NR 305 Week 1 Discussion
The nursing process is utilized in a variety of nursing roles and health care settings. Whether you are working in direct patient care, telehealth, or in a leadership role – the basic model is the same! Take this opportunity to share how the nursing process is utilized in your own practice settings! Hint: Your assigned readings will be helpful in formulating your answers.
Please answer the following question in your initial post:
Describe how you apply the first step (assessment) of the nursing process in your current practice setting. If you are not currently practicing as an RN, you may use an example from a prior clinical or work experience. Include the following information:
- Briefly describe your practice setting and the typical patient population.
- Provide examples of key subjective and objective data points you collect.
- Describe how you document your findings. Is there technology involved?
- Describe your process of data analysis. What is the end result of this process? (i.e., Do you formulate nursing diagnoses and care plans, collaborate with others and/or make referrals?)
Remember to use and credit the textbook or lesson, as well as an outside scholarly source, for full credit.
Currently, I am employed as an acute care nurse, specializing in delivering comprehensive healthcare to individuals with acute illnesses and postoperative care needs arising from surgical interventions or treatments for chronic conditions. In my role, I systematically gather both subjective and objective data to ensure a thorough assessment of patients.NR 305 Week 1 Discussion
Subjective data acquisition involves extracting pertinent information, including the chief complaint, a detailed account of the patient’s medical history, and their personal perceptions or experiences leading to their visit to the healthcare facility for treatment. On the other hand, the collection of objective data encompasses the measurement of vital signs such as temperature, respiration rate, oxygen concentration, blood pressure, pulse, and heart rate. Additionally, objective data includes conducting physical examinations of various body systems, with a focus on the respiratory system, cardiovascular system, neurological system, and beyond.NR 305 Week 1 Discussion
This meticulous approach to data collection allows for a comprehensive evaluation, aiding in the formulation of accurate diagnoses and the development of tailored care plans to address the unique needs of each patient. The integration of both subjective and objective data is essential for providing high-quality, patient-centered care (Jarvis, 2019).