Craven Ch 15 Implementation and Evaluation

• Transferring to a competent person the authority to perform a selected nursing task in a selected situation
• The transfer of responsibility for the performance of a task to another staff while retaining accountability for the outcome. A licensed RN will delegate tasks to unlicensed assistive personnel (UAP).

Judgment of the effectiveness of nursing care in achieving patient goals

Action phase of the nursing process in which nursing care is provided

System of organizing nursing interventions in a three-level taxonomy consisting of domains, classes, and interventions and developed by a research team at the University of Iowa College of Nursing

Any review completed by a nurse of a patient’s care or records to evaluate whether established standards were met

Evaluation and judgment of performance by other nurses

Mechanisms for healthcare organizations to assess and improve care

Comprise the expected level of performance or practice as established by guidelines, authority, or custom

• Teach/educate.
• Relate knowledge to activities of daily living (ADLs).
• Provide feedback.
• Create strategies for patients with dysfunctional communication.
• Delegate to UAP.
• Supervise nursing team.
• Supervise patient in performance.
• Supervise family in performance.
• Alter the environment as needed.

• Coordinate activities.
• Provide caregiving.
• Use therapeutic communication.
• Provide a personal presence.
• Set limits.
• Provide opportunity to examine values and attitudes.
• Explore and legitimize feelings.
• Provide spiritual support.
• Use humor.
• Provide individual therapy.
• Provide group therapy.
• Become patient’s advocate.
• Support patient and family plans.
• Make referrals for follow-up.
• Serve as a role model.

• Provide basic hygiene, skin care.
• Perform routine nursing activities.
• Detect change from baseline data.
• Reorganize abnormal responses.
• Provide independent and dependent treatment.
• Assist with ADLs.
• Provide appropriate sensory stimulation.
• Mobilize equipment.
• Maintain equipment.
• Use special abilities or talents.