ThisÂ nursing care plan diagnosis, and interventions for the following conditions: Premature Rupture of Membranes, PROM, or ROM (Rupture of Membranes) What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan? This care plan is listed to […]
The bestselling nursing care planning book on the market, Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 8th Edition covers the most common medical-surgical nursing diagnoses and clinical problems seen in adults. It includes 217 care plans, each reflecting the latest evidence and best practice guidelines. NEW to this edition are 13 new care plans and two new chapters including care plans that address health promotion and risk factor management along with basic nursing concepts that apply to multiple body systems. Written by expert nursing educators Meg Gulanick and Judith Myers, this reference functions as two books in one, with 147 disorder-specific and health management nursing care plans and 70 nursing diagnosis care plans to use as starting points in creating individualized care plans.
This second part of the chapter focuses on the history of the HANDS Initiative and ongoing testing and refinement of the standardized plan-of-care method to date and future directions. The initiative addresses the gap previously identified in indicating the need for clinically relevant and patient-centric documentation and communication tools that support the collective mind (shared understanding) of the many clinicians involved in a patient’s care across time and space. The project formally began in 1998 with the main purpose of bringing visibility, utility, consistency, and accessibility to the nursing portion of the interdisciplinary plan. As was previously noted, nursing care plans generally have brought little value in day to day practice due to the wide range of formats, lack of individualization and accessibility, and the infeasibility of keeping them current. During the initiative’s early years the primary focus was on “perfecting” the format of the plan-of-care document through enabling technology and standardization. Through iterative refinement under real world conditions, we have learned that care plans, regardless of the quality of the document, bring little value unless they are an integral part of clinician-to-clinician (intra- and interdisciplinary) communication, serving as the basis upon which a collective mind among clinicians about a patient’s care is formed. Our ultimate vision is to standardize the documentation and communication of a useful and dynamic interdisciplinary plan of care that is patient-centric, available, and used everywhere. In the following section, pertinent background information is presented, followed by a summary of the HANDS project accomplishments to date, future plans, and conclusions.