Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 10 Evaluation

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Chapter 10

Evaluation

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Evaluation of Client Care

• Helps determine whether client experiencing improvement

• Ongoing process to ensure quality interventions

• Leads to modification of nursing care plan when needed

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Components of Evaluation

• Techniques– Communication and observation skills

• Sources of data– Subjective and objective

• Goals and expected outcomes– Measurements of client’s progress or lack thereof

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Methods of Evaluation

• Judging value of nursing interventions

• Reassessing client’s status

• Modifying plan of care

• Thinking critically and evaluating

• Establishing standards

• Collecting data

(continued)

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Methods of Evaluation

• Determining goal achievement

• Relating nursing actions to client status

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Evaluation and Quality of Care

• Appropriateness of care

• Clinical outcomes

• Client satisfaction

• Cost-effectiveness

• Access to care

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Elements in Evaluating the Quality of Care

• Structure evaluation

• Process evaluation

• Outcome evaluation

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Nursing Audit

• Examines data related to:– Safety measures

– Treatment interventions and client responses

– Pre-established outcomes used as basis for interventions

– Client teaching

– Discharge planning

– Adequacy of staffing patterns

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Peer Evaluation

• Peer review that addresses specific behavior of nurse being evaluated

• Verbal or written

• Formal or informal

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Evaluation and Accountability

• Evaluation enhances nursing accountability by providing mechanism for assisting nurse to define, explain, and measure results of nursing actions

(continued)

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Evaluation and Accountability

• Nurses accountable to:– Clients

• Including their families and significant others

– Colleagues

– Employers

– Society

– Nursing profession

– Themselves

(continued)

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Evaluation and Accountability

• Nurses demonstrate commitment by:– Maintaining expertise in skills

– Participating in continuing education programs

– Achieving and maintaining certification

– Participating in peer evaluation

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Multidisciplinary Collaboration in Evaluation

• Shared responsibility for evaluation

• Decreased fragmentation of care

• Promotion of continuum of care for client