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Nursing Process

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Nursing Process
The nursing process: A help or a hindrance to contemporary nursing practice.

Introduction.

The nursing process is the core for the nursing care plan and enables one to think like a nurse. It was based on the theory developed by Ida Jean Orlanda in 1950’s where she observed good and bad nursing practices (Faust, 2002). The nursing process is important as it is a systematic problem solving approach which involves the partnership with both the patient and their family. It serves as an important tool to improve practice, quality care and promote good health (Potter and Anne, 1992). In this essay, the four stages of the nursing process will be described and if this is a help or a hindrance to the contemporary nursing process will be discussed.

Main Section

The model of nursing developed by Roger, logan and Tierney in 1976 and then updated in 1983 is the one which the nurses are most familiar with. The model of nursing recognises 12 activities of daily living which is most related to basic human requirements. The model o f nursing can be used as a guide when an assessment of need is being carried out between the nurse and the patient where each of the activity is discussed and previous routine is identified (Aggleton and Chalmers, 2000).

The nursing process is an organised, dynamic and cyclical process and has four interrelated steps. The nurses use the four steps with every patient they interact with. The starting point of the nursing process is the assessment stage (Seaback,2001) .For the assessment to take place successfully, it is very important that the nurse is able to communicate effectively with the patient, and the patient’s family (Yura and Walsh, 1988). The planning stage of the nursing is therefore directly linked to quality and comprehensiveness of the assessment stage. During this stage, the patient’s needs are identified and how their needs/desires in relation to their health can be achieved. The plan is then implemented and this part of the



References: record-keeping%20and%20routine%20nursing%20practice%20--%20the%20view%20from%20the%20wards.pdf – Criticise nursing process. De la Cuesta C. (1983), the ‘Nursing process’ from development to implementation. Journal of advanced nursing 8, p 365-371 Buckenham J. & McGrath G (1983). The society reality of nursing. Adis health science press, Baglowalah, Australia. Bowman G.S., Thompson D.R. & Sutton T.W (1983). Nurses attributes to the nursing process. Journal of advanced nursing 8, 125-129 Dingwall R., Rafferty A.M & Webster C. (1988) An introduction to a social history of nursing. Routledge. London Melia K (1987) Learning and working: The occupational socialistaion of nurses. Tavistock. London Keyzer D.M. (1988) Challenging role boundaries: conceptual frameworks for understanding the conflicts arising from the implementation of the nursing process in practice. In polictical issues in nursing. Past, present and future (volume 3) (White R. ed)., John Wiley, London, pp.95-119 Walton l. (1986). The nursing process in perspective. A literature review. University of York, department of social policy and social work, York. Yura Helen and Walsh Mary B (1988). The nursing process: assessment, planning, implementing and evaluating. Appleton and lange, 5th edition

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