Lesson 1, Topic 1
In Progress

Implementation

May 1, 2021

During the implementation phase of the nursing process, the nurse and other members of the team put the established plan into action to promote outcome achievement. This is the fifth phase of the nursing process. With evidence-based interventions, the nurse should ensure that the plan is implemented in a timely and safe manner.

In emergency situations, the nursing process as a means of problem solving is accelerated. The nurse proceeds directly from assessment of the problem to intervention. If a patient has gone into cardiac or respiratory arrest, the nurse initiates cardiopulmonary resuscitation immediately.

Nursing interventions include both nurse-prescribed and physician-prescribed activities. (See the discussion of selecting nursing interventions in the previous “Planning” section in this chapter.) According to the ANA Scope and Standards of Practice (2010), implementation for nursing intervention includes activities such as teaching, monitoring, providing, counseling, delegating, and coordinating.

Evidence-Based Practice

Nursing research is the basis for evidence-based practice. Nursing research was cultivated in the 1950s, leading to the development of nursing theories in the 1960s and 1970s. In the 1990s, nursing theories were researched and further tested to expand the field of nursing and evidence-based practice. Nursing research today continues to solidify theories and practice and introduce new theories. Other disciplines such as sociology, psychology, biology, and physics are incorporated into nursing theory.

The ANA Scope and Standards of Practice (2010) defines evidence-based practice as: “a scholarly and systematic problem-solving paradigm that results in the delivery of high-quality health care. In order to make the best clinical decisions using EBP, external evidence from research is blended with internal evidence (i.e., practice-generated data), clinical expertise, and healthcare consumer values and preferences to achieve the best outcomes for individuals, groups, populations, and healthcare systems.”