evaluate outcomes/ evaluation chapter 20

clinical judgement and critical thinking in evaluation

- Examine the results of care according to clinical data collected. - Compare achieved effects or outcomes with expected outcomes. - Recognize errors or omissions. - Understand a patient situation, reflect on the situation, and correct errors.

elements of evaluation

- knowledge: what you know from education and learning - experience: personal and clinical involvement - standards and attitudes for evaluation: how to treat patients with respect and provide patient-centered care - environment: resources!!!

collaborate and evaluate effectiveness of interventions

- patient-centered care is achieved only when a patient and family are actively involved in the evaluation process. - collaborate closely with all members of the health care team during evaluation. - evaluate whether the patient reached the level of wellness or recovery that the health care team and patient established in the outcomes of the care plan.

evaluation of health care

- preventable adverse outcomes - as a practicing nurse you will implement clinical guidelines, care bundles, and other evidence-based interventions to prevent these outcomes. - all patient care units regularly evaluate their progress in reducing these preventable outcomes and implement ongoing quality improvement efforts.

the evaluation process

1. examine results (evaluative measures, classify nursing outcomes, compare achieved effects with outcomes, interpret & summarize findings) 2.recognize errors or unmet outcomes 3. correct error 4. revising the care plan (discontinuing, redefining, and revising)

symptoms reflecting restlessness

A patient appears restless, turning frequently and moaning in the postoperative care unit. Their blood pressure is stable and heart rate has increased (92 beats/min compared with preoperative rate of 72 beats/min). The health care provider prescribed an analgesic for pain, but the nurse has not administered the medication. Which finding would the nurse associate with the assertion that interventions are not effective?

holistic, systematic, and criterion based

The American Nurses Association (ANA) links the evaluation standard of professional nursing practice to which related competencies?

conduct a patient interview to determine the patient's perspective related to care

When providing care for a patient whose goal is to lose weight, which evaluative measure would the nurse utilize to evaluate the patient's expectations of care?

determine effectiveness of interventions

Which activity occurs during step 6 of the Clinical Judgment Measurement Model (CJMM)?

review evaluative measures, determine if goals were met, and decide next action

Which statements describe the process utilized by nurses to evaluate patient outcomes?

documentation

if you did not document it, it did not happen! - it is crucial to share information about a patient's progress and current status with the health care team. - describe the interventions, the evaluative measures used, the outcomes achieved, and the continued plan of care.