Examples include patient mortality, surgical wound infection, and hospital readmissions. The results are statements of progressive and gradual physical, emotional, or behavioral responses that the patient must meet to achieve the goals of care. Applying the fundamental principles of critical thinking, client-centered approaches to treatment, goal-oriented tasks, evidence-based practice (PBE) recommendations, and nursing intuition, the nursing process works as a systematic guide to client-centered care with five subsequent steps. These are evaluation, diagnosis, planning, implementation and evaluation (ADPIE).
Evaluation Both the patient's condition and the effectiveness of nursing care should be continuously evaluated and the care plan modified as necessary. The evaluation focuses on the effectiveness of nursing interventions by reviewing the expected results to determine if they were met within the indicated time frames. An interview is an intentional communication or conversation for the purpose, for example, of obtaining or providing information, identifying issues of mutual interest, evaluating change, teaching, providing support, or providing counseling or therapy. Evaluation is the sixth step of the nursing process (and the sixth standard of practice established by the American Nurses Association).
For the second nursing diagnosis, the risk of falls, the nurse evaluated the outcome criteria as “Fulfilled” according to the evaluation. The patient verbalizes their understanding and asks for appropriate help when getting out of bed. As nurses gain new information and evaluate the client's responses to care, they can further individualize the initial care plan. Nursing evaluation includes (collecting data), comparing the collected data with the desired outcomes, (analyzing the client's response in relation to nursing activities), (identifying factors that contributed to the success or failure of the care plan), (continuing, modifying, or canceling the nursing care plan) and (planning future nursing care).
Data should be concisely and accurately documented to facilitate the next part of the evaluation process. It is essential to keep an excellent record so that all the data collected is documented and explained so that the entire healthcare team can access them and can be consulted during the evaluation. Some examples of nursing activities that cannot be delegated to unlicensed care staff include evaluating and evaluating the impact of interventions on patient care. If the goals are still not being met, nurses should evaluate the reasons why these goals are not being achieved and recommend revisions to the nursing care plan.
Once all the nursing intervention actions have been carried out, the team now learns what works and what doesn't, evaluating what was done beforehand.