The concept of nursing process was first introduced in the 1950s as a three-step process of assessment, planning, and evaluation based on the scientific method of observing, measuring, gathering data, and analyzing the findings.
Years of study, use, and refinement have led nurses to expand the nursing process to five distinct steps that provide an efficient method of organizing thought processes for clinical decision making, problem solving, and delivery of higher quality, individualized client care.
The nursing process now consists of:
ANA STANDARDS OF CLINICAL NURSING PRACTICE
Standards of Care
Describes a competent level of nursing care as demonstrated by the nursing process that encompasses all significant actions taken by the nurse in providing care, and forms the foundation of clinical decision
1. Assessment: the nurse collects client health data.
2. Diagnosis: the nurse analyzes the assessment data in determining diagnoses.
3. Outcome Identification: the nurse identifies expected outcomes individualized to the client.
4. Planning: the nurse develops a plan of care that prescribes interventions to attain expected outcomes.
5. Implementation: the nurse implements the interventions identified in the plan of care.
6. Evaluation: the nurse evaluates the client’s progress toward attainment of outcomes.