Example of Nursing Outcome for Involving Patient and Family the the Plan of Care
iv.five Upshot Identification
Open up Resource for Nursing (Open RN)
Effect Identification is the third footstep of the nursing process (and the third Standard of Practise ready by the American Nurses Clan). This standard is divers as, "The registered nurse identifies expected outcomes for a plan individualized to the health intendance consumer or the situation." The RN collaborates with the health intendance consumer, interprofessional team, and others to place expected outcomes integrating the health care consumer'south civilisation, values, and ethical considerations. Expected outcomes are documented equally measurable goals with a time frame for attainment. [1]
An is a "measurable behavior demonstrated by the patient responsive to nursing interventions." [2] Outcomes should be identified before nursing interventions are planned. Subsequently nursing interventions are implemented, the nurse will evaluate if the outcomes were met in the fourth dimension frame indicated for that patient.
Result identification includes setting short- and long-term goals and then creating specific expected outcome statements for each nursing diagnosis.
Short-Term and Long-Term Goals
Nursing care should always be individualized and patient-centered. No 2 people are the same, and neither should nursing care plans be the same for ii people. Goals and outcomes should be tailored specifically to each patient's needs, values, and cultural beliefs. Patients and family unit members should be included in the goal-setting process when viable. Involving patients and family unit members promotes awareness of identified needs, ensures realistic goals, and motivates their participation in the treatment plan to accomplish the mutually agreed upon goals and live life to the fullest with their electric current condition.
The nursing care plan is a road map used to guide patient care and then that all health intendance providers are moving toward the aforementioned patient goals. are broad statements of purpose that describe the overall aim of intendance. Goals tin can be short- or long-term. The time frame for short- and long-term goals is dependent on the setting in which the intendance is provided. For instance, in a critical intendance area, a short-term goal might be set to be accomplished within an 8-hour nursing shift, and a long-term goal might be in 24 hours. In dissimilarity, in an outpatient setting, a short-term goal might be gear up to exist achieved within one month and a long-term goal might be within vi months.
A nursing goal is the overall management in which the patient must progress to amend the problem/nursing diagnosis and is oft the opposite of the problem.
Example. Refer to Scenario C in the "Assessment" section of this chapter. Ms. J. had a priority nursing diagnosis of Fluid Volume Excess. A broad goal would be, "Ms. J. will attain a country of fluid remainder."
Expected Outcomes
Goals are broad, general statements, simply outcomes are specific and measurable. are statements of measurable action for the patient inside a specific fourth dimension frame that are responsive to nursing interventions. Nurses may create expected outcomes independently or refer to classification systems for aid. Just as NANDA-I creates and revises standardized nursing diagnoses, a similar classification and standardization process exists for expected nursing outcomes. The Nursing Outcomes Classification (NOC) is a list of over 330 nursing outcomes designed to coordinate with established NANDA-I diagnoses. [iii]
Patient-Centered
Event statements are always patient-centered. They should be developed in collaboration with the patient and individualized to meet a patient'south unique needs, values, and cultural behavior. They should commencement with the phrase "The patient will…" Outcome statements should be directed at resolving the defining characteristics for that nursing diagnosis. Additionally, the outcome must exist something the patient is willing to cooperate in achieving.
Outcome statements should contain five components easily remembered using the "SMART" mnemonic: [four]
- Due south pecific
- 1000 easurable
- A ttainable/Activeness oriented
- R elevant/Realistic
- T imeframe
See Effigy 4.9 [5] for an image of the SMART components of event statements. Each of these components is farther described in the following subsections.
Specific
Issue statements should state precisely what is to be accomplished. See the following examples:
- Not specific: "The patient will increase the amount of exercise."
- Specific: "The patient will participate in a bicycling exercise session daily for 30 minutes."
Additionally, merely one action should be included in each expected result. See the following examples:
- "The patient will walk fifty feet three times a day with standby assist of one and will shower in the morning until belch" is actually 2 goals written equally one. The outcome of ambulation should be carve up from showering for precise evaluation. For instance, the patient could shower only non ambulate, which would make this result statement very difficult to effectively evaluate.
- Suggested revision is to create two outcomes statements then each can be measured: The patient will walk 50 feet iii times a solar day with standby aid of one until belch. The patient will shower every morning until belch.
Measurable
Measurable outcomes have numeric parameters or other physical methods of judging whether the outcome was met. It is important to employ objective data to measure out outcomes. If terms like "adequate" or "normal" are used in an outcome statement, it is difficult to determine whether the outcome is attained. Refer to Effigy four.10 [6] for examples of verbs that are measurable and non measurable in result statements.
Come across the following examples:
- Non measurable: "The patient will drink adequate fluid amounts every shift."
- Measurable: "The patient will drink 24 ounces of fluids during every day shift (0600-1400)."
Action-Oriented and Attainable
Consequence statements should exist written then that there is a articulate activeness to be taken past the patient or pregnant others. This means that the upshot statement should include a verb. Refer to Effigy 4.11 [7] for examples of action verbs.
See the following examples:
- Non action-oriented: "The patient will become increased physical activity."
- Activity-oriented: "The patient will listing 3 types of aerobic action that he would enjoy completing every week."
Realistic and Relevant
Realistic outcomes consider the patient's concrete and mental status; their cultural and spiritual values, beliefs, and preferences; and their socioeconomic status in terms of their ability to attain these outcomes. Consideration should be too given to disease processes and the effects of conditions such equally pain and decreased mobility on the patient'due south ability to achieve expected outcomes. Other barriers to issue attainment may be related to health literacy or lack of bachelor resources. Outcomes should always be reevaluated and revised for attainability as needed. If an outcome is non attained, it is ordinarily considering the original time frame was too ambitious or the outcome was not realistic for the patient.
See the following examples:
- Non realistic: "The patient will jog one mile every day when starting the exercise plan."
- Realistic: "The patient will walk ½ mile three times a week for two weeks."
Time Express
Upshot statements should include a time frame for evaluation. The time frame depends on the intervention and the patient'south current condition. Some outcomes may need to exist evaluated every shift, whereas other outcomes may exist evaluated daily, weekly, or monthly. During the evaluation phase of the nursing process, the outcomes will exist assessed according to the time frame specified for evaluation. If it has non been met, the nursing intendance plan should be revised.
See the post-obit examples:
- Not time limited: "The patient volition terminate smoking cigarettes."
- Time limited: "The patient volition complete the smoking cessation programme by Dec 12, 2021."
Putting It Together
In Scenario C in Box iv.3, Ms. J.'due south priority nursing diagnosis statement was Fluid Book Excess related to excess fluid intake equally manifested past bilateral basilar crackles in the lungs, bilateral 2+ pitting edema of the ankles and anxiety, an increment weight of ten pounds, and the patient reports, "My ankles are then bloated." An example of an expected outcome coming together SMART criteria for Ms. J. is, "The patient will have articulate bilateral lung sounds inside the next 24 hours."
Example of Nursing Outcome for Involving Patient and Family the the Plan of Care
Source: https://wtcs.pressbooks.pub/nursingfundamentals/chapter/4-5-outcome-identification/
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