What is the first step in the nursing assessment process?

The first step in the nursing assessment process is assessment itself. This foundational phase involves the systematic gathering of information about a patient's physical, emotional, social, and spiritual health. Through various means such as patient interviews, physical examinations, and reviewing patient records, nurses collect vital data that will inform the subsequent steps in the nursing process, which include diagnosis, planning, implementation, and evaluation.

During assessment, nurses also evaluate individual needs and identify any potential health problems or areas of concern. This comprehensive information forms the basis for making accurate diagnoses and developing effective care plans, highlighting the critical nature of the assessment phase in providing patient-centered care. It sets the stage for understanding the patient’s condition, priorities, and preferences, ensuring that the care provided aligns with their overall health goals.