Critical Thinking in the Nursing Process

1. Critical Thinking in the Nursing Process The Nursing Care Plan

2. Nursing Process • Assessment • Diagnosis • Planning • Intervention/Rationale • Evaluation

3. Assessment • Subjective Data • Objective Data

4. Nursing Diagnosis • Data Analysis • Problem Identification • Label-NANDA

5. PES • P- Problem • E - Etiology • S - Signs and Symptoms (Not “Risk For”)

6. Planning/Goals • Set Priorities • Specific & Timed Goals • Specific and Timed Interventions • Include Rationales

7. Intervention/ Rationale • Nurse Initiated Treatments • Physician Initiated Treatments

8. Evaluation • Evaluate the GOALS • Goals Were Met • Goals Were Not Met • Be Specific

9. SOAPIE Charting • S- Subjective • O-Objective • A-Assessment/Nursing Diagnosis • P-Plan/Goals • I-Intervention/Rationales • E-Evaluation