The Five Step Nursing Process Explained | Intro to ADPIE | Lecturio Nursing

Summary

The video script introduces the ADPIE nursing process, a five-step approach essential for patient care in clinical settings. It emphasizes the first step, Assessment, where nurses gather and analyze information about the patient's condition from various sources, including the patient, family members, healthcare providers, and medical records. The script highlights the importance of critical thinking in verifying and interpreting this information to identify the patient's priority health problems, setting the foundation for the subsequent steps of diagnosis, planning, implementation, and evaluation.

Takeaways

• 📝 The ADPIE process is a fundamental five-step approach in nursing that includes Assessment, Diagnosis, Planning, Implementation, and Evaluation.
• 🔍 Assessment is the first step of the ADPIE process, where nurses gather information about the patient's condition through various means such as a head-to-toe assessment, medical records, and family input.
• 🏥 Nursing assessment is crucial for patient care and involves identifying the priority health problems that affect the patient's overall health and well-being.
• 💬 Communication is key in the assessment phase, as nurses collect information directly from the patient, which is considered the best source, and also from secondary sources like family members and healthcare providers.
• 🔑 After assessment, nurses use this information to make a nursing diagnosis, which is a common language among nurses to identify the patient's priority problem, distinct from a medical diagnosis.
• 📋 The planning phase involves creating a plan of care with specific goals and interventions aimed at improving patient outcomes, setting expected outcomes for the patient's condition.
• 🛠️ Implementation is the action phase where nurses carry out the planned interventions to address the identified nursing diagnoses and improve the patient's condition.
• 🔄 The evaluation phase is about determining if the set goals were met and if the outcomes were achieved; if not, the ADPIE process may need to be revisited and adjusted.
• 🤔 Critical thinking is essential in the assessment phase, requiring nurses to not only collect but also verify and analyze the information to understand its relevance to the patient's condition.
• 👨‍⚕️ The nursing process is an organic part of a nurse's work on the unit, used to systematically provide care to patients in a clinical setting.
• 📈 The ADPIE process helps nurses to be systematic and thorough in their approach to patient care, ensuring that each step is carefully considered and executed to achieve the best patient outcomes.

Q & A

What is the ADPIE process in nursing?

The ADPIE process is a five-step approach in nursing that stands for Assessment, Diagnosis, Planning, Implementation, and Evaluation. It is used to provide care to a client systematically.

Why is the Assessment step so important in the ADPIE process?

Assessment is crucial as it is the first step where information about the client's condition is gathered. It forms the basis for identifying health problems and creating a plan of care.

What is the difference between a medical diagnosis and a nursing diagnosis?

A medical diagnosis is a professional judgment about the presence and nature of a disease, while a nursing diagnosis is a clinical judgment about individual, family, or community responses to actual or potential health problems/life processes.

How do nurses gather information during the Assessment phase?

Nurses gather information through a head-to-toe assessment, reviewing medical records, and talking to the patient, family members, and healthcare providers.

What is the purpose of the Planning phase in the ADPIE process?

The Planning phase involves creating a plan of care with specific goals, actions, or interventions aimed at improving the patient's condition and setting expected outcomes.

What does the Implementation phase (I of ADPIE) involve?

Implementation is the phase where nurses perform the planned interventions to help improve the patient's condition, as identified and planned in the previous steps.

What is the Evaluation phase in the ADPIE process and why is it important?

Evaluation is the final phase where nurses assess whether the goals set in the Planning phase were met and if the outcomes were achieved. It's important for determining if the care plan needs to be adjusted.

How does the ADPIE process help in a clinical setting?

The ADPIE process helps in a clinical setting by providing a structured approach to patient care, ensuring that all aspects of care are considered and that the patient's needs are met effectively.

What is the significance of using a 'pie image' to discuss the ADPIE concepts?

The pie image is used to visually represent the different steps of the ADPIE process, with each step being a 'slice' of the pie, emphasizing the interconnectedness and equal importance of each phase.

Can you provide an example of a nursing diagnosis based on the script?

An example given in the script is impaired breathing, which could be a nursing diagnosis for a patient medically diagnosed with pneumonia.

How does critical thinking play a role in the Assessment phase?

Critical thinking is essential in the Assessment phase for verifying the accuracy of the collected information, analyzing it, and interpreting how it applies to the patient's condition.