The

NURSING
PROCESS

SHELLEY P. TUNGCUL-PASCUAL
OBJECTIVE: At the end of the
discussion, the students
will be able to discuss
the Phases of the
Nursing Process

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 Introduction
In 1958, Ida Jean Orlando began developing the
nursing process still evident in nursing care today.
According to Orlando’s theory, the patient’s behavior
sets the nursing process in motion. Through the
nurse’s knowledge to analyze and diagnose the
behavior to determine the patient’s needs.

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 Introduction
Application of the fundamental principles of critical
thinking, client-centered approaches to treatment,
goal-oriented tasks, evidence-based practice (EBP)
recommendations, and nursing intuition, the nursing
process functions as a systematic guide to client-
centered care with five subsequent phases.

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 The nursing process is
defined as a systematic,
rational method of
planning that guides all
nursing actions in
delivering holistic and
patient-focused care.
The nursing process is a
form of scientific
reasoning and requires
the nurse’s critical
thinking to provide the
best care possible to
the client.
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Purposes of the Nursing Process
•To identify the client’s health status and actual or potential health
care problems or needs (through assessment).

•To establish plans to meet the identified needs.

•To deliver specific nursing interventions to meet those needs.

•To apply the best available caregiving evidence and promote

human functions and responses to health and illness (ANA, 2010).

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• To protect nurses against legal problems related to nursing care
when the standards of the nursing process are followed correctly.

• To help the nurse perform in a systematically organized way their

practice.

• To establish a database about the client’s health status, health

concerns, response to illness, and the ability to manage health
care needs.

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Characteristics of the Nursing Process
 The unique approach of the
nursing process requires care
Patient- respectful of and responsive to the
individual patient’s needs,
preferences, and values.
centered The nurse functions as a patient
advocate by keeping the patient’s
right to practice informed decision-
making and maintaining patient-
centered engagement in the health
care setting.
 The nursing process provides the
basis for the therapeutic process in
Interpersonal which the nurse and patient respect
each other as individuals, both of
them learning and growing due to
the interaction. It involves the
interaction between the nurse and
the patient with a common goal.
 The nursing process functions
Collaborative effectively in nursing and inter-
professional teams, promoting open
communication, mutual respect,
and shared decision-making to
achieve quality patient care.
Dynamic
and The nursing process is a dynamic,
cyclical process in which each phase
Cyclical interacts with and is influenced by
the other phases.
 The use of the nursing process
requires critical thinking which is a
Requires vital skill required for nurses in
identifying client problems and

critical implementing interventions to

promote effective care outcomes.

thinking
 ➢ During this step, the nurse gathers information about the patient’s health status,
including physical, psychological, and social factors using different assessment
techniques such as HEAD-TO-TOE PHYSICAL ASSESSMENT. This data is used to form an
accurate diagnosis and develop a care plan.
➢ The assessment stage is also an opportunity for the nurse to establish a rapport with
the patient and build trust. The nurse also identifies the patient’s needs and sets
priorities for care.

Assessment
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 ➢ This is where the nurse uses the information gathered in the assessment stage to
determine the patient’s health problems. The nurse must consider all aspects of the
patient’s health, including physical, psychological, and social factors, to make an
accurate diagnosis.
➢ The nurse uses critical thinking and problem-solving skills to determine the underlying
cause of the patient’s symptoms. Critical thinking abilities compel nurses to challenge
assumptions, question the context, look for new ways of doing and thinking, and
consider, filter, and evaluate ideas or solutions.

Diagnosis 16
 ➢ This is where the nurse develops a plan of care for the patient. The nursing care plan
should be based on the patient’s health problems and needs, as well as the resources
available. The nurse should also involve the patient in the planning process to ensure
that the plan of care meets their needs and preferences.
➢ The care plan should be individualized to the patient and take into account their unique
circumstances and preferences. The nurse should also consider any cultural or religious
beliefs that may impact the care plan.

Planning
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 ➢ The implementation stage is where the nurse carries out the plan of care. This may
involve administering medications, performing procedures, or providing education to
the patient. The nurse should closely monitor the patient’s response to treatment and
make any necessary adjustments to the care plan.

Implementation
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➢ During this stage, the nurse assesses the patient’s progress and determines whether the
plan of care was effective.

➢ The nurse may also make changes to the plan of care based on the patient’s progress
and needs.

Evaluation
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 In which phase of ADPIE
LET’S would a nurse administer
REVIEW!!! medications and perform
procedures?

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 In which stage of the
LET’S ADPIE process would
REVIEW!!! you modify a care plan
that is not effective?

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Thank you