Overview of the Nursing Process

You're watching a preview. 300,000+ students are watching the full lesson.
Jon Haws
BS, BSN,RN,CCRN Alumnus
Master
To Master a topic you must score > 80% on the lesson quiz.
Take Quiz

Included In This Lesson

Study Tools For Overview of the Nursing Process

Nursing Process (Cheatsheet)
Steps in the Nursing Process 1 (Mnemonic)
Steps in the Nursing Process 2 (Mnemonic)
Steps In The Nursing Process 3 (Mnemonic)
The Nursing Process (Picmonic)
NURSING.com students have a 99.25% NCLEX pass rate.

Outline

Overview

  1. Nursing  Process Overview
    1. Way to provide care
    2. ADPIE
    3. Prioritization
    4. Critical Thinking
    5. Nursing Process – “Thinking Like a Nurse”

Nursing Points

 

General

  1. Way to Provide Care
    1. Modified Scientific Theory
    2. Method to consistently provide care
  2. ADPIE
    1. Assessment
    2. Diagnosis
    3. Plan
    4. Implementation
    5. Evaluation
  3. Prioritization
    1. Gather data quickly to determine needs for a patient or patients
  4. Critical Thinking
    1. Recognizing problems
    2. Gathering information
    3. Evaluate possible solutions
    4. Implement with best possible outcomes in mind
  5. Nursing Process
    1. “Thinking Like A Nurse”
    2. Culmination of ADPIE, Prioritization and Critical Thinking
    3. Cyclical

Nursing Concepts

  1. Professionalism
  2. Clinical Judgment

Unlock the Complete Study System

Used by 300,000+ nursing students. 99.25% NCLEX pass rate.

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

Transcript

This lesson is gonna be a quick overview of the nursing process. We’re gonna do a lesson on each element of the nursing process, but this one’s just really kind of a quick overview to give you an idea of what is going on.

So the nursing process is a way to provide care for our patients, and really a good way to think of it is kind of a modified scientific method. We all remember the scientific method from back in elementary school and stuff. The nursing process is really kind of a modified scientific method. It’s really kind of a method to consistently and uniformly provide care to our patients. No matter how many patients you have, no matter how many shifts you work, no matter where you work, this is a way that we can provide care to our patients that’s uniform and consistent.

So what is the nursing process. Now again, you might see AAPIE or APIE, but we’re gonna talk about ADPIE. ADPIE, just pretend like you gotta a big piece of pie, and we want to add pie to it, okay? So the first part is access. With access what we’re doing here is we’re collecting data, alright. We’re collecting objective and subjective data. Remember, we’re gonna talk about each element of the nursing process in individual lessons, so make sure you check out those lessons, but with accessing, we’re collecting data. This is our time to look at everything to find all the information that we can. We’re like little detectives right here. We’re looking for a objective and subjective data.

During the diagnosis phase, realize this is not a medical diagnosis. We’re not giving a diagnosis of meningitis or something like that. This is not a medical diagnosis. Basically, this is what we suspect is going on with the patient, and in this phase, we’re also anticipating what care might be given to the patient. Then during the planning phase, this is what you plan to do for you patient. What will you do? What are you gonna do?

You’ve collected all your data. You’ve said what you think is gonna happen. So what are you gonna do for the patient? Then during the implementation phase, you do it. You’ve got your plan altogether, now in implementation, you do it. Go do something. Then during the evaluation phase, does it work? Did you get all the data you needed? Did you make the right diagnosis here? Was your plan accurate? And did you do the right thing?

Now this is a cyclical process. Then you go back up here to access again. Diagnose, plan, then evaluate. Did it work? Then you back and do it again. Alright. This is something that’s going to happen over and over again. We also talk about this in our test taking course. I would recommend you go in there and watch those videos because we talk about how to answer questions on the nursing process, but here we’re gonna talk about how to use it in your practice as a nurse.

So then we gotta prioritize. With prioritization in nursing, we’re really trying to gather data as quickly as we can. Get as much data as we can as quickly as possible. We’re trying to determine the needs of our patients. Now there’s two different pieces with this. We want to determine the needs of individual patients. So what are the needs of my patient in room 301? What are their needs? Okay, and then we can use Maslow’s hierarchy of needs. And we can say here’s their needs. They got two physiological needs. They got one safety need, and we start to focus and prioritize our focus and care that way.

Then we also look at the needs between our multiple patients. So if I have five patients, and in bed one, they got a safety need. Alright. So bed one’s got a safety need. The bed three has a physiological need. Their airway is compromised. So I’m looking at my needs with my individual patient, them alone, but then I’m looking at my needs with all of my patients. I really recommend you go check out the prioritization lesson in the fundamentals course. I think that will help you dive in a little bit more there. We go into that a bit more.

So critical thinking. What is critical thinking? And again, we have a whole lesson on critical thinking in module five of fundamentals. So make sure you check out the critical thinking lesson, but I’m gonna give you a quick overview of critical thinking. With critical thinking, we’re recognizing problems as quickly as possible. We’re gathering all of our information as efficiently as we can. We evaluate all possible outcomes, and all possible solutions. So outcomes and solutions.

And then we implement care with the best possible outcomes in mind. Once we recognize the problem, we gather information. We evaluate possible solutions. We implement with the best possible outcomes in mind. Again, make sure you check out the lesson on critical thinking.

Now a big part of the nursing process is learning to think like a nurse. The nursing process in totality is thinking like a nurse, realizing this is a complex process, and that it’s very cyclical. Alright. We have a whole lesson here on thinking like a nurse. I’d really check that out where we really go into what you should kind of see when you walk into a patient’s room. What your day should look like. How you should understand the process of being a nurse and working as a nurse.

So this is a complex process. ADPIE is the framework to thinking. Access, diagnose, plan, implement, evaluate. We’ll go over each of these pieces individually, and then you gotta prioritize your care. And you have to think very critically. Always remember that this is a very cyclical process. As you work through this process, you’re gonna go back around and start over. It doesn’t end. You don’t go in, do the nursing process, and then you’re done with your shift. It continues to repeat. It’s a cyclical process, and it’s very fluid as you’re going.

So some nursing concepts to think about here are professionalism. This is part of our professional work, and then clinical judgment. This is a way we can think and judge in a clinical setting.
So key points are gather data, make sure you’re gathering all the data you can, make sure you’re gathering as quickly as you can, you’ll quickly gather data through ADPIE, access, diagnose, plan, implement, and evaluate. Realize this is a multilayer process. You got your nursing process. You got critical thinking, and then you’re trying to think like a nurse and realizing this is cyclical. This is something that’s going to continue to repeat.

It’s a developed process with time. Realize that critical thinking doesn’t have to happen today. As you begin to work on the floor, as you begin to have experience with different patients, critical thinking will develop as you go, and as you use these frameworks. And then realize that this is all part of thinking like a nurse. The culmination of all these different things, so the ADPIE of critical thinking, really play into thinking like a nurse. Don’t be too hard on yourselves. Realize this is something that will grow with you, and that you’ll grow into. And these are frameworks to help you develop those skills.

Alright, guys. I hope that helps. I hope that kind of gives you a quick overview. Again, we’re gonna dive into each of these individually, but make sure you check out all the resources, all the other lessons that will help you get each of these topics in more depth. Alright. Now go out and be your best selves today. Happy nursing.

Study Faster with Full Video Transcripts

99.25% NCLEX Pass Rate vs 88.8% National Average

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

Study Plan for Study Skills, Test Taking for the NCLEX® Using Med-Surg (Lewis 10th ed.) designed for Westmoreland County Community College

Concepts Covered:

  • Concepts of Population Health
  • Factors Influencing Community Health
  • Community Health Overview
  • Substance Abuse Disorders
  • Upper GI Disorders
  • Renal Disorders
  • Newborn Care
  • Integumentary Disorders
  • Tissues and Glands
  • Central Nervous System Disorders – Brain
  • Digestive System
  • Urinary Disorders
  • Urinary System
  • Musculoskeletal Trauma
  • Concepts of Mental Health
  • Health & Stress
  • Developmental Theories
  • Fundamentals of Emergency Nursing
  • Communication
  • Basics of NCLEX
  • Test Taking Strategies
  • Prioritization
  • Delegation
  • Emotions and Motivation
  • Integumentary Disorders
  • Legal and Ethical Issues
  • Basic
  • Preoperative Nursing
  • Labor and Delivery
  • Fetal Development
  • Newborn Complications
  • Postpartum Complications
  • Postpartum Care
  • Labor Complications
  • Pregnancy Risks
  • Prenatal Concepts
  • Circulatory System
  • Cardiac Disorders
  • Emergency Care of the Cardiac Patient
  • Vascular Disorders
  • Shock
  • Postoperative Nursing
  • Intraoperative Nursing
  • Oncology Disorders
  • Neurological Emergencies
  • Respiratory Disorders
  • Female Reproductive Disorders
  • Acute & Chronic Renal Disorders
  • Liver & Gallbladder Disorders
  • Lower GI Disorders
  • Disorders of Pancreas
  • Disorders of the Thyroid & Parathyroid Glands
  • Disorders of the Adrenal Gland
  • Disorders of the Posterior Pituitary Gland
  • Immunological Disorders
  • Hematologic Disorders
  • EENT Disorders
  • Integumentary Important Points
  • Musculoskeletal Disorders
  • Emergency Care of the Neurological Patient
  • Peripheral Nervous System Disorders
  • Central Nervous System Disorders – Spinal Cord
  • Neurologic and Cognitive Disorders
  • Eating Disorders
  • Noninfectious Respiratory Disorder
  • Respiratory Emergencies
  • Infectious Respiratory Disorder
  • Psychological Emergencies
  • Trauma-Stress Disorders
  • Personality Disorders
  • Cognitive Disorders
  • Bipolar Disorders
  • Depressive Disorders
  • Psychotic Disorders
  • Anxiety Disorders
  • Somatoform Disorders
  • Infectious Disease Disorders
  • Musculoskeletal Disorders
  • Renal and Urinary Disorders
  • Cardiovascular Disorders
  • EENT Disorders
  • Gastrointestinal Disorders
  • Hematologic Disorders
  • Oncologic Disorders
  • Endocrine and Metabolic Disorders
  • Childhood Growth and Development
  • Adulthood Growth and Development
  • Medication Administration
  • Nervous System
  • Dosage Calculations
  • Learning Pharmacology
  • Prefixes
  • Suffixes

Study Plan Lessons

Communicable Diseases
Disasters & Bioterrorism
Cultural Care
Environmental Health
Technology & Informatics
Epidemiology
Health Promotion & Disease Prevention
Head to Toe Nursing Assessment (Physical Exam)
Enteral & Parenteral Nutrition (Diet, TPN)
Specialty Diets (Nutrition)
Blood Glucose Monitoring
Intake and Output (I&O)
Hygiene
Pain and Nonpharmacological Comfort Measures
Bowel Elimination
Urinary Elimination
Complications of Immobility
Patient Positioning
Defense Mechanisms
Overview of Developmental Theories
Abuse
Therapeutic Communication
Overview of the Nursing Process
Triage
Prioritization
Delegation
Maslow’s Hierarchy of Needs in Nursing
Isolation Precaution Types (PPE)
Fall and Injury Prevention
Fire and Electrical Safety
Brief CPR (Cardiopulmonary Resuscitation) Overview
HIPAA
Advance Directives
Legal Considerations
Process of Labor
Fetal Circulation
Fetal Environment
Newborn of HIV+ Mother
Hyperbilirubinemia (Jaundice)
Transient Tachypnea of Newborn
Meconium Aspiration
Babies by Term
Newborn Reflexes
Body System Assessments
Newborn Physical Exam
Postpartum Hemorrhage (PPH)
Mastitis
Initial Care of the Newborn (APGAR)
Breastfeeding
Postpartum Discomforts
Postpartum Physiological Maternal Changes
Dystocia
Precipitous Labor
Preterm Labor
Abruptio Placentae (Placental abruption)
Placenta Previa
Prolapsed Umbilical Cord
Fetal Heart Monitoring (FHM)
Leopold Maneuvers
Mechanisms of Labor
Fetal Development
Infections in Pregnancy
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Gestational HTN (Hypertension)
Hydatidiform Mole (Molar pregnancy)
Ectopic Pregnancy
Disseminated Intravascular Coagulation (DIC)
Gestational Diabetes (GDM)
Nutrition in Pregnancy
Chorioamnionitis
Antepartum Testing
Discomforts of Pregnancy
Physiological Changes
Maternal Risk Factors
Fundal Height Assessment for Nurses
Gravidity and Parity (G&Ps, GTPAL)
Gestation & Nägele’s Rule: Estimating Due Dates
Family Planning & Contraception
Menstrual Cycle
Hemodynamics
Normal Sinus Rhythm
Performing Cardiac (Heart) Monitoring
Preload and Afterload
Sinus Bradycardia
Sinus Tachycardia
Atrial Fibrillation (A Fib)
Premature Ventricular Contraction (PVC)
Ventricular Tachycardia (V-tach)
Ventricular Fibrillation (V Fib)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology of Angina
Pacemakers
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Distributive Shock
Discharge (DC) Teaching After Surgery
Postoperative (Postop) Complications
Post-Anesthesia Recovery
Malignant Hyperthermia
Moderate Sedation
Local Anesthesia
Preoperative (Preop)Assessment
General Anesthesia
Preoperative (Preop) Nursing Priorities
Preoperative (Preop) Education
Informed Consent
Biopsy
Ultrasound
Echocardiogram (Cardiac Echo)
Cardiovascular Angiography
Cerebral Angiography
Magnetic Resonance Imaging (MRI)
X-Ray (Xray)
Computed Tomography (CT)
Nursing Care and Pathophysiology for Menopause
Nursing Care and Pathophysiology for Endometriosis
Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)
Dialysis & Other Renal Points
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care and Pathophysiology for Crohn’s Disease
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Nursing Care and Pathophysiology for Appendicitis
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Nursing Care and Pathophysiology for Pancreatitis
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Diabetes Management
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Addisons Disease
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Oncology Important Points
Lymphoma
Leukemia
Blood Transfusions (Administration)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Glaucoma
Macular Degeneration
Hearing Loss
Fractures
Cataracts
Integumentary (Skin) Important Points
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoporosis
Burn Injuries
Pressure Ulcers/Pressure injuries (Braden scale)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Seizure
Seizure Therapeutic Management
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Stroke Nursing Care (CVA)
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Stroke Therapeutic Management (CVA)
Stroke Assessment (CVA)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Miscellaneous Nerve Disorders
Nursing Care and Pathophysiology for Parkinsons
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Cerebral Perfusion Pressure CPP
Intracranial Pressure ICP
Adjunct Neuro Assessments
Levels of Consciousness (LOC)
Routine Neuro Assessments
Hemoglobin A1c (HbA1C)
Glucose Lab Values
Urinalysis (UA)
Creatinine (Cr) Lab Values
Blood Urea Nitrogen (BUN) Lab Values
Ammonia (NH3) Lab Values
Cholesterol (Chol) Lab Values
Albumin Lab Values
Coagulation Studies (PT, PTT, INR)
Platelets (PLT) Lab Values
White Blood Cell (WBC) Lab Values
Hematocrit (Hct) Lab Values
Red Blood Cell (RBC) Lab Values
Hemoglobin (Hbg) Lab Values
Chloride-Cl (Hyperchloremia, Hypochloremia)
Sodium-Na (Hypernatremia, Hyponatremia)
Potassium-K (Hyperkalemia, Hypokalemia)
Hypertonic Solutions (IV solutions)
Hypotonic Solutions (IV solutions)
Isotonic Solutions (IV solutions)
Base Excess & Deficit
Metabolic Alkalosis
Metabolic Acidosis (interpretation and nursing diagnosis)
Respiratory Alkalosis
Respiratory Acidosis (interpretation and nursing interventions)
ABG (Arterial Blood Gas) Interpretation-The Basics
ABGs Nursing Normal Lab Values
Chest Tube Management
Nursing Care and Pathophysiology of Pneumonia
Artificial Airways
Airway Suctioning
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Lung Sounds
Alveoli & Atelectasis
Gas Exchange
Nursing Care and Pathophysiology for Asthma
Suicidal Behavior
Eating Disorders (Anorexia Nervosa, Bulimia Nervosa)
Alcohol Withdrawal (Addiction)
Grief and Loss
Paranoid Disorders
Personality Disorders
Cognitive Impairment Disorders
Mood Disorders (Bipolar)
Depression
Schizophrenia
Generalized Anxiety Disorder
Post-Traumatic Stress Disorder (PTSD)
Somatoform
Dissociative Disorders
Anxiety
Pertussis – Whooping Cough
Varicella – Chickenpox
Mumps
Rubeola – Measles
Scoliosis
Attention Deficit Hyperactivity Disorder (ADHD)
Autism Spectrum Disorders
Spina Bifida – Neural Tube Defect (NTD)
Meningitis
Enuresis
Nephrotic Syndrome
Cerebral Palsy (CP)
Mixed (Cardiac) Heart Defects
Obstructive Heart (Cardiac) Defects
Defects of Decreased Pulmonary Blood Flow
Defects of Increased Pulmonary Blood Flow
Congenital Heart Defects (CHD)
Cystic Fibrosis (CF)
Asthma
Acute Otitis Media (AOM)
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Tonsillitis
Conjunctivitis
Constipation and Encopresis (Incontinence)
Intussusception
Appendicitis
Celiac Disease
Pediatric Gastrointestinal Dysfunction – Diarrhea
Vomiting
Hemophilia
Nephroblastoma
Fever
Dehydration
Sickle Cell Anemia
Burn Injuries
Pediculosis Capitis
Impetigo
Eczema
Growth & Development – School Age- Adolescent
Growth & Development – Preschoolers
Growth & Development – Toddlers
Growth & Development – Infants
Care of the Pediatric Patient
Vitals (VS) and Assessment
Vasopressin
TCAs
SSRIs
Proton Pump Inhibitors
Vancomycin (Vancocin) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Metronidazole (Flagyl) Nursing Considerations
Anti-Infective – Penicillins and Cephalosporins
Parasympatholytics (Anticholinergics) Nursing Considerations
NSAIDs
Nitro Compounds
MAOIs
Hydralazine (Apresoline) Nursing Considerations
Insulin
Magnesium Sulfate
HMG-CoA Reductase Inhibitors (Statins)
Histamine 2 Receptor Blockers
Histamine 1 Receptor Blockers
Epoetin Alfa
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Corticosteroids
Benzodiazepines
Cardiac Glycosides
Calcium Channel Blockers
Parasympathomimetics (Cholinergics) Nursing Considerations
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Autonomic Nervous System (ANS)
Atypical Antipsychotics
Angiotensin Receptor Blockers
ACE (angiotensin-converting enzyme) Inhibitors
Renin Angiotensin Aldosterone System
Complex Calculations (Dosage Calculations/Med Math)
IV Infusions (Solutions)
Injectable Medications
Oral Medications
Basics of Calculations
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
The SOCK Method – K
The SOCK Method – C
The SOCK Method – O
The SOCK Method – S
The SOCK Method – Overview
6 Rights of Medication Administration
Essential NCLEX Meds by Class
12 Points to Answering Pharmacology Questions
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
54 Common Medication Prefixes and Suffixes