ENGLISH ASSIGNMENT II

NURSING INTERVENTION

BY :
KAMALIA
042 STYC 17

ISLAMIC HOSPITAL FOUNDATION OF NUSA TENGGARA BARAT

HIGH SCHOOL OF HEALTH SCIENCE YARSI MATARAM
NURSING S1 STUDY PROGRAM
MATARAM
2020
 NURSING INTERVENTION

A. Definition of Nursing Interventions

Nursing interventions are actions designed to assist clients in moving
from the current level of health to the desired level in the expected results.
(Gordon, 1994).
Nursing orders are all actions of care that the nurse takes on behalf of
the client. These actions include interventions initiated by nurses, doctors, or
collaborative interventions. (McCloskey & Bulechek, 1994).

B. Intervention Type
There are three categories of nursing interventions, namely,
interventions initiated by nurses, doctors, and collaborative interventions.
Selection categories are based on client needs. One client may need all of the
three categories, while another client may only require interventions initiated
by nurses and doctors.
1. Nurse Intervention
Nurse intervention is the nurse's response to the client's health care
needs and nursing diagnoses. This type of intervention is "An act of
autonomy based on scientific rationale carried out for the benefit of the
client in a predictable manner related to nursing diagnoses and client
goals". (Bulechek & McCloskey, 1994).
This intervention does not require supervision or direction from
others. For example, interventions to increase client knowledge about
adequate nutrition or daily activities related to hygiene are independent
nursing actions.
Nurse intervention does not require doctor's instructions or other
professions. Doctors often in their written instructions include independent
nursing interventions. However, under the laws of nursing practice in most
states, nursing actions relating to activities of daily living, health
education, health promotion, and counseling are in the domain of nursing
practice.
2. Doctor's Intervention
The doctor's intervention is based on the doctor's response to medical
diagnosis, and the nurse completes the doctor's written instructions.
(Bulechek & McCloskey, 1994). Providing medication, implementing an
invasive procedure, changing dressing, and preparing the client for a
diagnostic check are examples of these interventions.
This intervention is not always within the legal practice of nursing for
nurses to prescribe or instruct these actions, but such interventions are in
nursing practice for nurses to complete these instructions and to
concentrate on the action approach.
For example, the doctor instructs to replace the dressing twice a day,
intravenous medication every 6 hours, and bone scan for Tn. D. The nurse
integrates each of these instructions into the care plan D so these
instructions are carried out safely and efficiently.
Each doctor's intervention requires specific nursing responsibilities
and knowledge of specific nursing techniques. When administering drugs,
the nurse is responsible for knowing the classification of the drug, its
physiological work, normal dosage, side effects, and nursing interventions
related to the action of the drug or its side effects. Nursing interventions
relating to the administration of medication are based on the doctor's
written instructions.
3. Collaborative Intervention
Collaborative intervention is a therapy that requires knowledge, skills
and expertise from a variety of health care professionals.
For example, Mr. J is a 78-year-old man who has hemiplegia due to a
stroke and also has a long history of dementia. His cognitive function is
limited, he is at risk of experiencing problems related to sensational
damage and mobility, and is unable to independently complete the
activities of daily life. With the aim that Mr.
To maintain his current health level, he needs specific nursing
interventions to prevent pressure sores; physical therapy interventions to
prevent musculoskeletal changes due to immobility; and occupational
 therapy interventions for food and hygiene needs. This client care requires
coordination of collaborative interventions from various health care
professionals all of which are directed towards the long-term goal of
maintaining the health level of Mr. J at this time.
Nurse intervention, doctor intervention, and collaborative intervention
require critical nursing assessment and decision making. When facing a
doctor's intervention or collaborative intervention, the nurse does not
automatically implement therapy, but must determine whether the
requested intervention is appropriate for the client.

C. Selection of Nursing Interventions

4. Character of nursing diagnoses
a. Interventions must be directed at altering the etiology or signs and
symptoms associated with the diagnostic table.
b. Interventions aimed at changing or eliminating risk factors, which are
associated with nursing diagnoses "Risk factors".
5. Expected Results
Results are stated in terms that can be measured and used to evaluate the
effectiveness of interventions.
b) Basic research
a. Review of clinical nursing research related to diagnostic labels and
client issues.
b. Review articles describing the use of research findings in similar
clinical settings and environments.