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HISTORY OF

THE NURSING

PROCESS

Dexter C. Corrales, RN, RM

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ASPIRE approach (2009)

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NURSING PROCESS

the cornerstone of the

a process by which nurses deliver care to

patients, supported by nursing models orphilosophies nursing profession

an adapted form of problem solving and isclassified as a deductive theory

is a patient centred and goal oriented methodof caring

It involves five major steps of ADPIE

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HISTORY

In 1955, Hall originated the term (care, cure,core) and developed the 3 steps: noteobservation, ministration, validation

In 1959, Johnson concluded Nursing seen asfostering the behavioural functioning of theclient.

1961, Orlando identified 3 steps: clientsbehaviour, nurses reaction, nurses action.Nursing process set into motion by clientsbehaviour

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HISTORY

In 1963, Weidenbach were among the first touse it to refer to a series of phases describingthe process.

In 1967, Wiche ) defined Nursing as aninteractive process between client andnurse. 4 steps: Perception, Communication,

Interpretation, Evaluation.

In 1967, Yura and Walsh suggested the 4components APIE.

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HISTORY

In 1967, Knowles described nursing process as:discover, delve, decide, do, discriminate.

In 1973, ANA published standards of nursing

practice. Diagnosis distinguished as separatestep of nursing process . In 1980, published Nursing a Social Policy Statement.

Diagnosis of actual and potential health problemsdelineated as integral part of nursing practice

In 1991, published Standard of Clinical NursingPractice. Outcome identification differentiated as adistinct step of the nursing process. Therefore, the sixsteps of the nursing process are as follows:A.D.OI.P.I.E.

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What is a Process?

It is a series of planned actions or operationsdirected towards a particular result or goal.

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What is a Nursing Process?

It is a systematic, rational method of planningand providing individualized nursing care

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The Nursing Process

Is the underlying scheme that provides order anddirection to nursing care.

It is the essence of professional nursing practice.

It has been conceptualized as a systematic seriesof independent nursing actions directed towardpromoting an optimum level of wellness for theclient.

It is cyclical; the components follow a logicalsequence, but more than one component maybe involved at any one time.

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Purposes of Nursing Process

To identify a clients health status, actual orpotential health care problems or needs, toestablish plans to meet the identified needs,

and to deliver specific nursing interventionsto meet those needs.

It helps nurses in arriving at decisions and inpredicting and evaluating consequences.

It was developed as a specific method forapplying a scientific approach or a problemsolving approach to nursing practice.

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PHASES OF THE NURSING

PROCESS Assessment

Diagnosis

Outcome Identification

Planning

Implementation

Evaluation

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Thank You!