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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
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
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)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Methods of Evaluation
• Determining goal achievement
• Relating nursing actions to client status
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Evaluation and Quality of Care
• Appropriateness of care
• Clinical outcomes
• Client satisfaction
• Cost-effectiveness
• Access to care
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Elements in Evaluating the Quality of Care
• Structure evaluation
• Process evaluation
• Outcome evaluation
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
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
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Peer Evaluation
• Peer review that addresses specific behavior of nurse being evaluated
• Verbal or written
• Formal or informal
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Evaluation and Accountability
• Evaluation enhances nursing accountability by providing mechanism for assisting nurse to define, explain, and measure results of nursing actions
(continued)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Evaluation and Accountability
• Nurses accountable to:– Clients
• Including their families and significant others
– Colleagues
– Employers
– Society
– Nursing profession
– Themselves
(continued)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Evaluation and Accountability
• Nurses demonstrate commitment by:– Maintaining expertise in skills
– Participating in continuing education programs
– Achieving and maintaining certification
– Participating in peer evaluation
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Multidisciplinary Collaboration in Evaluation
• Shared responsibility for evaluation
• Decreased fragmentation of care
• Promotion of continuum of care for client
