1. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 10 Evaluation

2. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Evaluation of Client Care Helps determine whether client experiencing improvement Ongoing process to ensure quality interventions Leads to modification of nursing care plan when needed

3. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Components of Evaluation Techniques –Communication and observation skills Sources of data –Subjective and objective Goals and expected outcomes –Measurements of client’s progress or lack thereof

4. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Methods of Evaluation Judging value of nursing interventions Reassessing client’s status Modifying plan of care Thinking critically and evaluating Establishing standards Collecting data (continued)

5. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Methods of Evaluation Determining goal achievement Relating nursing actions to client status

6. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Evaluation and Quality of Care Appropriateness of care Clinical outcomes Client satisfaction Cost-effectiveness Access to care

7. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Elements in Evaluating the Quality of Care Structure evaluation Process evaluation Outcome evaluation

8. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Nursing Audit Examines data related to: –Safety measures –Treatment interventions and client responses –Pre-established outcomes used as basis for interventions –Client teaching –Discharge planning –Adequacy of staffing patterns

9. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Peer Evaluation Peer review that addresses specific behavior of nurse being evaluated Verbal or written Formal or informal

10. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Evaluation and Accountability Evaluation enhances nursing accountability by providing mechanism for assisting nurse to define, explain, and measure results of nursing actions (continued)

11. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Evaluation and Accountability Nurses accountable to: –Clients Including their families and significant others –Colleagues –Employers –Society –Nursing profession –Themselves (continued)

12. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Evaluation and Accountability Nurses demonstrate commitment by: –Maintaining expertise in skills –Participating in continuing education programs –Achieving and maintaining certification –Participating in peer evaluation

13. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Multidisciplinary Collaboration in Evaluation Shared responsibility for evaluation Decreased fragmentation of care Promotion of continuum of care for client