From the development of nursing procedure theory, Lydia? When Lydia E Hall first put forward the hypothesis of nursing procedure, she thought that nursing procedure should be composed of three aspects: nursing, treatment and self-care. In 1959, Johnson believes that evaluation should be the first step. 1967, Yura and Walsan formally put forward a relatively complete four-stage theory of estimation, planning, implementation and evaluation in the book Nursing Procedures. 1973, Gabby and Levin (Gabby &; Lavia) thinks that the estimation stage should be divided into two steps: evaluation and diagnosis. So far, the nursing program structure consisting of five steps: assessment, diagnosis, planning, implementation and evaluation has been improved. This theory was immediately recognized by the American Nurses Association. 1982, confirmed by the National Association of State Nurses Registration Committees. It can be seen that health assessment is an indispensable part of nursing procedure, and it is difficult to implement nursing procedure without health assessment.
Health assessment is the primary link of nursing procedure, the process of systematically and continuously collecting relevant health information of the assessed object, and the basis for determining nursing diagnosis and making nursing plans and measures. Real nursing is based on accurate nursing diagnosis, and accurate nursing diagnosis is based on correct health assessment. Complete and accurate health assessment is the premise of ensuring nursing quality. Nursing diagnosis is the product of the estimation stage, the judgment of the patient's physical, psychological, social adaptability and other health conditions and needs on the basis of collecting data, and the conclusion made on the basis of investigation and research. This is completely in line with dialectical logic, as Sorensen and lachman said: "If the patient's data are not detailed and accurate, then the diagnosis made on these data will be incorrect, the nursing plan will be wrong, and the nursing measures will be inappropriate or harmful." This brilliant sentence emphasizes that health assessment ability is the key technical ability to implement holistic nursing.
At present, some comrades not only affirm the necessity of holistic nursing and the scientific nature of nursing procedures, but also think that nursing evaluation is dispensable. People can't help asking, where did the nursing plan come from without nursing evaluation? What is the basis for taking nursing measures? This kind of abstract affirmation and concrete negation is very puzzling.
For a long time, nurses have been regarded as "doctors' mouths and nurses' legs". The fundamental reason for this phenomenon is that nurses lack professional and necessary decision-making theoretical system. All doctors' diagnosis and treatment measures are based on their diagnosis of diseases, while nurses' nursing measures have to be subordinate to doctors' diagnosis because they do not have their own diagnosis system. Of course, nurses and doctors are cooperative, and it is incumbent on them to help doctors complete relevant orders. However, as a profession, nursing has its own independent responsibilities and must be based on nursing diagnosis. Only in this way can the initiative and enthusiasm of nurses in the process of diagnosis and treatment be brought into play, and it is possible to truly establish an equal and cooperative relationship with doctors, and finally change the image of "legs". The premise of nursing diagnosis is only health assessment. It can be seen that the importance of health assessment of nursing staff.
Health assessment is an important part of health management, and it is a forward-looking, individualized qualitative and quantitative analysis that integrates many factors such as personal life behavior, physiological psychology and social environment. Health assessment involves disease risk factor assessment, physical assessment, psychological assessment, sub-health assessment and so on. The purpose is to provide a basis for customers to provide health management programs.
The assessment includes the current health status of the parties, the risk of certain diseases in the future and so on. Health assessment is similar to clinical diagnosis. The doctor's diagnosis is: first, whether there is any disease, second, which system is the problem, and third, what is the disease; Health assessment should answer questions such as individual health or unhealthy, health degree, health risk and its size. In this sense, health assessment has expanded the thinking and application scope of clinical medicine, which is a great progress in practical medicine. Combining some abstract health scores with actual disease risks is a scientific and complete analysis and evaluation, and it is also the practicability of health management.
Therefore, correct health assessment is the basis and premise of correct nursing diagnosis, and it is also the professional quality and skills that nursing workers must possess. Whether the health assessment is correct or not is directly related to the personal health and life safety of patients. As a nurse, in line with the principle of being responsible for patients and being responsible for myself, I should study the relevant knowledge of health assessment seriously and add luster to the nursing cause.