Another thread brought to the forefront one of my biggest pet peeves about nursing. The dreaded "Care Plans". I hate them. I think they are task oriented and are simply paperwork created to satisfy the state. I attach no importance to them what so ever in my nursing theory.
I'd like to know what others think of them. I'm opening up a debate here. Please, dont be afraid to say so if you think they are significant to pt. care.
I'd also like to see if there is a difference between what younger nurses vs. vet. nurses say about care plans.
So please, give me your opinion of care plans, but classify your comments with which group you fall in. Please state your field of nursing and if you are new or vet. nurse. For the purpose of this debate, we will define new vs. vet. nurse as having more or less than five years experience. New if you are 5 years or less, vet. if you have more than five years.
That sound good. Just want to clarify, so your nursing care plan are built on medical diagnosis?
Absolutely. None of the ridiculous NANDA junk is really incorporated in our "care plans" because it's essentially worthless. We do have a few of them, like "self care deficit" and a couple of psych ones, but most are based on a medical diagnosis.
i agree with you to the certain extent. Nurses strived to have a nursing diagnosis system as to gain the autonomy and respect from others. However, it doesn't work that well maybe. Anyway, anyone would like to share about any problems when adopt evidence based nursing or eveidence based practice, or pathway in your daily working?
Specializes in Management, Emergency, Psych, Med Surg.
The care plans we use are very user friendly and we use them to document all the teaching that we do and it is real easy. The key items are already listed and all you have to add is who you taught, methods you used and what follow up the pt needs. This is all done by a code at the top of the page and takes about 2 seconds. If it were not this easy, I would not bother with doing it.
Never used out of school except to glance briefly at the top making sure when taking a new section I got full report. In other words, the "potential for fall" might let me know this patient even with ambulatory status could be unsteady on their feet.. or was if the care plan is current which frequently is not. Agreeing with a previous poster not having read the entire topic, I feel it is best left in the academic setting.
Specializes in Telemetry, Oncology, Progressive Care.
Care plans are a complete waste of time. Stop filling my time with meaningless tasks that are taking away from my care and what I do. IMO it's another thing for nurses to do which basically has nothing to do with what I will be doing to the patient.
I don't need a piece of paper to tell me what to do in the event a patient experiences sob. I don't need a piece of paper to tell me to turn my pt q2h. In nursing school I could see its use though I hated it at the time. Reading everyone's responses I could see the use in doing home health but beyond that it's pointless.
Ninyuan
6 Posts
That sound good. Just want to clarify, so your nursing care plan are built on medical diagnosis?