What is a Nursing Care Plan?
Nursing is an immensely rewarding and vital profession that helps people in need and saves lives daily. Nursing professionals diagnose, treat, and care for individuals of all ages suffering from various physical and mental illnesses or injuries. Nurses also administer medications, consult with other healthcare providers to develop treatment plans, assist with rehabilitation and recovery, counsel patients, and educate them about their health.
A is an essential component of providing quality care to patients, as it outlines the objectives and strategies that will be used to ensure the patient’s medical needs are met. It outlines the specific care and services, including medications, treatments, procedures, lifestyle modifications, self-care strategies, and other interventions.
The plan also outlines ways to assess how well the patient responds to their treatment plan. By staying on top of changes in a patient’s condition, nurses can provide timely interventions that may prevent further complications or illness.
How does a Nursing Care Plan work?
Our free printable Nursing Care Plan provides a comprehensive guide on assessing patients and their conditions, planning interventions, implementing nursing care strategies, and evaluating the effectiveness of care. It includes various sections, such as patient information, medical history, assessment, interventions, rationale, and evaluation.
To use our template, follow these steps:
Step One: Download the Nursing Care Plan form
Get a copy of the free worksheet using the link on this page. You can also download it from the Carepatron app or our resources library.
Step Two: Fill in the patient information
Start by filling out the patient's name, age, date of birth, and other information. Also, document their medical history, any current medications, and any allergies.
Step Three: Enter the patient assessment
Assess patients' needs by documenting their physical, mental, and emotional health using your nursing knowledge. Include any symptoms they may have and any diagnoses the patient has received.
Step Four: Develop a care plan
Once you have assessed the patient, develop a comprehensive care plan to address their needs. Include short-term and long-term goals, medications, treatments, and other interventions.
Step Five: Implement the plan
Implement your care plan for the patient. This may include ordering and administering medications, coordinating with other healthcare professionals, educating the patient, and so on.
Step Six: Monitor and review
Monitor the patient’s progress in achieving their goals over time. Revisit their care plan regularly to ensure it is up to date and still addresses their needs. Adjust as needed based on changes in the patient’s health or other circumstances.
Nursing Care Plan example (sample)
We have created a Nursing Care Plan PDF example to show you how our free printable template works. This sample illustrates how to fill in all sections and use the Additional Notes section to jot down any observations you may have. You can download the sample here or view it as a PDF.
When would you use this Template?
This template is an essential tool for any registered nurse and nursing professional. It helps you develop a comprehensive care plan for each patient and document it in an organized way. Similarly, you can use this Nursing Care Plan form to:
Assess the patient's overall health and needs
You can use our free template to assess the patient's overall health and needs by considering factors such as physical condition, mental or emotional state, lifestyle, and social environment.
Develop an individualized plan of care
You can customize the Nursing Care Plan to create a personalized treatment outline tailored to each patient's needs. This includes prescribing medications, referring to specialists, setting goals, and evaluating progress.
Organize the care team
The Nursing Care Plan can be used to coordinate various healthcare providers involved in the patient's care, including doctors, nurses, physical therapists, and social workers. It ensures all team members are on the same page and working towards the same objectives.
The Nursing Care Plan can help you track a patient's progress over time, allowing for timely interventions and adjustments to the care plan. It ensures that the patient's needs are being met and provides a clear picture of how their health is changing.
Benefits of Free Nursing Care Plan Template
A free Nursing Care Plan Template can help streamline creating a comprehensive and effective plan for each patient. Here are some of its benefits:
It's easy to use
The template makes it easy to create a comprehensive plan for each patient without requiring any special knowledge or skills.
It covers all the necessary components of a nursing care plan
Our template has various sections to ensure that all critical aspects of care are considered. It includes the patient's medical history, current medications, and allergies.
The template is flexible and can be customized to meet the needs of each patient. You can add or remove sections, adjust the format, and include any additional information needed.
It's printable and shareable
Once you have completed your care plan, you can easily print it out or email it to other care team members. You can also save copies for future reference, which makes it easy to review and update the plan.
Research and Evidence
Using a care plan template is a relatively recent development in the healthcare field. It was first proposed to help streamline the process of providing appropriate care for patients.
According to Ting-Ting Lee's article "Evaluation of computerized nursing care plan: Instrument development," a Nursing Care Plan was found to positively impact nursing efficiency, as evidenced by one of the six major constructs identified in the psychometric testing of the evaluation scale.
By using a care plan, nurses can more easily and quickly access patient information, prioritize tasks, and coordinate care with other healthcare professionals, ultimately improving patient care efficiency (Lee, 2004).
Moreover, a Nursing Care Plan can positively affect the occupational development of nursing students. According to Can and Erol's 2012 study, which assessed self-perceived sufficiency levels of nursing students in preparing nursing care plans and their effect on students' occupational development, 60% of students reported that preparing and implementing nursing care plans had favorable effects on their occupational development.
This suggests that Nursing Care Plans provide a framework for delivering effective patient care and enhance the professional development of nursing students. (Can & Erol, 2012).
Overall, Nursing Care Plans are an essential tool for delivering quality, effective patient care and can positively affect the occupational development of nursing students. Although there is a learning curve in preparing and implementing nursing care plans, the potential benefits of completing them can far outweigh the time and effort involved.
Why use Carepatron as your Nursing Care Plan app?
Carepatron's practice management software is the perfect companion for nurses looking to streamline their workflow and maximize efficiency.
Our cloud-based platform offers a variety of features designed to help you quickly manage day-to-day tasks. From appointment scheduling, patient records, billing, and clinical documentation, Carepatron is the ultimate solution for all your practice management woes.
Plus, our intuitive user interface makes it easy to learn and use. No more long learning curves or complicated tutorials - you can use Carepatron like a pro in no time. And with secure, encrypted data storage, you can rest assured that your patient information is safe and secure.
Sign up with Carepatron today and start enjoying the efficiency, convenience, and peace of mind our practice management software provides!
Can, G., & Erol, O. (2012). Nursing students' perceptions about nursing care plans: A Turkish perspective. International Journal of Nursing Practice, 18, 12-19. https://doi.org/10.1111/j.1440-172X.2011.01985.x
Lee, T. (2004). Evaluation of computerized nursing care plan: Instrument development. Journal of Professional Nursing, 20(4), 230-238. https://doi.org/10.1016/j.profnurs.2004.05.001.