Chapter 1

🩺 Nursing Process

1. Assessment – Collect data (subjective + objective).
2. Analysis – Interpret data, identify patient problems.
3. Planning – Set goals and outcomes for care.
4. Nursing Interventions – Carry out the plan.
5. Evaluation – Check if goals were met and adjust if needed.

➡️ Patient problems are the basis for the care plan.

➡️ NAQC & ANA emphasize safe, patient-centered, high-quality care.

🧠 Clinical Judgment

👉 It’s the outcome of critical thinking + decision making in nursing.

Steps (Clinical Judgment Model):

1. Recognize cues – Gather info (subjective = what patient/family says; objective = what you observe).
2. Analyze cues & prioritize hypotheses – Decide what the problems are and which are most urgent.
3. Generate solutions – Create realistic, measurable, patient-centered goals (shared with patient + health team).
4. Take action – Do nursing interventions: teach, monitor, guide, consider side effects/diet/self-care.
5. Evaluate outcomes – Did it work? Were goals met? Document results.