EvaluationN314

EvaluationN314 - Evaluation Evaluation N314 The “final”...

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Unformatted text preview: Evaluation Evaluation N314 The “final” step to Nursing Process The Evaluation is . . . Evaluation Planned, ongoing systematic means of making judgments about: client progress toward expected outcome the effectiveness of care plan ­­­And/or­­­ the quality of care in a setting We evaluate to . . . We #1: Ensure patient’s progress toward outcome #2: Optimize nursing resources ¨ ¨ ¨ We evaluate to . . . We #3: Meet professional and accountability standards (ANA, JCAHO, Health Dept.) #4: Demonstrate our effectiveness as a profession Evaluation standards/criteria Evaluation Must establish criteria/standards prior to implementing or evaluating For nursing care, we use measurable outcomes that are concrete and specific Best outcomes for evaluation: Best Reliable And Valid Types of Evaluation Types Structure­Are basic physical facilities or personnel requirements met? Process­Is the manner of care provision appropriate and up to standard? Outcomes­Is there a measurable change in status? How to evaluate patient goal and outcomes: outcomes: Compare patient response to goal/outcome previously established. Determine result: Met or Achieved­­­ actual pt. state = desired outcome Partially Met/Achieved­­­ some, not all, of outcome reached or only met some of the time Not Met/Achieved­­­ actual pt. state ≠ desired outcome Are there Outcomes that are either met or not met, with no partial success? Example Evaluation Statements Example Desired Outcome: Pt. will walk down hallway and back w/out assistance by 11/1/10. Met: 11/1/10: Pt. walked down hallway and back on own. Partially met: 11/1/10: Pt. walked halfway down hallway on own, required assistance X 1 to walk back. Not met: 11/1/10: Pt. unable to walk out of room w/ out assistance X 1. Required assistance to walk 10 feet in hall and back. More examples More Desired Outcome: Pt. will be free of falls every shift. Met: 10/30/10­1930: Pt. experienced no falls this shift. Not met: 10/30/10­1930: Pt. fell while getting out of bed to go to bathroom. No apparent injury, No LOC, continuing to monitor pt. for signs of injury. More examples: More Desired outcome: Pt. will rate pain “3/10” or less within 30 min. of each prn pain med administration. Met: 10/30/10­1900: Throughout shift, pt rated pain as “1­ 2/10” within 30 min. of pain med. Partially met: 10/30/10­1900: Pt. rated pain as “2­3/10” within 30 min. of pain med at 0900, 1320, & 1740 reassessments. Pt. rated pain as “5/10” 30 min. after 1500 prn pain med. Not met: 10/30/10­1900: Pt. rated pain as “4­6/10” 30 min. after each prn pain med (0830, 1145, 1450, & 1800). MD called for additional orders at 1220 and 1840. Evaluation leads to change: Evaluation Depends upon evaluation of outcome­­­ Met: can d/c this portion of care plan unless it is a monitoring/preventive diagnosis that continues to be a risk/concern for pt. Partially met: may cont. w/ care plan extending time, or revise Not met: most likely need to revise During evaluation (esp. for part. met or not met) evaluate whole care plan for relevance and accuracy in current pt. situation and retrace NP steps ...
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This note was uploaded on 02/15/2011 for the course NURS 314 taught by Professor Chappell during the Fall '10 term at South Carolina.

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