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what are nursing interventions/ measures/ strategies/ activities ?
actions , based on clinical judgement and nursing knowledge, that nurses perform to achieve client outcomes
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nursing interventions reflect direct and indirect care
- direct care intervention:
- performed through interaction with patient, e.g. physical care, emotional support, patient teaching
indirect : advocacy, referrals, ...on behalf of client
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interventions -> independent, dependent, collaborative actions
independent-> knowing how , when, why (autonomous) in response to nursing diagnosis <- nurse accountable
prescribed -> dependent (orders, tests, treatment, IV, diet, activity)
interdependent collaborative intervention-> overlapping with other team members
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how decide which interventions to use ?
- ANA:
- -evidence based nursing knowledge (EBP)
-according to QSEN Quality and Safety Education for Nurses
-single studies
-critical pathways and protocol for frequently conditions
evidence reports
clinical practice guidelines -> basis
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theory
- interrelated concepts/ ideas that explain someting
- influences perspective
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nursing interventions are
observation, assessment,prevention, tratment, health promotion
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process of generating/selecting intervention
- review nursing diagnosis
- review goal
- identify several actions dependent/indep.
- choose best intervention
- individualize intervention
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standard. language
NIC Nursing interventions classification
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nursing orders are
written instructions on nursing care plan-> intervention how and when
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components of nursing order
- date,
- subject (the nurse),
- action verb (e.g. teach)
- times and limits
- signature
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reflecting critically about nursing orders
- set of orders complete?
- each order technically complete?
- are orders complete, specific, and precise ?
- order individualized ?
- orders concise?
- which orders have priority?
-> holistic plan for client's needs
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