F. A.

Daviss Fundamentals of Nursing, Second Edition

Chapter 6: Nursing Process: Planning (Nursing Interventions)

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F. A. Daviss Fundamentals of Nursing, Second Edition

What Are Nursing Interventions?

Purpose: to achieve client outcomes

Also called nursing actions, measures, strategies, activities Based on clinical judgment and nursing knowledge

Reflect direct and indirect care

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F. A. Daviss Fundamentals of Nursing, Second Edition

Nursing Interventions
Independent interventions Dependent interventions Interdependent interventions

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F. A. Daviss Fundamentals of Nursing, Second Edition

Choosing Nursing Interventions

Use
Professional standards Theories Nursing research Evidence-based guidelines

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F. A. Daviss Fundamentals of Nursing, Second Edition

How Does Problem Status Influence Nursing Interventions?

Observation/assessment interventions used for
Actual nursing diagnoses Potential nursing diagnoses Possible nursing diagnoses Collaborative problems Wellness diagnoses
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F. A. Daviss Fundamentals of Nursing, Second Edition

How Does Problem Status Influence Nursing Interventions?

(continued)

Prevention interventions used for

Actual nursing diagnoses Potential nursing diagnoses Collaborative problems Wellness diagnoses

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F. A. Daviss Fundamentals of Nursing, Second Edition

How Does Problem Status Influence Nursing Interventions?

(continued)

Treatment interventions used for

Actual nursing diagnoses Collaborative problems Health promotion interventions used for Wellness diagnoses
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F. A. Daviss Fundamentals of Nursing, Second Edition

Process Used for Generating and Selecting Interventions

1. 2. 3. 4. 5. Review the nursing diagnosis Review the desired client outcomes Identify several interventions/actions Choose the best interventions for this client Individualize the standardized interventions

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F. A. Daviss Fundamentals of Nursing, Second Edition

Generating Interventions from Problem and Etiology

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F. A. Daviss Fundamentals of Nursing, Second Edition

Standardized Language for Interventions

Nursing Interventions Classification (NIC)
Consists of a label, a definition, and a list of specific activities NIC interventions are linked to NANDA diagnoses and NOC outcome labels NIC includes interventions applicable to all settings
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F. A. Daviss Fundamentals of Nursing, Second Edition

Standardized Language for Interventions

Clinical Care Classification (CCC) The OMAHA System
NIC, CCC, and OMAHA include interventions to address health promotion and cultural and spiritual needs
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F. A. Daviss Fundamentals of Nursing, Second Edition

Computerized Care Plan: Potential Interventions

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F. A. Daviss Fundamentals of Nursing, Second Edition

Writing Nursing Orders

Nursing orders are instructions that describe how and when nursing interventions are to be implemented

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F. A. Daviss Fundamentals of Nursing, Second Edition

Writing Nursing Orders (continued)

A nursing order contains
Date Subject Action verb Times and limits Signature

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F. A. Daviss Fundamentals of Nursing, Second Edition

Reflecting Critically About Nursing Orders

Is the set of orders complete? Is each order technically complete? Are the orders clear, specific, and precise?

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F. A. Daviss Fundamentals of Nursing, Second Edition

Reflecting Critically About Nursing Orders (continued)

Is the order individualized for this particular client? Are the orders concise? Which orders have priority?

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F. A. Daviss Fundamentals of Nursing Nursing, Second Edition

For the following interventions, write one intervention to address the problem and one intervention for the etiology of the problem.
Ineffective Airway Clearance: r/t thick secretions and decreased chest expansion secondary to dehydration and pain Self-Care Deficit: bathing/hygiene and dressing/grooming r/t fatigue secondary to disturbed sleep pattern
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