- Conduct a nursing assessment - collection of subjective and objective data relevant to the care recipient's (person, family, group, community) human responses to actual or potential health problems / life processes.
- Cluster and interpret cues/patterns - Assessment data must be clustered and interpreted before the nurse can plan, implement or evaluate a plan to support patient care
- Generate Hypotheses - possible alternatives that could represent the observed cues/patterns.
- Validation & Prioritization of Nursing Diagnoses - taking necessary steps to rule out other hypotheses, to confirm with the patient(s) the validity of the hypotheses, and to prioritize the list of diagnoses. A focused assessment may be needed to obtain data for one or more diagnoses
- Planning - Determining appropriate (realistic) patient outcomes and interventions most likely to support attainment of those outcomes through evidence-based practice
- Implementation - Putting the plan of care (nursing diagnoses - outcomes - interventions) into place, preferably in collaboration with the care recipient(s)
- Evaluation - Movement toward identified outcomes is continually evaluated, with changes made to interventions as necessary. When no positive movement is occurring, reassessment to reevaluate appropriateness of diagnoses and/or achievability of outcomes must occur.