A Review for development of Concise Nursing Care Plan (CNCP)

[...]practicing nurses are hardly write these lengthy nursing care plans in clinical settings and don’t value such plans, and the Joint Commission hasn’t required them for more than a decades(10). Excessive number of Patients and tasks assigned to the nursing team and inadequate number of staff lead...

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Bibliographic Details
Published inInternational Journal of Advances in Nursing Management Vol. 7; no. 4; p. 371
Main Authors Desai, Shrikant, Bishnoi, Ravin Kumar, Devi, Shivani, Rukadikar, Anisha
Format Journal Article
LanguageEnglish
Published New Delhi Athena Information Solutions Pvt. Ltd 31.12.2019
Subjects
Decision making
Documentation
Education
Evidence-based medicine
Medical care quality
Nurses
Nursing
Nursing administration
Nursing care
Nursing care plans
Nursing education
Pain
Patients
Planning
Pressure ulcers
Quality control
Registered nurses
Writing
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Summary:[...]practicing nurses are hardly write these lengthy nursing care plans in clinical settings and don’t value such plans, and the Joint Commission hasn’t required them for more than a decades(10). Excessive number of Patients and tasks assigned to the nursing team and inadequate number of staff lead to lack of time to implement nursing process(5)(6)(9)(16)(17). * Nursing process requires tedious (too long) documentation making it time consuming(9)(16). * Lot of paperwork(17). * Lack of specified nursing care document(6). * Poor quality of professional education(9). * Enabling and Reinforcing Factors: Most of the enabling and reinforcing factors did not motivate nurses to apply nursing process(5)(13). * Inability to individualize patient care, lack of interest in its use in patients care, lack of cooperation among nurses(6)(17). * Resistance to change, Rigid mindset, Practice guided by tradition, Habit, Routines, stereotypical perceptions of clients, Fear of making mistakes, Unwillingness to take risks or look for alternative strategies, Decision making without sufficient data or supported by rationale, Failure to evaluate effectiveness of nursing actions(3). * Insufficient equipment for the implementation of nursing process(16)(17). * Absence of in-service training pertinent to nursing process(5). Various studies have reported poor practice of nursing process in clinical settings especially in public sector hospitals because of variety of barriers which hinders the utilization of nursing process such as lack of time, overburdened working environment, lengthy documentation of traditional methods of nursing process, lots of paperwork and lack of specified nursing care document etc. The fifth face represents a pain score of 8, and indicates "hurts a whole lot"; the sixth face represents a pain score of 10, and indicates "hurts worst(20). c. Hygiene: This parameter will express the need of hygiene for consciousness and unconsciousness patients including Glasgow coma scale to define the level of unconsciousness. d. Nutrition: Good nutritional status is crucial in all the age group to maintain optimum health; this parameter is focusing on needs of nutrition in aspects of patient condition and tolerance. e. Pressure sore:
ISSN:2347-8632
2454-2652
DOI:10.5958/2454-2652.2019.00087.8