1. Mosby items and derived items © 2005 by Mosby, Inc. Chapter 18 Implementing Nursing Care

2. Mosby items and derived items © 2005 by Mosby, Inc. Implementation Types of nursing interventions –Direct and indirect –Protocols and standing orders

3. Mosby items and derived items © 2005 by Mosby, Inc. Nursing Interventions Critical thinking and selection of nursing interventions –Nursing diagnosis –Expected outcomes –Evidence based –Feasibility –Acceptability –Nurse competencies

4. Mosby items and derived items © 2005 by Mosby, Inc. Implementation Process Reassessing the client Reviewing and revising the existing care plan

5. Mosby items and derived items © 2005 by Mosby, Inc. Implementation Process (cont'd) Organizing resources and care delivery –Equipment –Personnel –Environment –Client –Anticipating and preventing complications –Identifying areas of assistance

6. Mosby items and derived items © 2005 by Mosby, Inc. Implementation Skills Cognitive skills Interpersonal skills Psychomotor skills

7. Mosby items and derived items © 2005 by Mosby, Inc. Direct Care Measures Activities of daily living (ADLs) Instrumental activities of daily living Physical care techniques Counseling Teaching Controlling for adverse reactions Preventive measures

8. Mosby items and derived items © 2005 by Mosby, Inc. Indirect Care Measures Communicating nursing interventions Delegating, supervising, and evaluating the work of other staff members