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  2. Omaha System - Wikipedia

    en.wikipedia.org/wiki/Omaha_System

    The Omaha System is also a tool that can be used as a strategy to introduce and incorporate evidence-based practice in the undergraduate nursing clinical experience. [12] Tools that can be utilized in the Omaha System include a comprehensive list of client health problems, nursing interventions, and an outcome rating scale assessing client ...

  3. Nursing assessment - Wikipedia

    en.wikipedia.org/wiki/Nursing_assessment

    Nursing assessment is the gathering of information about a patient's physiological, psychological, sociological, and spiritual status by a licensed Registered Nurse. Nursing assessment is the first step in the nursing process. A section of the nursing assessment may be delegated to certified nurses aides.

  4. Confusion Assessment Method - Wikipedia

    en.wikipedia.org/wiki/Confusion_Assessment_Method

    The Confusion Assessment Method (CAM) is a diagnostic tool developed to allow physicians and nurses to identify delirium in the healthcare setting. [1] It was designed to be brief (less than 5 minutes to perform) and based on criteria from the third edition-revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R) .

  5. Nursing documentation - Wikipedia

    en.wikipedia.org/wiki/Nursing_documentation

    The nursing documents may contain a number of assessment forms. In an assessment form, a licensed Registered Nurse records the client's information, such as physiological, psychological, sociological, and spiritual status (see Figure 2). The accuracy and completeness of nursing assessment determine the accuracy of care planning in the nursing ...

  6. Nursing process - Wikipedia

    en.wikipedia.org/wiki/Nursing_process

    BLW Nurse's Chatelaine or tool kit. [needs context] The nursing process is a modified scientific method which is a fundamental part of nursing practices in many countries around the world. [1] [2] [3] Nursing practise was first described as a four-stage nursing process by Ida Jean Orlando in 1958. [4]

  7. List of diagnostic classification and rating scales used in ...

    en.wikipedia.org/wiki/List_of_diagnostic...

    The following diagnostic systems and rating scales are used in psychiatry and clinical psychology. This list is by no means exhaustive or complete. This list is by no means exhaustive or complete. For instance, in the category of depression, there are over two dozen depression rating scales that have been developed in the past eighty years.

  8. Clinical Care Classification System - Wikipedia

    en.wikipedia.org/wiki/Clinical_Care...

    A nursing care component is defined as a cluster of elements that represents a unique pattern of clinical care nursing practice; namely, Health Behavioral, Functional, Physiological, and Psychological. Nursing Diagnoses: A clinical judgment about the healthcare consumer's response to actual or potential health conditions or needs.

  9. Evidence-based assessment - Wikipedia

    en.wikipedia.org/wiki/Evidence-based_assessment

    Evidence-based assessment is a component of the broader movement towards evidence-based practices. The concept of evidence-based assessment originated in the field of medicine , [ 3 ] and has since been adopted in several other disciplines, notably clinical psychology .