Final answer:
The 'Evaluation' phase of the nursing process is where the nurse determines if expected outcomes are achieved and goals are met by conducting observations, assessments, and comparing patient's current status with the objectives.
Step-by-step explanation:
In the nursing process, the step where you determine if the patient has achieved the expected outcomes and met their goals is Evaluation. This stage involves critical assessment of the care provided, comparing patient's current health status with the predetermined objectives to gauge effectiveness. It's integral to the iterative process of patient care, leading to adjustments in the care plan if necessary.
During the Evaluation phase, nurses conduct thorough observations and collect data that reflect on patient progress. They consider whether the care delivered aligns with the standards and protocols, such as during a surgical procedure where the nurse reviews aloud the key concerns for the patient's recovery. This step ensures all items are addressed properly, including confirming that the procedure name is accurate, the sponge and instrument counts are complete, and any specimens are correctly labeled.
The Evaluation phase is continuous, with the nurse performing assessments even as new treatments or procedures occur, like in the preparation and monitoring of dialysis treatments. Feedback mechanisms are crucial, and the nurse must apply critical-thinking skills to adapt the care plan based on the patient’s response to treatment. The outcomes of this phase are foundational for determining the next steps in patient care, whether that means continuing with the current plan, modifying the interventions, or setting new goals.