Flashcards
Chapter 15: Evaluating Vocabulary
Cards in this deck (15)
- 1evaluatingthe nurse/patient together measure how well the patient has achieved the outcomes specified in the plan of care
- 2five classic elements of evaluation1. identifying evaluative criteria/standards
2. collecting data to determine whether these criteria/standards are met
3. interpreting/summarizing findings
4. documenting your judgement
5. terminating, continuing or modifying the plan - 3evaluative criteria are thepatient outcomes developed during the planning step
- 4the most common mistake when evaluating iswaiting until the day the patient is to be discharged b4 evaluating outcome achievement. At that point, it's too late to revise the plan of care.
- 5evaluative statement2-part evaluative statement includes a decision about how well the outcome was met, along w/patient data or behaviors that support this decision. Outcomes may have been met, partially met or not met
- 6After identifying the factors contributing to the outcomes not being achieved, revisions in the plan of care include1. delete or modify the nursing diagnosis
2. make the outcome statement more realistic
3. increase the complexity of the outcome statement
4. adjust time criteria in outcome statement
5. change the nursing intervention - 7Four steps crucial in improving performance1. discover the problem
2. plan a strategy using indicators
3. implement a change
4. assess the change, if the outcome is not met, plan a new strategy - 82 different approaches to ensuring quality1. Quality by inspection
2. Quality by opportunity - 9quality by inspectionfocuses on finding deficient workers and removing them
- 10quality as opportunityfocuses on finding opportunities for improvement/fosters an environment that thrives on teamwork, with people sharing the skills and lessons they have learned. mistakes are viewed not as being caused by a lack of motivation or lack of effort but rather a result of a problem in the system
- 11ANA model quality assurance program1. identify values
2. identify structure, process, outcome standards and criteria
3. measure the degree of attainment of criteria/standards
4. make interpretations about strengths/weaknesses based on such measurements
5. identify possible courses of action
6. choose a course of action
7. take action - 12ANA model directs attention to 3 essential components of quality carestructure, process and outcome
- 13structure evaluationfocuses on the environment in which care is provided: physical facilities/equipment, organizational characteristics, policies/procedures
- 14process evaluationfocus is the nature/sequence of activities carried out by nurse implementing the nursing process
- 15outcome evaluationfocuses on measurable changes in the health status of the patient or the end results or nursing care
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- UNIT III: Person-Centered Care and the Nursing Process Chapter 15: Evaluating
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- Alexandra Bozan · Sep 2017
- Updated
- Sep 30, 2017
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