Question

A nurse educator is reviewing with a group of nursing students the actions and thought processes nurses use during the steps of the nursing process.

Nursing Interventions:
List four factors to consider during the evaluation step when clients have not achieved their goals.

Answer 1

During the evaluation step of the nursing process, factors such as observation, communication, client engagement, and resource availability should be considered to understand why clients have not achieved their goals.

Step-by-step explanation:

When evaluating why clients have not achieved their goals during the nursing process, nurses should consider several factors. These factors include:

• Observation: Nurses should observe and consider how interventions were actually implemented in various settings, as the effectiveness of the intervention may vary depending on the environment.
• Communication: It is crucial to review whether the communication between healthcare professionals and the client was clear and effective, impacting the client's understanding and adherence to the care plan.
• Client engagement: Evaluate whether the client actively participated in setting their goals and whether they had a clear understanding and agreement with the outlined care plan.
• Resource availability: Assess if there were sufficient resources and support systems available to the clients for them to achieve their goals.

Specific observation of the implementation of nursing procedures, as well as consideration of the individual circumstances of each client, are crucial in understanding why goals were not met.