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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.
An article's assessment is generated from the parameters in the {} project banner on the article's talk page. Articles for which a valid class is not provided are listed in Category:Unassessed Nursing articles .
The accuracy of the nursing diagnosis is validated when a nurse is able to clearly identify and link to the defining characteristics, related factors and/or risk factors found within the patients assessment. Multiple nursing diagnoses may be made for one client.
The GRADE approach separates recommendations following from an evaluation of the evidence as strong or weak. A recommendation to use, or not use an option (e.g. an intervention), should be based on the trade-offs between desirable consequences of following a recommendation on the one hand, and undesirable consequences on the other.
Nursing care plans provide continuity of care, safety, quality care and compliance. A nursing care plan promotes documentation and is used for reimbursement purposes such as Medicare and Medicaid . The therapeutic nursing plan is a tool and a legal document that contains priority problems or needs specific to the patient and the nursing ...
Quality tools include: [1] Medical guidelines, including checklists [2] (items rated as yes/no/not applicable) Templates [3] for goal setting or structured communication (a more open format than checklists, templates provide the opportunity to add free text responses with items as prompts)
The greatest single distinguishing feature of team nursing is the team conference. In general, there are three parts to the conference; Report by each team member on his or her patients. Planning for new patients and changing plans as needed for others. Planning the next day’s assessment.
Health care quality is the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes. [2] Quality of care plays an important role in describing the iron triangle of health care relationships between quality, cost, and accessibility of health care within a community. [3]