Provides comprehensive care to hospitalized and outpatient patients, ensuring their well-being and recovery. Includes specialized services such, as 24/7 telephone nursing for consultations and others. It is included in the clinical processes.
High level Description #
Subprocesses #
Assessment #
It involves a thorough and systematic collection of both subjective and objective data about the patient. This data encompasses physiological, psychological, sociocultural, spiritual, economic, and lifestyle factors. The goal is to understand the patient’s current health status and needs fully. This step sets the foundation for the entire nursing process.
Activities and estimated duration: #
Gather Data
This task represents the activity of collecting data necessary to conduct the assessment. Approximately 5-10 minutes per patient.
Diagnosis #
Based on the assessment data, nurses formulate nursing diagnosis. These diagnoses reflect the patient’s responses to actual or potential health conditions or needs. Nursing diagnoses are crucial for planning and implementing patient care. They help in identifying how a patient is responding to health issues or risks and guide the selection of interventions.
Activities and estimated duration: #
Formulate nursing diagnosis
To formulate a nursing diagnosis in response to certain patient events or conditions. This diagnosis can be crucial in determining the appropriate medical care and treatment plan. Approximately 30 minutes per patient.
Planning #
Nurses set measurable and achievable short- and long-term goals for the patient’s care. These goals are based on the assessment data and nursing diagnoses. The planning process involves determining the strategies and interventions required to achieve these goals. The care plan is documented, making it accessible to the entire healthcare team.
Activities and estimated duration: #
Set Goals for Patient’s Care
To establish clear and achievable goals for the patient’s care based on their medical condition and needs. Approximately 30-60 minutes per patient.
Set Strategies and Interventions Required
Determine the strategies and interventions necessary to achieve the established goals for the patient’s care. Approximately 1-2 hours per patient.
Document Plan
To formalize the planned strategies and interventions into a documented care plan for future reference and implementation. Approximately 30-60 minutes per patient.
Implementation #
The nursing care plan is put into action. This step may involve administering medications, providing education, performing procedures, or coordinating care with other healthcare professionals. Nurses must consider the patient’s preferences and developmental level when initiating interventions. The implementation phase is dynamic, requiring continuous reassessment and adjustment of the care plan as needed.
Activities and estimated duration: #
Nursing Care Plan into Action
Execute the nursing care plan developed in the previous stages. Approximately 30-120 minutes per patient.
Adjust?
Decides whether adjustments are required based on the outcome of the nursing care plan implementation. Instantaneous.
Modifications to the Care Plan
Make any necessary modifications to the care plan based on feedback or unexpected outcomes during implementation. Approximately 15-60 minutes per patient.
Evaluation #
The final step of the nursing process is evaluation. This involves assessing the patient’s response to the nursing interventions and determining whether the care plan’s goals have been achieved. Based on this evaluation, the care plan may be continued, modified, or terminated. Continuous evaluation ensures that the patient’s care remains relevant and effective over time.
Activities and estimated duration: #
Evaluate Patient’s Response
Evaluate the patient’s response to the care plan. Approximately 20-60 minutes per patient.
Goals Achieved?
Make a decision based on whether the goals of the care plan have been achieved. Approximately 15 minutes per patient.
End of Care Plan
Marks the end of the care plan if goals have been achieved. Approximately 15 minutes per patient.
Modification of Care Plan
Modify the care plan if goals have not been achieved. Approximately 30-60 minutes per patient.
Nursing Care Plan into Action
Implement the modified care plan. Approximately 30-60 minutes per patient.
Atributtes #
Staff #
Nurses: Responsible for gathering patient data, formulating nursing diagnoses, setting goals for patient care, planning required strategies and interventions, documenting the care plan, implementing the care plan, and evaluating patient response.
Other healthcare professionals: May be involved in patient assessment and care, depending on specific case needs.
Material #
- Forms for gathering patient data.
- Documentation for recording diagnoses, care plans, and patient responses.
- Medical equipment and supplies such as bandages, syringes, medications, intravenous solutions, etc.
Method #
- Patient data collection.
- Formulation of nursing diagnoses.
- Setting goals for patient care.
- Planning required strategies and interventions.
- Documentation of the care plan.
- Implementation of the care plan.
- Evaluation of patient response.
- Modification of the care plan as needed.
Machine #
- Medical equipment such as vital signs monitors, infusion pumps, defibrillators, etc., which may be necessary for patient care.
- Hospital information systems for recording and accessing patient information.
Usual Loops #
Downloads #
BPMN Graphs #
Download the collapsed BPMN diagram.
Download the expanded BPMN diagram.
Use Case #
In this use case, there is non-efficient nursing team (Hospital 1),along with no updated medical software (Hospital 2) and a larger number of hospital beds (Hospital 3) causing several larger times in planning activities and several other activities.
The recommended software is the Inverbis Healthcare platform.
Scientific sources #
Beerepoot, I., Lu, X., Van De Weerd, I., & Alexander Reijers, H. (2021). Seeing the signs of workarounds: a mixed-methods approach to the detection of nurses’ process deviations.
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