Chapter 20: Evaluation

Chapter 20: Evaluation

1. The purpose of conducting evaluative measures is

   • To determine if you met the expected outcomes, not if the nursing interventions were completed.
     • They are the standards against which the nurse judges if goals have been met and if care is successful

2. Identify the five elements of the evaluation process

   • 1. identifying evaluative criteria and standards
     • 2. collecting data to determine whether the criteria or standards are met
       • 3. interpreting and summarizing findings
         • 4. documenting findings and any clinical judgment
           • 5. terminating, continuing, or revising the care plan

3. To objectively evaluate the success in achieving outcomes of care, the nurse should use the following steps

   • 1. examine the outcome criteria to identify the exact desired client behavior
     • 2. assess the client's actual behavior or response
       • 3. compare the established outcome criteria with the actual behavior
         • 4. judge the degree of agreement between outcome criteria and the actual behavior
           • 5. if there is no agreement between the outcome criteria and the actual behavior, what are the barriers?

4. Care plan revision

   • Determine if your goals have been met, and then adjust the plan of care accordingly

5. Discontinuing a Care plan

   • If the nurse and the patient agree that the expected outcomes and goals have been met, then discontinue that portion of the care plan.

6. Modifying a Care plan

   • Identify the factors that interfere with goal achievement or an error in nursing judgment.

7. Goals and Expected outcomes

   • Determine if the goals were appropriate, realistic, and time-appropriate

8. Describe Interventions

   • The appropriateness of the interventions selected and the correct application of the intervention

9. Quality Improvement

   • An approach to the continuous study and improvement of the processes of providing health care services to meet the needs of clients and others

10. Outcomes management

    • Managing the individual clinical outcomes of clients as a result of prescribed treatments

11. Evaluation

    • Measuring the client's response to nursing interventions and his or her progress toward achieving goals

12. (T or F) Evaluation is not integrated, ongoing nursing care activity

    • False

13. When a client-centered goal has not been met in the projected time frame, the most appropriate action by the nurse would be to:

    • Repeat the entire sequence of the nursing process to discover needed changes

14. Evaluation involves what two components

    • An examination of a condition or situation and a judgment as to whether change has occurred.

15. During evaluation you should apply

    • critical thinking to make clinical decisions and redirect nursing care to best meet client needs

16. Positive evaluations occur when you meet... and they also lead you to conclude ....

    • desired outcomes your interventions were effective

17. Evaluative measures are assessment skills or techniques that you use to

    • collect data for evaluation

18. It sometimes becomes necessary to collect evaluative measures over time to

    • determine if a pattern of change exists

19. Documentation of evaluative findings allows...

    • all members of the health team to know whether a client is progressing or not

20. Health care organizations are responsible for

    • evaluating and improving the quality of client care services they provide

21. When professional nurses think in terms of outcomes management, their actions become

    • more purposeful and focused on improving the condition of their client's health