Writing the best nursing care plan involves a step-by-step strategy. To help our student nurses and professional nurses, we have created a comprehensive database of nursing care plans (NCP) and NANDA nursing diagnosis examples. A complete guide on drafting an outstanding nursing care plan or a template for your unit is given.
A nursing care plan (NCP) is a structured approach that accurately identifies current requirements and anticipates future needs or dangers. Care plans facilitate communication between nurses, patients, and other healthcare providers to accomplish health care goals. Patient care would suffer quality and consistency without the nursing care planning process.
Nursing care planning begins with the client’s admission to the agency and is updated continuously throughout the client’s stay in response to changes in condition and assessment of goal achievement. Excellence in nursing practice is founded on planning and delivering personalized or patient-centered care.
Care plans can be formal or informal. An informal nursing care plan is a strategy of action that exists only in the mind of the nurse. A formal nursing care plan is a computerized or written blueprint that organizes the client’s medical information. There are two types of formal care plans: standardized care plans and personalized care plans. Standardized care plans require nursing care for clients with everyday needs. Individualized care plans are created to satisfy the individual needs of a given client or to address desires that are not met by the standardized care plan.
The following are the objectives and goals of creating a nursing care plan:
A nurse care plan (NCP) typically contains nursing diagnoses, client problems, intended outcomes, and nursing interventions and justifications. These components are described in detail below:
Typically, nursing care plan formats are classified or grouped into four columns:
(1) nurse evaluations,
(2) anticipated outcomes and goals,
(3) nursing interventions
Various agencies have a three-column structure, with goals and evaluation in the same column. Other agencies use a five-column layout, one of which has a column for assessment cues.
The paper below contains sample templates for the various nursing care plan forms. Please feel free to edit, amend, and share the template.
Student nurses’ care plans are typically handwritten and include a column for “Rationale” or “Scientific Explanation” following nursing interventions. Rationales are scientific principles that explain why a particular nursing intervention was chosen.
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