base-EB/scientific principles
– Feasibility-personnel, time, cost
– Acceptability to the client-culture,
cooperation
– Nurse competencies-skills/knowledge