Implementation in Nursing Process – Fourth Component

            Implementation in Nursing Process is the fourth step in the nursing process, the implementing phase of the nursing process enable when the nurse put the treatment plan into action beside the performance of the nursing interventions identified during assessment and planed during the planning phase. 

       It also involves the assigning of the task to a licensed individual who is competent to perform that specific task of some nursing interventions with in the nursing team or assigning a specific nursing task to assistant (unlicensed) personnel capable of competently performing the task. This typically include medical staff conducting any needed medical interventions which should be specific to each patient and focus on achievable outcomes. The nurse is accountable for appropriate delegation and supervision of care provided by unlicensed personnel.

           Actions associated in a nursing care plan as monitoring of changes or improvement in patient’s problems, direct caring of patient or conducting important medical tasks, beside educating and guiding the patient about further health management, and also communicating the patient for a follow-up.

Requirements for Effective Implementation

           Implementation involves many skills, including assessing the client’s condition before, during, and after each nursing intervention.

Psychomotor, interpersonal, and cognitive skills are also needed to perform the planned nursing interventions.

Psychomotor skills: are used when handling medical equipment and performing skills such as changing dressings, giving injections, and helping a client perform range-of-motion (ROM) exercises.

Interpersonal skills: are used when collecting data, providing information in teaching sessions, and offering support in times of grief.

Cognitive skills: enable the nurse to make appropriate observations, understand the rationale for the activities performed, ask appropriate questions, and make decisions about those things that need to be done.

Critical thinking is an important element within the cognitive domain. It helps the nurse analyze data, organize observations, and apply prior knowledge and experiences to current client situations.

Process of Implementation

           Implementation is the course of action decided and planned according to the assessment and essentially required to recover the issues or problems of the patient. It is massively depend on situations although include the following process.

• Alignment - of planned goals to achieve initially short term than long term
• Reassessing the Patient
• Reviewing - the Existing Nursing Care Plan
• Organizing - Resources for Care Delivery
• Prevention - for Complications
• Identifying - Areas of Assistance required.
• Skills - Implementation for decided intervention

Process of Implementation in Nursing Process

            Implementation in Nursing Process consist of the mentioned seven steps of implementation which may repeat and per specific requirement.

Orders for Nursing Interventions

           Nursing interventions are written as orders in the care plan and may be initiated by nurses or physicians or from collaboration with other health care professionals. Interventions can be implemented on the basis of specific orders, standing orders, or protocols.

Documenting and Reporting Interventions

           The implementation step also involves documentation and reporting. Data to be recorded include the client’s condition before the intervention, the specific intervention performed, the client’s response to the intervention, and client outcomes.

Information that should be shared in the verbal report includes:

• Completed activities and those not completed
• Status of current relevant problems
• Assessment changes or abnormalities
• Results of treatments
• Diagnostic tests scheduled or completed (and results)

Implementation in Nursing Process – Fourth Component | POST RN BSN NURSING RESOURCE