The Nursing Process

Topics: Nursing, Nursing care plan, Nursing theory Pages: 6 (2192 words) Published: December 6, 2011
The Nursing and Midwifery Council (NMC, 2008) highlight that the care of patients must be a priority and to treat them as individuals. In order to achieve this nurses must use a systematic technique known as the nursing process when planning and delivering care. It originated in the USA and was introduced the UK in the 1970's in an attempt to move nursing away from traditional and task oriented care, to more evidence based and holistic approach to care (Castledine, 2011). It was clearly defined in 1967 when Yura and Walsh published a book called The Nursing Process, which identified 4 strategic stages that nursing care, should follow (Roper at al 2000). These are assessment; planning: intervention and evaluation, each of these stages will be discussed in more depth later in this paper. In this paper the author will also aim to describe what holistic care is and how each of these 4 stages helps the nurse to achieve holistic patient care in clinical practice. To provide holistic care in daily practice the nurse must recognise that the person that they are caring for is a unique individual with individual needs. Berglund (2010) calls for the nurse to respect patients' individuality and to treat them as human beings. Patients’ medical conditions are often the same or similar with the same clinical treatments, however the nurse should never assume that these patients have the same needs. Treatments or procedures that work for one patient may not necessarily work for another, therefore finding a balance between individual care and routine care is seen as a way of enhancing patients general well being, trust and quality of care (Persenius et al. 2009). The rationale for providing holistic care is that the patient is a whole not merely a condition and holistic care embrace's the mind, body and spirit. It gives equal weight to each of these elements, while accepting that when either the mind, body or spirit are comprised there will certainly be an imbalance in the other elements (Lackey and Hassan, 2009). For this reason it is imperative that nurses take a holistic approach to patient care in their clinical practice and as a result of this the patient will be more likely to cooperate with the nurse and it leads to greater patient satisfaction (Castledine 2005). Nursing models provide a framework to guide the nurse through the nursing process and they recognise the uniqueness of each individual. There are many different nursing models however the most commonly used in the UK is Roper, Logan and Tierney’s' activities of living model (Nazarko, 2007). Regardless of the model used, the information from an assessment should be similar and used to identify patients' current health status, problems and needs. It is the most crucial stage of the nursing process and it is ongoing throughout the care process (Hinchliff et al. 2008). It is a key requirement in nursing care and Lukes (2010) goes so far in saying that,  " to plan and implement without assessment is like trying to furnish a room without knowing the room's dimensions." The assessment is carried out with the patient, but sometimes with family members or carers. Information can also be gathered by medical records or family doctors. However it is the patient that can give you the most accurate account of; how they are feeling; any concerns they have and express what they want from nursing care. Weaver (2007) claims that clients who have participated in their care feel empowered plus take an active role in monitoring and maintaining their condition. When assessing the nurse can communicate the risks and benefits of proposed procedures and any alternatives that are available to them, this in turn allows the patient to make an informed choice before giving consent (NMC, 2008). Assessment should take a holistic approach in that patients’ physical, psychological and social wellbeing are clearly assessed leaving no element of the ‘whole’ person unaddressed (Wright, 2005). Having a clear...
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