1. Chapter 9
Implementation

2. Purposes of Implementation
Fulfilling of client’s needs
Delegation of tasks
Documentation of nursing interventions

3. Requirements for Effective Implementation
Cognitive skills
Intellectual
Psychomotor skills
Technical
Interpersonal skills

4. Implementation Activities
Ongoing assessment
Necessary to validate relevance of proposed interventions
Allows for adaptations to be made
Helps individualize care
(continued)

5. Implementation Activities
Establish priorities by asking:
Which problems are deemed most important by nurse, client, family, and significant others?
What activities have been previously scheduled by other departments?
What are available resources?
(continued)

6. Implementation Activities
Allocation of resources
Delegation of tasks
Types of nursing management systems:
Functional
Team
Primary
Total client care and modular nursing
Case management
(continued)

7. Implementation Activities
Nursing interventions
Actions performed by nurse that help client achieve results specified by goals and expected outcomes
Types:
Standing order
Protocol
Nursing Interventions Classification (NIC)

8. Nursing Intervention Activities
Assistance with ADLs
Therapeutic interventions
Monitoring and surveillance
Teaching
Discharge planning
Supervision and coordination of personnel

9. Evaluating Interventions
NIC links nursing activities to client outcomes
NOC measures client responses to nursing interventions

10. Documentation of Interventions
Legal record
Communication tool
Reimbursement data
(continued)

11. Documentation of Interventions
Verbal reports
Completed activities
Remaining activities
Status of current problems
Abnormalities or changes
Results of treatments
Scheduled tests or those completed with results