Resume Of Fundamental Of Nursing Chapter 10 Pages 160-161

Evaluation, the fifth step in the nursing process, involves determining whether client
goals have been met, have been partially met, or have not been met.

The purposes of evaluation are to determine the client's progress or lack of progress
toward achievement of client objectives, to judge the efficiency of nursing actions in
helping clients to achieve objectives, to determine the health care agency's overall ability
to deliver care in an effective and efficient manner, and to promote nursing
accountability.

Evaluation is based primarily on the skills of communication and observation.

Evaluation is a mutual, ongoing process occurring among the nurse, client, family, and
other health care providers.

The effectiveness of nursing interventions is evaluated by examination of goals and

expected outcomes that provide direction for the plan of care and serve as standards by
which the client's progress is measured.

Evaluation is an orderly process consisting of seven steps: establishing standards,

collecting data related to the goals and expected outcomes, determining goal
achievement, relating nursing actions to client status, judging the value of nursing
interventions in assisting clients to achieve goals and objectives, reassessing the client's
status, and modifying the plan of care if necessary.

There is a relationship between quality management and evaluation. Evaluation is

necessary in the provision of quality care because it is the mechanism used by nurses in
determining how to improve care.

Structure evaluation judges a health care agency's ability to provide the services offered
to its client population.
 Process evaluation measures nursing actions by examining each phase of the nursing
process to determine the effectiveness of the actions in helping clients meet expected
outcomes and goals.

Outcome evaluation compares the clients current status with the expected outcomes and
examines all direct care activities that affect the client's status.

A nursing audit can focus on implementation of the nursing process, client outcomes, or
both in order to evaluate the quality of care provided.

Peer evaluation (peer review) is the process by which professionals provide to their peers
performance appraisal feedback geared toward corrective action.

QUESTIONS

1.What is evaluation in nursing process?

Evaluation is the fifth step in nursing process, involves determining whether client goals have
been met, have benn partially met, or have been not met.
2.Who is involved in the evaluation phase of the nursing process?
Evaluation is a mutual, ongoing process occurring among the nurse, client, family, and other
health care providers.
3.When the evaluation is used in the nursing process?
Process evaluation measures nursing actions by examining each phase of the nursing process to
determine the effectiveness of the actions in helping clients meet expected outcomes and goals.
4.Where the evaluation is usually done on the nursing process?
Evaluation should be done at every phase of the nursing process.
5.Why there should be an evaluation of the nursing process?
Because we have to know that every nursing process that we do already running well or not.
6. How the steps to do evaluation in the nursing process?
Evaluation is an orderly process consisting of seven steps: establishing standards, collecting data
related to the goals and expected outcomes, determining goal achievement, relating nursing
actions to client status, judging the value of nursing interventions in assisting clients to achieve
goals and objectives, reassessing the client's status, and modifying the plan of care if necessary.