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The Nursing Process in Psychiatric Mental Health

The Nursing Process in Psychiatric Mental Health

  • The Nursing Process is a systematic framework for the delivery of nursing care that uses a problem-solving approach, goal-directed, with its objective being the delivery of quality client care, is dynamic, not static.
  • Standards of Practice for psychiatric nursing (ADOPIE)
    • Assessment: Information is gathered from which to establish a client database.
    • Diagnosis: Data from the assessment are analyzed. Diagnoses and potential problem statements are formulated and prioritized.
    • Outcome identification: Expected outcomes of care are identified. They must be measurable and estimate a time for attainment.
      • Nursing Outcomes Classification (N O C): A comprehensive, standardized classification of patient outcomes developed to evaluate the effects of nursing interventions.
    • Planning: Evidence-based interventions for achieving the outcome criteria are selected.
      • Nursing Interventions Classification (N I C): A comprehensive, standardized language describing treatments that nurses perform in all settings and in all specialties.
      • N I C interventions are based on research and reflect current clinical practice.
    • Implementation: Interventions selected during the planning stage are executed.
      • Specific interventions include
      • Coordination of care; health teaching and health promotion; consultation
      • Prescriptive authority and treatment; pharmacological, biological, and integrative therapies
      • Milieu therapy; therapeutic relationship and counseling; psychotherapy
    • Evaluation: Measures progress toward attainment of expected outcomes.