Question

Nursing Process Assignment Nursing Process Assignment 

(Refer to Ch. 1-6 in you Applying the Nursing Process Text to complete this assignment) 

 1. How does the nursing process promote safe effective reasoning? 

 2 Name and define the five OSEN competencies. Give an example of each and how it applies to practice.

 3 Write a three-part nursing diagnosis for a patient with pneumonia (nursing diagnosis, related to _______ , as evidenced by _______ ) 

 4 From your nursing diagnosis in #2 use the Nursing Process o plan a care plan or a patient with pneumonia. Assessment/Diagnosisi/Plan/Implementation/Evaluation. 

Answer 1

1. The nursing process is based on the principles of assessment, diagnosis, planning, intervention, and evaluation. It stimulates the nurses by critical thinking to analyze the patient data, identify the patient problems and to make and implement necessary actions on time for good possible outcomes in the patient. The nurses make alternative actions and decisions based on good clinical judgment. Thereby Clinical reasoning provides safe effective care in patients.

2. QSEN (Quality and Safety Education for Nurses) is to improve the knowledge, skills, and attitudes in nurses in order to improve the quality and safety of the patient. The Five QSEN competencies are

a) Patient-centered care: Nurses should have knowledge of patient-centered care. Nurses should eliminate the barriers associated with patient-centered care by using skills. The nurse should have attitudes listening to patient interest and decision in the planning of care.

b) Teamwork and collaboration: Nurses should have knowledge and skills of maintaining the interprofessional relationship with other healthcare personnel and attitude of teamwork in providing quality and effective care for the patient. EX: Nurses should communicate with the dietician, physiotherapist, lab technician to provide effective care.

c) Evidence-based care:

Applying of evidenced-based care into clinical practice will improve the quality and safety of health care. For EX: If the patient complains of pain, the nurses have to check the pain by using the pain scale, prescribed pain medication, administration of the last dosage, and its effectiveness to manage the pain effectively.

d) Quality Improvement:

Nurses should have the knowledge of minimizing the infection in caring for the patient. She must use effective skills in the prevention of infection. Her attitude has to promote safe practices in patient care. For EX: Nurses should follow hand washing technique and should practice before caring of the patient.

e) informatics:

Health information plays a vital role in maintaining patient information and data. Nurses must be skilled in the use of health information technology and improve knowledge. For EX: Nurses should be skilled in protecting the confidentiality of patient data by using proper passwords.

3. Three part of nursing diagnosis are

Nursing diagnosis(diagnostic Label) related to etiology as evidenced by defining characteristics(signs, symptoms, subjective data, objective data.)

Ineffective airway clearance related to increased production of respiratory secretions as evidenced by a cough, abnormal breath sounds.

4. Nursing process for a patient with pneumonia:

Assessment	Diagnosis	Planning	Implementation	Evaluation
Subjective data- dyspnea, cough Objective data- abnormal breath sounds used of accessory muscles Crackles Cough with sputum	Ineffective airway clearance related to increased respiratory secretions as evidenced by a cough, adventitious breath sounds.	To improve airway patency. Clear lung sounds. Maintain respiratory rate. Able to cough out of secretions.	Monitor rate, rhythm, and depth of respiration. Auscultate breath sounds and adventitious breath sounds. Elevate the head of the bed. Explain deep breathing and coughing exercises. Assist in coughing. Increased fluid intake. Administer bronchodilators and nebulizers.	To achieve optimum airway clearance. Maintained respiratory rate. Crackles still present. Cough are productive.