C H A P T E R
18
collaborative interventions
delegation
doctor-initiated
interventions
evidence-based practice
nurse- and midwife-
initiated interventions
policies
procedures
protocols
standing orders
supervision
KEY TERMS
LEARNING OUTCOMES
After completing this chapter, the learner should be able to accomplish the following:
1.
Distinguish between nurse- or midwife-initiated, doctor(medical)-initiated and collaborative interventions
2.
Describe variables that influence the way a plan is implemented
3.
Use eight guidelines for implementing care
4.
Use ongoing data collection to determine how to safely and effectively implement a plan of care
5.
Explain why a comprehensive and continuous assessment is necessary after implementing interventions.
Implementing
person-centred care
implemented. Claire’s condition has stabilised and she will
be continually monitored to gauge her responses to the
care given. At this point, her care may be modified as her
condition or responses to care change. Critical thinking
questions will be posed, and reflective points included, to
encourage you to focus on the issues of implementing
care to address Claire’s health problems. Through this
activity you will continue to strengthen your clinical
reasoning skills as the basis for thoughtful practice.
Person-centred planned care is best implemented when the
person is able and willing to participate and have maximum
opportunities to provide self-care. Involving family members
and other support people in planning care will further enhance
the successful implementation of the plan of care. Table
18-1 outlines the relationships and the role responsibilities
involved in successfully implementing a plan of care. During
I
MPLEMENTING PERSON-CENTRED CARE is the
fourth phase in the process of delivering and evaluating
care. This process involves the nurse or midwife working
in partnership with the person and family to implement the
planned care identified in the previous chapter. The purpose of
implementing care is to assist the person to achieve their iden-
tified health goals: promote health, prevent disease and illness,
restore health and facilitate coping with altered functioning.
Implementing person-centred care is based on the information
collected during the health assessment phase, which leads to
the identification of health problems and the planning of care.
Recall Claire, the 18-year-old with Type 1 diabetes
since she was 9 years old, who was admitted with a diag-
nosis of ketoacidosis. In Chapter 17 you developed a plan
of care based on the data gathered from your health
assessment. In this chapter the care you planned will be
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