l'rn,,,,.-<. <C':< 11rc imporl:1111· activitk-s of the f>l'OAT":-tm. Thf oult T>mes of a prn?,ram are rn11p11l:<. cffel'IS :rncl imp:11·1. n1111wts ;1r, tlw sp,<"ilk prc><h1.-~s nr s<·1-vkcs whit'h ;Jn nf'ti\'ily is cxpc·elcd to prmh1c-c !'rnm ils i11p111s to adlit!\'C its ob Jcclivcs. /;'[(cc/fl arc the l'l~Ulls of lhe 111'!-' of prn. i L'l'I Olltplll S. ITIIJ)(IC:( is lhc OIIIClllll C of pro~um effects and is :111 <Jsprcssion ur broader. lo1w,-ra11ge pro!-!,r:1m ohjcc1 ivcs. EVALUATION l\sse,srnqnt Diagnosis Planning lmr,lementotlon J. Deler111111e 1. 0eterm1ne 1. Determine 1. Analyze how whether there if p~oblem/s, rf th E' the plan was ,1re changes in requiring i ntcrllentions,mplamented. he;ifth status. nursing care are approprl. ite 2. Dt!termine arc resolved,. ind adequate v Jh<1t fact ors 2. Make sure that Improved or tq <1chleve :ire retared with esses:sn1ent data con tr. oiled. client the success In ,.,re acr. urate and outcomes lmplementtng the cumplete. 2. Con~ider ' if plan. there ere new 2. Speclfy problems. the client's 3, Specify what status base·d fai:tors cmated on expected problems or outcomes of barriers to care. ciire. Fig 1. 1 Application of Evaluation by Phase of the Nursing Process Documentation [L i,; nut enough to :issess, <fo1gnose, plan. implement and evaluute. CHNs should document all the things that they <lid and the corresponding outcomes. Their dnct1me a1,1tion should indudc the following: client assessment and health needs/ probh·ms idcnliued, intervention~ c::inied oul, client response to interventions, outc:-u1t H. s of i11ll'n·culions on<l ruture plan of care (Clark. 1999:209). ln the he;1ILh 1. :enle. rs, it is also important for the PHNs to document what they do, whet her clis. ·111-t;cntcred, pro. g1·am-rebted or unit-centered. They should document their inn,w:ttinns, tbc Lr pmticipntion in multidisciplinary endeavors nnd their efforts in shaping policies or influencing policy mnkcrs. Of llt1;: djfferent responsibilities of the CI-IN, documentation is considered by many as lhe least pri Mity; ii is an ndclitional '·burden". However. no matter how it is \iewed by prat:Lilioncrs, cinr11menlai-io11 is still an impnrtnn1 cnrnponenl of the nursing process. It sen'!'-" a 1111mbe1· of rnnctions, among which are: ( t) it scr Yes ni:; a ··proof· of the t. hin king and 1!1wisinn-1m1k ing that n1irse. s do; (2) it co11lrl protect the n11rs P frnm n law,;uit (it is gentrally believed thal what is not written was not done); (3) it ){i\"l!S decision makers an idea of tlw wurl,;lo,1<l of I1L11·ses; nnd. (4) it provides information 1h,. 11 could be used in n:s~arch. inti q11. :ility a,;sur,111c;e acti,,ities and for lrai. Jti. i1~ purposes. 37 