Nursing Interventions and Implementing Patient Care Plans | USAHS (2022)

Nursing Interventions and Implementing Patient Care Plans | USAHS (1)

To provide quality patient care over a period of time, nurses need a roadmap that guides their actions and quantifies desired outcomes. As a registered nurse, you will be responsible for creating a plan of care based on each patient’s needs and health goals. A nursing care plan is a formal process that includes six components: assessment, diagnosis, expected outcomes, interventions, rationale, and evaluation.1 Documenting these steps ensures effective communication between doctors, nurses, and other healthcare professionals over multiple shifts.

Interventions are a key element of the nursing care plan. This guide explores nursing interventions and their role in patient care.

What Are Nursing Interventions?

Nursing interventions are actions a nurse takes to implement their patient care plan, including any treatments, procedures, or teaching moments intended to improve the patient’s comfort and health.2

These actions can be as simple as adjusting the patient’s bed and resting position—or as involved as psychotherapy and crisis counseling. While some nursing interventions are doctors’ orders, nurse practitioners can also develop orders using principles of evidence-based practice.Common nursing interventions include:

(Video) Nursing Care Plan Tutorial | How to Complete a Care Plan in Nursing School

  • Bedside care and assistance
  • Administration of medication
  • Postpartum support
  • Feeding assistance
  • Monitoring of vitals and recovery progress

Nursing Interventions and Implementing Patient Care Plans | USAHS (2)

Nursing Intervention Categories3

Nursing interventions are grouped into three categories according to the role of the healthcare professional involved in the patient’s care:

  • Independent: A nurse can perform independent interventions on their own without assistance from other medical personnel; e.g., routine nursing tasks such as checking vital signs.
  • Dependent: Some actions require instructions or input from a doctor, such as prescribing new medication. A nurse cannot initiate dependent interventions alone.
  • Interdependent: Collaborative, or interdependent, interventions involve team members across disciplines. In certain cases, such as post-surgery, the patient’s recovery plan may require a prescription medication from a doctor, feeding assistance from a nurse, and treatment by a physical therapist or occupational therapist.

The Role of Assessments

The nursing assessment is the first step in the nursing care plan. During the assessment process, both physicians and nurses might ask questions and perform tests to gain information about a patient’s health and state of being. Professionals gather information from the patient’s:

  • Vital signs
  • Physical complaints or concerns
  • External body conditions
  • Medical history
  • Current neurological functioning

After gathering all essential information during the assessment process, the nurse can use clinical judgment to formulate a nursing diagnosis list. Based on the assessment and diagnosis, the nurse can develop a care plan that outlines which interventions to include.4 For example, the nursing diagnosis list may conclude the patient has a lack of appetite due to post-surgery pain. From this medical diagnosis, the nurse can set goals to resolve the patient’s pain through actions such as administering pain-relief medication and assessing the patient’s pain levels every few hours.

Nursing Interventions Classification System

There are several types of nursing interventions aimed at meeting the variety of medical needs and conditions of patients. The Nursing Interventions Classification (NIC) system categorizes a wide range of possible treatments that a nurse may perform. The book Nursing Interventions Classification (NIC), 7th ed. evaluates this system, defining over 550 nursing interventions from which a nurse can choose.

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NIC categorizes nursing interventions across seven domains:5

1. Family Nursing Interventions6

Nursing Interventions and Implementing Patient Care Plans | USAHS (3)

Family nursing interventions are those that address not only the patient, but other family members as well. They could entail education of family members about caring for the patient; or, in the case of new mothers, interventions could consist of instruction and assistance with breastfeeding and other forms of infant care.

2. Behavioral Nursing Interventions

This category includes actions a nurse takes to help their patient change an unhealthful behavior or habit; for example, suggesting physical and emotional coping methods for a patient who wants to quit smoking.

3. Physiological Nursing Interventions (Basic)

Basic interventions concerning the patient’s physical health include hands-on procedures ranging from feeding to hygiene assistance.

(Video) Writing a Nursing Care Plan Under 10 Minutes (nursing care plan tutorial)

4. Physiological Nursing Interventions (Complex)

Some physiological nursing interventions are more complex, such as the insertion of an IV line to administer fluids to a dehydrated patient.

5. Community Nursing Interventions

Some hospitals and clinics focus on public health initiatives to educate patients, their families, and local communities. These community nursing interventions are organized efforts that encourage general health and wellness. For example, many clinics and pharmacies are currently administering the COVID-19 vaccine, or a hospital may offer a free education program about diabetes or organize a fun run to raise money for breast cancer research.

6. Safety Nursing Interventions

After undergoing surgery, patients need education on safety procedures and protocols to prevent injury. These safety interventions may include instructions for using a walker or a cane or how to take a shower safely.

7. Health System Interventions

During their shift, nurses take the initiative to ensure that the patient’s environment is safe and comfortable, such as repositioning them to avoid pressure ulcers in bed. These routine procedures classify as health system interventions.

While a nurse may not use every type of intervention every day, each is an essential form of care needed to maintain the patient’s physical, emotional, and mental well-being and reach the desired outcome.

(Video) nursing interventions

Key Nursing Interventions to Perform Each Shift7

Nursing Interventions and Implementing Patient Care Plans | USAHS (4)

On-duty nurses routinely perform certain nursing interventions as part of their daily tasks. In addition to educating the patient on their care and recovery progression, nurses will typically perform the following each shift:

  • Pain control: Ensuring that the patient is comfortable and monitoring their intake of pain medication, if applicable
  • Position changes: Promoting a change of the patient’s resting position to prevent bedsores
  • Active listening: Listening to the patient and repeating back information so they feel heard
  • Cluster care: Informing other nurses and care team members of the patient’s needs each shift to help consolidate trips and avoid frequent traffic in the patient’s room
  • Fall prevention: Educating the patient, generally someone who is elderly or recovering post-surgery, of instructions to avoid the risk of fall and injury
  • Adequate oral intake: Promoting fluid consumption by mouth for patients currently receiving fluid through IVs as a means to decrease and discontinue IV use

Creating a safe environment, promoting good health practices, and listening closely to patients are daily nursing interventions you will perform and perfect throughout your career as a nurse. If you aspire to a nurse leadership role, such as a nurse practitioner, nurse manager or executive, you may eventually oversee and strategize care plans for hundreds of patients. With an advanced career in nursing, you can lead initiatives to improve the quality of care and make lasting, positive impacts on patient lives.

The University of St. Augustine for Health Sciences (USAHS) offers a Master of Science in Nursing (MSN) program, a Doctor of Nursing Practice (DNP) program, and Post-Graduate Nursing Certificates designed for working nurses. Our degrees are offered online, with optional on-campus immersions* (currently postponed due to COVID-19). Role specialties include Family Nurse Practitioner (FNP), Nurse Educator,** and Nurse Executive. The MSN has several options to accelerate your time to degree completion, allowing you to complete coursework when you want and earn your advanced nursing degree while keeping your work and life in balance.

*The FNP role specialty includes two required hands-on clinical intensives as part of the curriculum.
**The Nurse Educator role specialty is not available for the DNP program.

(Video) Nursing Care Plans in Nursing School?

  1. Helen Ballantyne, “Developing nursing care plans,” Nursing Standard, Feb. 24, 2016: https://pubmed.ncbi.nlm.nih.gov/26907149/ []
  2. nursing intervention. (n.d.) Medical Dictionary. (2009). Retrieved April 22 2021, https://medical-dictionary.thefreedictionary.com/nursing+intervention []
  3. RN Speaks, “Nursing Interventions – The Core of Nursing Process,” Sept. 3, 2020, https://rnspeak.com/nursing-interventions/ []
  4. NIH, National Library of Medicine, “Nursing Admission Assessment and Examination,” Sept. 2, 2020, https://www.ncbi.nlm.nih.gov/books/NBK493211/ []
  5. NIH, National Library of Medicine, “NIC (Nursing Interventions Classification) – Synopsis,” 2007, https://www.nlm.nih.gov/research/umls/sourcereleasedocs/current/NIC/index.html []
  6. Eustace, R. W., Gray, B., & Curry, D. M. (2015). The meaning of family nursing intervention: what do acute care nurses think?. Research and theory for nursing practice, 29(2), 125–142. https://doi.org/10.1891/1541-6577.29.2.125 []
  7. In Home Care, “Nursing Interventions for Home Care,” Dec. 26, 2019: https://www.inhomecare.com/what-is-nursing-intervention-guide-to-nurse-interventions/ []

FAQs

What are nursing interventions for care plan? ›

What Are Nursing Interventions? Nursing interventions are actions a nurse takes to implement their patient care plan, including any treatments, procedures, or teaching moments intended to improve the patient's comfort and health.

What are the 5 nursing interventions? ›

These are assessment, diagnosis, planning, implementation, and evaluation.

What is a nursing intervention vs implementation? ›

As depicted in Tables 1 and ​2, the terms resemble one another yet can be considered discrete; while 'intervention' indicates involving, in order to improve or help a situation, 'implementation' implies carrying something out, or putting (something) into action.

What are some examples of nursing interventions? ›

Examples of nursing interventions include discharge planning and education, the provision of emotional support, self-hygiene and oral care, monitoring fluid intake and output, ambulation, the provision of meals, and surveillance of a patient's general condition [3].

Which nursing intervention would the nurse expect to do during implementation? ›

During the implementation phase of the nursing process, the nurse prioritizes planned interventions, assesses patient safety while implementing interventions, delegates interventions as appropriate, and documents interventions performed.

Is implementation and intervention the same? ›

Implementation science differs from intervention research in that it focuses on the strategies used to implement evidence based practices, rather than on intervention effectiveness.

What are the 4 key steps to care planning? ›

Here are four key steps to care planning:
  • Patient assessment. Patient identified goals (e.g. walking 5km per day, continue living at home) ...
  • Planning with the patient. How can the patient achieve their goals? ( ...
  • Implement. ...
  • Monitor and review.

Why are nursing interventions important? ›

Nursing interventions are a vital service for patients as nurses care for them in every aspect, including physically, mentally, emotionally and socially. The men and women who perform nursing interventions every day can make a lasting, positive impact on their patients.

Is nursing interventions the same as nursing implementation? ›

They really are all basically the same thing. But at the end of the day, you want to know what you'll assess for, how you'll administer the drug (route, time of day, take with food etc.) and what you'll teach the patient. These are your Nursing Interventions.

How do you implement an intervention? ›

Step 6: Plan & Implement Interventions
  1. Step 1: Identify Root Causes.
  2. Step 2: Develop Objectives and Activities.
  3. Step 3: Set Selection Criteria.
  4. Step 4: Apply Selection Criteria.
  5. Step 5: Rate & Select Intervention Alternatives.
  6. Step 6: Plan & Implement Interventions.
  7. Step 7: Monitor & Evaluate Interventions.

What are the steps in implementation in nursing process? ›

It has five steps; Assessment, Diagnosis, planning, implementation and evaluation [5]. The nursing process was initially an adapted form of problem-solving technique based on theory used by nurses every day to help patients improve their health and assist doctors in treating patients.

What is the purpose of a care plan? ›

Comprehensive Care Plans help clients work with their Care Team to plan, document, and accomplish individualized care goals and healthier outcomes. Care Plans are also used and reviewed in Care Team Coordination Meetings and medical appointments to ensure clients are keeping up with their health goals.

How do you evaluate the effectiveness of a care plan? ›

Care Plans are usually evaluated every three months and conclusions documented as 'Quarterly Progress Notes' or 'Quarterly Reviews'. The evaluation process can be undertaken in different ways but usually the criteria is: Collection of data. Analysis / Interpretation of data.

Why is nursing assessment and care planning important? ›

'Care planning allows a nurse to identify a patient's problems and select interventions that will help solve or minimize these problems' (Matthews 2010), and 'Care plans are the written records of this care planning process' (Barrett et al 2012).

What are the three types of nursing intervention? ›

There are typically three different categories for nursing interventions: independent, dependent and interdependent.

Which action would nurse implement to promote patient success through goal attainment? ›

Which action would the nurse implement to promote patient success through goal attainment? Ask what the patient would like to achieve. To be most effective in guiding care, goals must also include input from the patient and the patient's caregivers or family members.

Which is an important element of implementation? ›

Often overlooked are the five key components necessary to support implementation: people, resources, structure, systems, and culture. All components must be in place in order to move from creating the plan to activating the plan.

What does it mean to implement interventions? ›

Implementing Effective Interventions is a process of assuring that key aspects of promising approaches are put into practice as intended and to meet local needs.

What are examples of clinical interventions? ›

2.1 Preventive interventions
  • 1 Vaccines. ...
  • 2 Nutritional interventions. ...
  • 3 Maternal and neonatal interventions. ...
  • 4 Education and behaviour change. ...
  • 5 Environmental alterations. ...
  • 6 Vector and intermediate host control. ...
  • 7 Drugs for the prevention of disease. ...
  • 8 Injury prevention.
11 Aug 2020

How do you prioritize nursing interventions? ›

Nurses should apply the concept of ABCs to each patient situation. Prioritization begins with determining immediate threats to life as part of the initial assessment and is based on the ABC pneumonic focusing on the airway as priority, moving to breathing, and circulation (Ignatavicius et al., 2018).

What are 3 important elements of an effective care plan? ›

A care plan consists of three major components: The case details, the care team, and the set of problems, goals, and tasks for that care plan.

What are the 6 stages of making a care plan? ›

assessing the person's current condition and likely prognosis • establishing the person's health and personal goals, values and preferences • discussing current and future treatment and personal care options • identifying the person's decision-makers for a time when they might lack capacity • documenting treatment and ...

What should be included in a patient plan? ›

Information that should be included within a comprehensive care plan can be grouped into eight components including:
  • Clinical assessment and diagnosis.
  • Goals of care.
  • Risk screening and assessment.
  • Planned interventions.
  • Activities of daily living.
  • Monitoring plans.
  • People involved in care.
  • Discharge planning.

How do you add problems and goals to your patient's care plan? ›

You can also add components to document additional treatment that the patient needs. To add a problem to the Care Plan, click New Problem. To add a goal to a care plan problem, click New Goal next to the corresponding problem. To add a task to a goal, click New Task next to the corresponding goal.

Which nursing interventions are considered direct care interventions? ›

Direct care refers to interventions that are carried out by having personal contact with patients. Examples of direct care interventions are wound care, repositioning, and ambulation. Indirect care interventions are performed when the nurse provides assistance in a setting other than with the patient.

Which major component would be included in a nursing care plan? ›

A care plan includes the following components: assessment, diagnosis, expected outcomes, interventions, rationale and evaluation.

What cognitive skills are needed by nurses in the implementation of client care? ›

Rationale 4: Cognitive skills include problem solving, decision making, critical thinking, and creativity. Finding a unique way to provide the treatment while keeping the clients wishes in mind is an example of the nurse using cognitive abilities.

What does the nurse perform first in initiating the implementation phase of the nursing process? ›

reassessing the client - The first step of implementing is reassessing the client to determine that the activity is still indicated and safe. When initiating the implementation phase of the nurse process, the nurse performs which of the following phases first?

What is the example of intervention? ›

An example of intervention is a group of friends confronting a friend about their drug use and asking the friend to seek treatment. A planned, often unannounced meeting with a person with a serious personal problem, such as addiction, in order to persuade the person to seek treatment.

What are implementation strategies in healthcare? ›

Implementation strategies, defined as “a systematic intervention process to adopt and integrate evidence-based health innovations into usual care” [ A compilation of strategies for implementing clinical innovations in health and mental health.

What are the types of interventions? ›

4 Common Types of Intervention Techniques
  • Simple Intervention. A simple version is when one individual, usually a close friend or family member, confronts the addict. ...
  • Classic Intervention. ...
  • Family System Intervention. ...
  • Crisis Intervention.
26 May 2021

What is the role of the nurse in healthcare program implementation? ›

Nurses lead, leverage, and advance innovations and technology from inception and development through implementation and evaluation. Nurses advocate for nursing input to identify the value of nursing services and impact on quality.

What are the different types of implementation? ›

Types
  • Direct changeover.
  • Parallel running, also known as parallel.
  • Phased implementation.
  • Pilot introduction, also known as pilot.
  • Well-trade.

What is the purpose of implementation? ›

Implementation is the carrying out of planned, intentional activities that aim to turn evidence and ideas into policies and practices that work for people in the real world. It is about putting a plan into action; the 'how' as well as the 'what'.

What are the 4 key steps to care planning? ›

Here are four key steps to care planning:
  • Patient assessment. Patient identified goals (e.g. walking 5km per day, continue living at home) ...
  • Planning with the patient. How can the patient achieve their goals? ( ...
  • Implement. ...
  • Monitor and review.

Which category is a type of nursing intervention? ›

There are typically three different categories for nursing interventions: independent, dependent and interdependent. Independent nursing interventions are those that a nurse can perform on their own, without guidance or supervision from anyone else.

Which major component would be included in a nursing care plan? ›

A care plan includes the following components: assessment, diagnosis, expected outcomes, interventions, rationale and evaluation.

What are 3 important elements of an effective care plan? ›

A care plan consists of three major components: The case details, the care team, and the set of problems, goals, and tasks for that care plan.

What are the 6 stages of making a care plan? ›

assessing the person's current condition and likely prognosis • establishing the person's health and personal goals, values and preferences • discussing current and future treatment and personal care options • identifying the person's decision-makers for a time when they might lack capacity • documenting treatment and ...

What are nursing interventions for anxiety? ›

Nursing Interventions for Anxiety
  • Acknowledge the feelings the patient is experiencing. ...
  • Administer medication as appropriate and as ordered. ...
  • Provide active-listening to patient. ...
  • Instruct patient through guided imagery or other relaxation techniques/methods.
14 Nov 2021

What are 5 nursing diagnosis? ›

The following are nursing diagnoses arising from the nursing literature with varying degrees of authentication by ICNP or NANDA-I standards.
  • Anxiety.
  • Constipation.
  • Pain.
  • Activity Intolerance.
  • Impaired Gas Exchange.
  • Excessive Fluid Volume.
  • Caregiver Role Strain.
  • Ineffective Coping.

What are the three types of nursing diagnosis? ›

There are 4 types of nursing diagnoses: risk-focused, problem-focused, health promotion-focused, or syndrome-focused.

Why is implementation important in nursing? ›

Many nurse researchers and theorists are in agreement that nursing process is a scientific method for delivering holistic and quality nursing care. Therefore, its effective implementation is critical for improved quality of nursing care.

Why is nursing intervention is important? ›

Nursing interventions are a vital service for patients as nurses care for them in every aspect, including physically, mentally, emotionally and socially. The men and women who perform nursing interventions every day can make a lasting, positive impact on their patients.

What are the important factors to be considered when choosing nursing interventions? ›

Nurses must use their knowledge, experience, resources, research of evidence-based practice, the counsel of others and critical-thinking skills to decide which nursing interventions would best benefit a specific patient.

What is the purpose of care plans? ›

Your care plan shows what care and support will meet your care needs. You'll receive a copy of the care plan and a named person to contact. Your care plan should cover: outcomes you wish or need to achieve.

Why is a care plan important? ›

In health and social care, a care plan is crucial to ensuring a client gets the right level of care in line with their needs, goals and in a way that suits them. It guides health and care professionals as they deliver care to a person and is their primary source of information when doing so.

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