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IMPLEMENTATION

Group 4
Definition of Nursing Implementation
Implementation is the fourth step of the nursing
procces, formally begins after the nurse develops a
plan of care. With a care plane based on clear and
relevant nursing diagnoses, the nurse initiates
interventions that are most likely to achieve the goals
and expected outcomes needed to support or improve
the client’s health status.
Before implementing any intervention, use
critical thinking to determine whether an
intervention is correct and appropriate for a
clinical situation.
Here are some tips to consider when making
desicions about implementations:
Review the set of all possible nursing interventions for
the client’s problem.

Review all possible consequences associated with each


possible nursing action.

Determine the probability of all possible consequences.

Make a judgement of the value of that consequences to


the client’s.
Implementation skills

Nursing practice includes cognitive, interpersonal, and


psychomotor skills. You need each type of skill to
implement direct and indirect nursing interventions.
You are responsible for knowing when one type of
implementation skill is preferred over another and for
having the necessary knowledge and skill to perform
each.
• Cognitive skills
Cognitive skills involve the application of
critical thingking in the nursing process. To
perform any intervention, always use good
judgment and make sound clinical decisions
• Interpersonel skills
interpersonel skills are essential for effective
nursing action. The nurse develops a trusting
relationship, expresses a level of caring, and
communicates clearly with the client and
family
• Psychomotor Skills
Psychomotor skills require the
integration of cognitive and motor
activities. For example, when giving
an injection you need to understand
anatomy and pharmacology (cognitif)
and use good coordination and
precision to administer the injection
correctly ( motor). With time and
practice you will to perform skills
correctly, smoothly, and confidently.
Implementation process
Preparation for implementation ensures
efficient, safe, and effective nursing care. Five
preparatoriy Activitiyes include reassessing
the client, reviewing and revising the existing
nursing care plan, Organizing resources and
care delivery, anticipating and preventing
complication, and implementing Nursing
interventions .
• Resseasing the client
Assessment is a continuous process that accurs
each time you interact with a client. When you
collect new data and identify a new client need,
you modify the plan. You also modify a plan
,When you resolve a client’s healt care need.
During the initial phase of implementation,
Reassess the clien. This is a partial assessment
and sometimes focuses on one dimension Of the
client, such as level of comport, or on one
system, such as the cardiovascular system.
• Reviewing and Revising the existing nursing
care plan
Review and modification enable you to
provide timely nursing intervation to best
meet. The client’s needs. Modification of the
existing written care plain includes four
stapes:
Reviase data in the assessment column to
reflect the client’s current status.
Reviase the nursing diagnoses
Revies specific intervation that correspond to
the new nursing diagnoses and goals.
Determine the method of evaluation for
determining if you achieved outcomes.
• Organizing resources and care
delivery
A facility’s recouses include
equipment and skiled personnel.
Prepation for care delivery also.
Involves preparing the environment
and client for nursing intervation.
 Equipment
 Personel
 Environment
 Client
• Anticipating and preventing complications
Riks to clients come from both illiness and ireatment.
As the nurs, be alert for and recognize these risks,
adapt your choice of interventions to the situation,
evaluate the relative benefit of the treatment versus
the risk, and finally initiate risk prevention measure.
Many conditions place the client at risk for
complications. For example, the client with
preexisting left-sided paralysis following a stroke 2
yeart carlier is at risk for developing a pressure ulcer
following orthopedic surgery because it requires
traction and bed rest.
• Identifying areas of assistance.

Certain nursing situations require you to obtain
assistance by seeking additional personel, knowledge
and/or nursing skills. Before beginning care, teview
the plant to determine the neet for assistance and the
type required.Sometimes you will need assistance in
the performing a procedure, comfotting a client, ot
preparing the client for a doagnonostic test, for
example, wen you care for an overweight,
immobilized client, you will require additional
personnel to help turn and position the client safely.

CONCLUSION
Implementation is management dan
embodiment of nursing planning which has
been arranged in planning stages. Size of
implementation of nursing that given to client
associated with support, treantment, the
action to improve conditions, education for
family-client, or action for prevention of
health problem which appears later. For
successful of implementation of nursing to fit
with the planning of nursing.
Thanks!

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