Lesson 1, Topic 1
In Progress

Evaluation

May 1, 2021

Evaluation is a determination made about the extent to which the established outcomes have been achieved. The nurse takes several steps to complete the evaluation phase. (1) Review the patient-centered goals or desired patient outcomes that were established previously. These outcome statements present standards and criteria that are observable and measurable. (2) Reassess the patient to gather data that indicate the patient’s actual response to the nursing interventions. (3) Compare the actual outcome with the desired outcome and make a critical judgment about whether the patient-centered goal or desired patient outcome was achieved.

This critical judgment leads the nurse to make one of three conclusions or decisions: the outcome was achieved, the outcome was not achieved, or the outcome was partially achieved. Evaluation of the desired patient outcome is illustrated in the following statement:

The plan of care generally undergoes changes during this phase of the nursing process. The nurse makes modifications according to whether the outcome has been achieved, partially achieved, or not achieved. When a problem has been resolved, it is removed from the nursing care plan.
When the outcome has been partially achieved or not achieved, further analysis is needed. At this point, the nurse should review all phases of the nursing process. The following are examples of questions the nurse should consider to ensure the accuracy of the nursing process:

•Was the assessment complete and accurate?
•Was the problem identified correctly?
•Was the desired patient outcome realistic and specific?
•Were the interventions realistic, and did all personnel implement them consistently?
•Did new problems develop?
•Was adequate time allowed?
Once the nurse has determined the answers to these questions, the nursing care plan can be modified accordingly.