Nursing Case Study

Case study methodology provides a framework for evaluation and analysis of complex issues. It also highlights the holistic nature of nursing practice and offers a perspective that informs improved patient care.

This article outlines the benefits and challenges of using case study methods in nursing research. Examples of case study research in community nursing and palliative care are used to illustrate key concepts.

Introduction

Nursing case study are an effective tool to test students’ clinical reasoning skills. They’re also a great way to build their critical thinking skills, as well as their cooperation and communication capacities.

A flexible approach that provides a ‘thick’ description of a phenomenon, case study methodology can be applied across healthcare studies to explore systems and processes of care delivery. It has been used widely in nursing research, particularly within community settings where its applicability is well established.

However, it remains dogged by conceptual confusion. This paper aims to clarify its application for nursing research in palliative and end-of-life contexts, as well as more broadly.

Case Presentation

The case presentation is a key part of medical training for medical students and residents. It also plays a vital role in workplace-based assessment, for example, for medical professional colleges and pharmacists as part of the Royal Pharmaceutical Society (RPS) Foundation and Advanced Practice assessments.

Ensure the case is relevant to your professional practice and the target audience. It could be a unique challenge or an unusual problem that illustrates the effectiveness of your interventions.

The case should be presented in a logical manner, chronologically developing the patient’s present illness and summarizing important positive and negative findings. It should include a detailed history and physical examination, differential diagnosis and diagnostic and treatment plans.

Assessment

In the nursing process, the assessment of a patient’s health can be a vital step in planning for care. It involves observing, interviewing and interpreting physical signs and symptoms. It may also involve assessing an individual’s mental status, medical problems and social resources.

This process is similar to the business assessment process in that a company must look at where it is now and then set goals for where it wants to be in the future.

It is important to remember that assessment does not end once a set of goals are achieved. It is an on-going process that requires faculty and staff to gather data and make changes in order to continue progressing towards the goals.

Management

Management is a process that involves the planning, organizing, directing and controlling of resources in order to achieve organizational goals. It aims to use human, financial and physical resources efficiently and effectively.

A nurse’s management process includes the assessment of a patient, identifying nursing diagnoses, setting goals, and implementing care. It also involves evaluating the outcome of care and making changes or adjustments as necessary.

One challenge that nurses often face is patient resistance to established goals. This can be a result of patients’ fears and concerns about their health or lack of understanding of the education they receive from nurses.

Outcome

The nurse’s process of assessment involves collecting, organizing, validating and documenting data regarding a client’s health status. This includes physiological, psychological, sociocultural, spiritual, economic and life-style data.

The outcome of this process is a nursing diagnosis that the nurse then implements into a care plan. This care plan is the framework for setting short-term and long-term goals.

The nursing care plan is used to measure a client’s progress towards the goals of the nurse’s assessment. The client’s response to the nursing interventions determines whether the desired outcome was met, partially met, or not met.

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