An Example of the Nursing Process

case study nursing process example

The nursing process can be a confusing concept for nursing students to grasp. Below is an example of the process from start to finish in a story like fashion:

Implementation

nursing study logo

Nursing Case Study Analysis [10 Examples & How-To Guides]

  • Rachel Rachel
  • August 6, 2022

What is a case study analysis?

A case study analysis is a detailed examination of a specific real-world situation or event. It is typically used in business or nursing school to help students learn how to analyze complex problems and make decisions based on limited information.

Preparing a good case study analysis is not an easy task and requires a lot of time and effort. This article provides some tips on how to write a case study analysis that will help you get the most out of your research and provide a solid foundation for your writing.(Nursing Case Study Analysis)

Nursing Case Study Analysis

Nurses are constantly faced with decisions that have to be made in a timely and effective manner. Often, these decisions are based on the available information, which may be limited.

In order to make the best possible decisions, nurses need to be able to analyze and interpret data. Nursing case studies are an important tool that can help nurses improve their decision-making skills.

10 Nursing Case Study Analysis Examples

How to write case study analysis in nursing.

A case study analysis requires you to investigate a nursing scenario, examine the alternative solutions, and propose the most effective solution using supporting evidence.(Nursing Case Study Analysis)

Nurses have to constantly make decisions that affect the lives of their patients. In order to ensure that these decisions are made correctly, nurses need to have strong problem-solving and critical-thinking skills. Case studies are an excellent way for nurses to hone these skills.

Writing a nursing case study analysis is not as difficult as it may first seem. Follow these steps and you will be well on your way to writing a successful case study analysis.(Nursing Case Study Analysis)

  • Read the case study carefully. As you read, take note of any key facts or information that could be important for your analysis.
  • Once you have finished reading the case study, identify the main problem or issue that needs to be addressed.
  • Brainstorm possible solutions to the problem or issue . Try to come up with a few different options.
  • Choose the best solution based on the information in the case study and your own clinical experience.
  • Write up your analysis in a clear and concise manner. Be sure to support your chosen solution with evidence from the case study and your own professional experience .

Here’s How To Write A Nursing Case Study

How do you analyze a case study in nursing?

A nursing case study is an in-depth examination of a single individual. It is usually used to identify new areas of knowledge or to validate existing knowledge.

When analyzing a nursing case study, it is important to consider the following elements:

  • The patient’s medical history. This includes any prior illnesses, treatments, and medications.
  • The patient’s current condition. This includes symptoms, vital signs, and laboratory results.
  • The nurse’s observations. This includes the nurse’s notes on the patient’s condition and behavior.
  • The patient’s family and social history. This includes information on the patient’s family, friends, and social support network.(Nursing Case Study Analysis)
  • The patient’s response to treatment. This includes any changes in the patient’s condition or symptoms after receiving treatment.

How nursing practitioners can analyze Patient’s Cases

As a nurse practitioner, you will often be asked to provide a case analysis for your patients. This can be a daunting task, but there are some key elements that you should always include in your analysis.

  • The first element is the patient history. This should include any relevant medical history, as well as any personal information that may be pertinent to the case.
  • The second element is the physical examination. This should include a thorough examination of the patient, including any relevant test results.(Nursing Case Study Analysis)
  • The third element is the diagnosis. This is where you will provide your assessment of the patient’s condition and identify any potential problems.
  • The fourth element is the treatment plan. This is where you will outline the course of treatment that you recommend for the patient.
  • The fifth and final element is the prognosis. This is where you will provide your assessment of the likely outcome of the case, based on the information that you have gathered.

Steps of writing nursing case study analysis

Furthermore; there are different ways to approach writing a nursing case study analysis, but there are generally three main steps that need to be followed.

  • First, you will need to perform a thorough analysis of the case study. This means looking at all aspects of the case and trying to identify any key issues or problems.(Nursing Case Study Analysis)
  • Once you have done this, you will need to develop a hypothesis or research question that you can test.
  • Finally, you will need to write up your findings in a clear and concise manner.

Assuming that you have been given the task of writing a case study analysis, there are a few key steps that you will need to take in order to ensure that your document is well-written and informative.

  • Make sure that you understand all of the information presented in the case study , and take note of any key points or details that you think may be important.
  • What points do you want to make in your analysis?
  • What evidence will you use to support these points?
  • Once you have a good idea of what you want to say in your analysis, start organizing your thoughts and putting them into a coherent structure.(Nursing Case Study Analysis)
  • Once you have a rough outline of your case study analysis , start filling in the details. Flesh out your arguments and provide evidence to support them. In addition, make sure to address any counterarguments that could be made against your points.
  • Finally, conclude your analysis by summarizing your main points and providing any recommendations or suggestions for further action .

Nursing Case study Analysis Format and Structure

When it comes to writing a case study analysis, there is no one-size-fits-all approach. However, there is a general format and structure that you can follow to ensure your analysis is well-organized and flows smoothly. Here are the basics:

A nursing case study is a detailed study of a patient that is encountered by a nurse. The purpose of the case study is to provide a comprehensive view of the patient’s health condition and history. Nurse practitioners use case studies to enhance their ability to care for patients by providing them with a more complete picture of the patient’s health . Nurse practitioners may use different formats for their nursing case studies. However, all case studies should include certain key elements. These key elements include:

  • Patient information – This section should include basic demographic information about the patient, such as age, gender, race/ethnicity, and chief complaint
  • Medical history – This section should detail the patient’s past medical history, including any chronic conditions, medications, allergies, and surgeries.(Nursing Case Study Analysis)
  • Family history – This section should detail the patient’s family medical history, including any chronic conditions or genetic diseases that may be relevant to the patient’s current condition.
  • Social history – This section should detail the patient’s social circumstances, such as employment status, living situation, and alcohol/drug use.
  • Review of symptoms –A physical examination will help you to identify any physical abnormalities that may be causing or contributing to the patient’s condition.
  • Diagnostic testing – Diagnostic testing may be necessary in order to confirm or rule out a diagnosis . Common tests used in case analysis include blood work, imaging tests, and biopsies.
  • Treatment options – Once a diagnosis has been made, you will need to consider treatment options. Treatment options will vary depending on the diagnosis and the severity of the condition.(Nursing Case Study Analysis)
  • The prognosis (Evaluation and outcomes) – After considering all of the above factors, you will be able to give the patient a prognosis. The prognosis is an educated guess as to how the condition will progress.

When writing a nursing case study, nurse practitioners should use a clear and concise format. The format should be easy to follow and understand. Nurse practitioners should also include all of the key elements in their nursing case studies.

As a nurse practitioner, you will be required to conduct case analyses on patients in order to make treatment decisions. There are key elements that you will need to take into consideration when conducting a case analysis. These elements include the patient’s history, physical examination, laboratory data, and imaging studies.(Nursing Case Study Analysis)

By taking into consideration all of these elements, you will be able to develop a comprehensive picture of the patient’s condition. This will allow you to make an informed decision about the best course of treatment.

(Nursing Case Study Analysis)

Working On an Assignment With Similar Concepts Or Instructions? ​

A Page will cost you $12, however, this varies with your deadline. 

We have a team of expert nursing writers ready to help with your nursing assignments. They will save you time, and improve your grades. 

Whatever your goals are, expect plagiarism-free works, on-time delivery, and 24/7 support from us.  

Here is your 15% off to get started.  Simply:

  • Place your order ( Place Order ) 
  • Click on Enter Promo Code after adding your instructions  
  • Insert your code –  Get20

All the Best, 

case study nursing process example

blog (1241) Nursing Careers (34) Nursing Paper Solutions (844) Nursing Theories (82) Nursing Topics and Ideas (54) Nursing Writing Guides (9)

ADN (34) BSN (34) Capstone project ideas (4) Clinical: SOAP Note (4) CNA (34) DNP (34) Essay Discussion (223) Initial Psychiatric Interview/SOAP Note (5) LPN (34) MSN (34) NRNP 6635: Psychopathology and Diagnostic Reasoning (11) Nursing Case Study Examples (49) Nursing Paper Examples (42) Nursing Report examples (10) Nursing Theories (81) Nursing Theory (67) Nursing Theory Papers (100) Nursing Topics (104) PRAC 6675: PMHNP Care Across the Lifespan I (4) Therapy Modality Focus Points (10)

  • Company Overview
  • Our Guarantees
  • Client Reviews
  • Discount Codes
  • Privacy Policy

Quick Links

  • Nursing Papers Examples
  • Contact Us 
  • Terms and Conditions
  • Cookie Policy
  • Frequently Asked Questions
  • Fair Use Policy
  • Revisions and Refund Policy

Knowledge Base

  • All Writing Guides 
  • Nursing Theory Guides
  • Topics Ideas
  • Nursing Paper Solutions
  • Buy Nursing Homework online
  • Buy Nursing Papers
  • Online Nursing Writers
  • Buy Nursing Essays
  • Buy Nursing Assignments

Writing Tools

  • Citation Generator
  • Topic Generator
  • Thesis Generator
  • Sentence Rewriter
  • Title Page Generator
  • Research Paper Title Generator
  • PICOT Generator
  • Nursing Paper Introduction Generator 
  • Nursing Paper Conclusion Generator

Nursing Writing Services

  • Nursing Case Study
  • Nursing Coursework Help
  • Nursing Dissertation Writing Services
  • Nursing Personal Statement Examples
  • Nursing Essays
  • Nursing Practitioners Essays and Assignment Help
  • Nursing Report Writing
  • Nursing Term Paper Writing
  • Nursing Capstone Writing 
  • Nursing Discussion post writing services
  • Best  Nursing Writing Company
  • Nursing Capstone Project Writing Services
  • Nurse Writing Service  
  • Write My Nursing Paper Service
  • Last  Minute Nursing Service
  • Fast Nursing Writing Service
  • Essay writing nursing
  • Nurses essay writing
  • Nursing essay writers
  • Write nursing essay
  • Buy nursing essays
  • Help with nursing essays
  • Nursing essay help

Nursingstudy.org helps students cope with college assignments and write papers on various topics. We deal with academic writing, creative writing, and non-word assignments.

All the materials from our website should be used with proper references. All the work should be used per the appropriate policies and applicable laws.

Our samples and other types of content are meant for research and reference purposes only. We are strongly against plagiarism and academic dishonesty.

Contact Us: Phone: +1 628 261 0844. Mail: [email protected]

DMCA.com Protection Status

We Accept: 

case study nursing process example

@2015-2024, Nursingstudy.org 

The Nursing Process: A Comprehensive Guide

Nursing Process

In 1958, Ida Jean Orlando began developing the nursing process still evident in nursing care today. According to Orlando’s theory, the patient’s behavior sets the nursing process in motion. Through the nurse’s knowledge to analyze and diagnose the behavior to determine the patient’s needs.

Application of the fundamental principles of critical thinking, client-centered approaches to treatment, goal-oriented tasks, evidence-based practice (EBP) recommendations, and nursing intuition, the nursing process functions as a systematic guide to client-centered care with five subsequent steps. These are assessment , diagnosis, planning, implementation, and evaluation ( ADPIE ).

Table of Contents

What is the nursing process.

  • What is the purpose of the nursing process? 

Characteristics of the nursing process

Nursing process steps, collecting data, objective data or signs, subjective data or symptoms, verbal data, nonverbal data, primary source, secondary source, tertiary source, health interview, physical examination, observation, validating data, documenting data.

  • 2. Diagnosis: “What is the problem?” 

Initial Planning

Ongoing planning, discharge planning, developing a nursing care plan, behavioral nursing interventions, community nursing interventions, family nursing interventions, health system nursing interventions, physiological nursing interventions, safety nursing interventions, skills used in implementing nursing care, 1. reassessing the client, 2. determining the nurse’s need for assistance, nursing intervention categories, independent nursing interventions, dependent nursing interventions, interdependent nursing interventions, 4. supervising the delegated care, 5. documenting nursing activities, 1. collecting data, 2. comparing data with desired outcomes, 3. analyzing client’s response relating to nursing activities, 4. identifying factors contributing to success or failure, 5. continuing, modifying, or terminating the nursing care plan, 6. discharge planning.

ADPIE Nursing Process Infographic

The nursing process is defined as a systematic, rational method of planning that guides all nursing actions in delivering holistic and patient-focused care. The nursing process is a form of scientific reasoning and requires the nurse’s critical thinking to provide the best care possible to the client.

What is the purpose of the nursing process?

The following are the purposes of the nursing process:

  • To identify the client’s health status and actual or potential health care problems or needs (through assessment).
  • To establish plans to meet the identified needs.
  • To deliver specific nursing interventions to meet those needs.
  • To apply the best available caregiving evidence and promote human functions and responses to health and illness (ANA, 2010).
  • To protect nurses against legal problems related to nursing care when the standards of the nursing process are followed correctly.
  • To help the nurse perform in a systematically organized way their practice.
  • To establish a database about the client’s health status, health concerns, response to illness, and the ability to manage health care needs.

The following are the unique characteristics of the nursing process: 

  • Patient-centered . The unique approach of the nursing process requires care respectful of and responsive to the individual patient’s needs, preferences, and values. The nurse functions as a patient advocate by keeping the patient’s right to practice informed decision-making and maintaining patient-centered engagement in the health care setting.
  • Interpersonal . The nursing process provides the basis for the therapeutic process in which the nurse and patient respect each other as individuals, both of them learning and growing due to the interaction. It involves the interaction between the nurse and the patient with a common goal.
  • Collaborative . The nursing process functions effectively in nursing and inter-professional teams, promoting open communication, mutual respect, and shared decision-making to achieve quality patient care.
  • Dynamic and cyclical .The nursing process is a dynamic, cyclical process in which each phase interacts with and is influenced by the other phases.
  • Requires critical thinking . The use of the nursing process requires critical thinking which is a vital skill required for nurses in identifying client problems and implementing interventions to promote effective care outcomes.

The nursing process consists of five steps: assessment, diagnosis, planning, implementation, and evaluation. The acronym ADPIE is an easy way to remember the components of the nursing process. Nurses need to learn how to apply the process step-by-step. However, as critical thinking develops through experience, they learn how to move back and forth among the steps of the nursing process.

The steps of the nursing process are not separate entities but overlapping, continuing subprocesses. Apart from understanding nursing diagnoses and their definitions, the nurse promotes awareness of defining characteristics and behaviors of the diagnoses, related factors to the selected nursing diagnoses, and the interventions suited for treating the diagnoses.

The steps of the nursing process are detailed below:

1. Assessment: “What data is collected?”

The first phase of the nursing process is assessment . It involves collecting, organizing, validating, and documenting the clients’ health status. This data can be obtained in a variety of ways. Usually, when the nurse first encounters a patient, the nurse is expected to assess to identify the patient’s health problems as well as the physiological, psychological, and emotional state and to establish a database about the client’s response to health concerns or illness and the ability to manage health care needs. Critical thinking skills are essential to the assessment, thus requiring concept-based curriculum changes.

Data collection is the process of gathering information regarding a client’s health status. The process must be systematic and continuous in collecting data to prevent the omission of important information concerning the client.

The best way to collect data is through head-to-toe assessment. Learn more about it at our guide: Head to Toe Assessment: Complete Physical Assessment Guide

Types of Data

Data collected about a client generally falls into objective or subjective categories, but data can also be verbal and nonverbal. 

Objective data are overt, measurable, tangible data collected via the senses, such as sight, touch, smell, or hearing, and compared to an accepted standard, such as vital signs, intake and output , height and weight, body temperature, pulse, and respiratory rates, blood pressure, vomiting , distended abdomen, presence of edema , lung sounds, crying, skin color, and presence of diaphoresis.

Subjective data involve covert information, such as feelings, perceptions, thoughts, sensations, or concerns that are shared by the patient and can be verified only by the patient, such as nausea , pain , numbness, pruritus, attitudes, beliefs, values, and perceptions of the health concern and life events.

Verbal data are spoken or written data such as statements made by the client or by a secondary source. Verbal data requires the listening skills of the nurse to assess difficulties such as slurring, tone of voice, assertiveness, anxiety , difficulty in finding the desired word, and flight of ideas.

Nonverbal data are observable behavior transmitting a message without words, such as the patient’s body language, general appearance, facial expressions, gestures, eye contact, proxemics (distance), body language, touch, posture, clothing. Nonverbal data obtained can sometimes be more powerful than verbal data, as the client’s body language may not be congruent with what they really think or feel. Obtaining and analyzing nonverbal data can help reinforce other forms of data and understand what the patient really feels.

Sources of Data

Sources of data can be primary, secondary, and tertiary . The client is the primary source of data, while family members, support persons, records and reports, other health professionals, laboratory and diagnostics fall under secondary sources.

The client is the only primary source of data and the only one who can provide subjective data. Anything the client says or reports to the members of the healthcare team is considered primary.

A source is considered secondary data if it is provided from someone else other than the client but within the client’s frame of reference. Information provided by the client’s family or significant others are considered secondary sources of data if the client cannot speak for themselves, is lacking facts and understanding, or is a child. Additionally, the client’s records and assessment data from other nurses or other members of the healthcare team are considered secondary sources of data.

Sources from outside the client’s frame of reference are considered tertiary sources of data . Examples of tertiary data include information from textbooks, medical and nursing journals, drug handbooks, surveys, and policy and procedural manuals.

Methods of Data Collection

The main methods used to collect data are health interviews, physical examination, and observation.

The most common approach to gathering important information is through an interview. An interview is an intended communication or a conversation with a purpose, for example, to obtain or provide information, identify problems of mutual concern, evaluate change, teach, provide support, or provide counseling or therapy. One example of the interview is the nursing health history, which is a part of the nursing admission assessment. Patient interaction is generally the heaviest during the assessment phase of the nursing process so rapport must be established during this step.

Aside from conducting interviews, nurses will perform physical examinations, referencing a patient’s health history, obtaining a patient’s family history, and general observation can also be used to gather assessment data. Establishing a good physical assessment would, later on, provide a more accurate diagnosis, planning, and better interventions and evaluation.

Observation is an assessment tool that depends on the use of the five senses (sight, touch, hearing, smell, and taste) to learn information about the client. This information relates to characteristics of the client’s appearance, functioning, primary relationships, and environment. Although nurses observe mainly through sight, most of the senses are engaged during careful observations such as smelling foul odors, hearing or auscultating lung and heart sounds and feeling the pulse rate and other palpable skin deformations.

Validation is the process of verifying the data to ensure that it is accurate and factual. One way to validate observations is through “double-checking,” and it allows the nurse to complete the following tasks:

  • Ensures that assessment information is double-checked, verified, and complete. For example, during routine assessment, the nurse obtains a reading of 210/96 mm Hg of a client with no history of hypertension . To validate the data, the nurse should retake the blood pressure and if necessary, use another equipment to confirm the measurement or ask someone else to perform the assessment.
  • Ensure that objective and related subjective data are valid and accurate. For example, the client’s perceptions of “feeling hot” need to be compared with the measurement of the body temperature.
  • Ensure that the nurse does not come to a conclusion without adequate data to support the conclusion. A nurse assumes tiny purple or bluish-black swollen areas under the tongue of an older adult client to be abnormal until reading about physical changes of aging.
  • Ensure that any ambiguous or vague statements are clarified. For example, a 86-year-old female client who is not a native English speaker says that “I am in pain on and off for 4 weeks,” would require verification for clarity from the nurse by asking “Can you describe what your pain is like? What do you mean by on and off?”
  • Acquire additional details that may have been overlooked. For example, the nurse is asking a 32-year-old client if he is allergic to any prescription or non-prescription medications. And what would happen if he takes these medications.
  • Distinguish between cues and inferences. Cues are subjective or objective data that can be directly observed by the nurse; that is, what the client says or what the nurse can see, hear, feel, smell, or measure. On the other hand, inferences are the nurse’s interpretation or conclusions made based on the cues. For example, the nurse observes the cues that the incision is red, hot, and swollen and makes an inference that the incision is infected.

Once all the information has been collected, data can be recorded and sorted. Excellent record-keeping is fundamental so that all the data gathered is documented and explained in a way that is accessible to the whole health care team and can be referenced during evaluation. 

2. Diagnosis: “What is the problem?”

The second step of the nursing process is the nursing diagnosis . The nurse will analyze all the gathered information and diagnose the client’s condition and needs. Diagnosing involves analyzing data, identifying health problems, risks, and strengths, and formulating diagnostic statements about a patient’s potential or actual health problem. More than one diagnosis is sometimes made for a single patient. Formulating a nursing diagnosis by employing clinical judgment assists in the planning and implementation of patient care.

The types, components, processes, examples, and writing nursing diagnosis are discussed more in detail here “ Nursing Diagnosis Guide: All You Need To Know To Master Diagnosing ”

3. Planning: “How to manage the problem?”

Planning is the third step of the nursing process. It provides direction for nursing interventions. When the nurse, any supervising medical staff, and the patient agree on the diagnosis, the nurse will plan a course of treatment that takes into account short and long-term goals. Each problem is committed to a clear, measurable goal for the expected beneficial outcome. 

The planning phase is where goals and outcomes are formulated that directly impact patient care based on evidence-based practice (EBP) guidelines. These patient-specific goals and the attainment of such assist in ensuring a positive outcome. Nursing care plans are essential in this phase of goal setting. Care plans provide a course of direction for personalized care tailored to an individual’s unique needs. Overall condition and comorbid conditions play a role in the construction of a care plan. Care plans enhance communication, documentation, reimbursement, and continuity of care across the healthcare continuum.

Types of Planning

Planning starts with the first client contact and resumes until the nurse-client relationship ends, preferably when the client is discharged from the health care facility.

Initial planning is done by the nurse who conducts the admission assessment. Usually, the same nurse would be the one to create the initial comprehensive plan of care.

Ongoing planning is done by all the nurses who work with the client. As a nurse obtain new information and evaluate the client’s responses to care, they can individualize the initial care plan further. An ongoing care plan also occurs at the beginning of a shift. Ongoing planning allows the nurse to:

  • determine if the client’s health status has changed
  • set priorities for the client during the shift
  • decide which problem to focus on during the shift
  • coordinate with nurses to ensure that more than one problem can be addressed at each client contact

Discharge planning is the process of anticipating and planning for needs after discharge. To provide continuity of care, nurses need to accomplish the following:

  • Start discharge planning for all clients when they are admitted to any health care setting.
  • Involve the client and the client’s family or support persons in the planning process.
  • Collaborate with other health care professionals as needed to ensure that biopsychosocial, cultural, and spiritual needs are met.

A nursing care plan (NCP) is a formal process that correctly identifies existing needs and recognizes potential needs or risks. Care plans provide communication among nurses, their patients, and other healthcare providers to achieve health care outcomes. Without the nursing care planning process, the quality and consistency of patient care would be lost.

The planning step of the nursing process is discussed in detail in Nursing Care Plans (NCP): Ultimate Guide and Database .

4. Implementation : “Putting the plan into action!”

The implementation phase of the nursing process is when the nurse puts the treatment plan into effect. It involves action or doing and the actual carrying out of nursing interventions outlined in the plan of care. This typically begins with the medical staff conducting any needed medical interventions. 

Interventions should be specific to each patient and focus on achievable outcomes. Actions associated with a nursing care plan include monitoring the patient for signs of change or improvement, directly caring for the patient or conducting important medical tasks such as medication administration , educating and guiding the patient about further health management, and referring or contacting the patient for a follow-up.

A taxonomy of nursing interventions referred to as the Nursing Interventions Classification (NIC) taxonomy, was developed by the Iowa Intervention Project. The nurse can look up a client’s nursing diagnosis to see which nursing interventions are recommended. 

Nursing Interventions Classification (NIC) System

There are more than 550 nursing intervention labels that nurses can use to provide the proper care to their patients. These interventions are categorized into seven fields or classes of interventions according to the Nursing Interventions Classification system.

These are interventions designed to help a patient change their behavior. With behavioral interventions, in contrast, patient behavior is the key and the goal is to modify it. The following measures are examples of behavioral nursing interventions:

  • Encouraging stress and relaxation techniques
  • Providing support to quit smoking
  • Engaging the patient in some form of physical activity , like walking, to reduce the patient’s anxiety, anger, and hostility

These are interventions that refer to the community-wide approach to health behavior change. Instead of focusing mainly on the individual as a change agent, community interventionists recognize a host of other factors that contribute to an individual’s capacity to achieve optimal health, such as:

  • Implementing an education program for first-time mothers
  • Promoting diet and physical activities
  • Initiating HIV awareness and violence-prevention programs
  • Organizing a fun run to raise money for breast cancer research 

These are interventions that influence a patient’s entire family.

  • Implementing a family-centered approach in reducing the threat of illness spreading when one family member is diagnosed with a communicable disease
  • Providing a nursing woman support in breastfeeding her new baby
  • Educating family members about caring for the patient

These are interventions that designed to maintain a safe medical facility for all patients and staff, such as:

  • Following procedures to reduce the risk of infection for patients during hospital stays.
  • Ensuring that the patient’s environment is safe and comfortable, such as repositioning them to avoid pressure ulcers in bed

These are interventions related to a patient’s physical health to make sure that any physical needs are being met and that the patient is in a healthy condition. These nursing interventions are classified into two types: basic and complex.

  • Basic. Basic interventions regarding the patient’s physical health include hands-on procedures ranging from feeding to hygiene assistance.
  • Complex. Some physiological nursing interventions are more complex, such as the insertion of an IV line to administer fluids to a dehydrated patient.

These are interventions that maintain a patient’s safety and prevent injuries, such as:

  • Educating a patient about how to call for assistance if they are not able to safely move around on their own
  • Providing instructions for using assistive devices such as walkers or canes, or how to take a shower safely.

When implementing care, nurses need cognitive, interpersonal, and technical skills to perform the care plan successfully.

  • Cognitive Skills are also known as Intellectual Skills are skills involve learning and understanding fundamental knowledge including basic sciences, nursing procedures, and their underlying rationale before caring for clients. Cognitive skills also include problem-solving, decision-making, critical thinking, clinical reasoning, and creativity.
  • Interpersonal Skills are skills that involve believing, behaving, and relating to others. The effectiveness of a nursing action usually leans mainly on the nurse’s ability to communicate with the patient and the members of the health care team.
  • Technical Skills are purposeful “hands-on” skills such as changing a sterile dressing, administering an injection, manipulating equipment, bandaging, moving, lifting, and repositioning clients. All of these activities require safe and competent performance.

Process of Implementing

The process of implementing typically includes the following:

Prior to implementing an intervention, the nurse must reassess the client to make sure the intervention is still needed. Even if an order is written on the care plan, the client’s condition may have changed.

Other nursing tasks or activities may also be performed by non-RN members of the healthcare team. Members of this team may include unlicensed assistive personnel (UAP) and caregivers , as well as other licensed healthcare workers, such as licensed practical nurses/licensed vocational nurses (LPNs/LVNs). The nurse may need assistance when implementing some nursing intervention, such as ambulating an unsteady obese client, repositioning a client, or when a nurse is not familiar with a particular model of traction equipment needs assistance the first time it is applied.

3. Implementing the nursing interventions

Nurses must not only have a substantial knowledge base of the sciences, nursing theory , nursing practice, and legal parameters of nursing interventions but also must have the psychomotor skills to implement procedures safely. It is necessary for nurses to describe, explain, and clarify to the client what interventions will be done, what sensations to anticipate, what the client is expected to do, and what the expected outcome is. When implementing care, nurses perform activities that may be independent, dependent, or interdependent.

Nursing interventions are grouped into three categories according to the role of the healthcare professional involved in the patient’s care:

A registered nurse can perform independent interventions on their own without the help or assistance from other medical personnel, such as: 

  • routine nursing tasks such as checking vital signs
  • educating a patient on the importance of their medication so they can administer it as prescribed

A nurse cannot initiate dependent interventions alone. Some actions require guidance or supervision from a physician or other medical professional, such as:

  • prescribing new medication
  • inserting and removing a urinary catheter
  • providing diet
  • Implementing wound or bladder irrigations

A nurse performs as part of collaborative or interdependent interventions that involve team members across disciplines.

  • In some cases, such as post- surgery , the patient’s recovery plan may require prescription medication from a physician, feeding assistance from a nurse, and treatment by a physical therapist or occupational therapist.
  • The physician may prescribe a specific diet to a patient. The nurse includes diet counseling in the patient care plan. To aid the patient, even more, the nurse enlists the help of the dietician that is available in the facility.

Delegate specific nursing interventions to other members of the nursing team as appropriate. Consider the capabilities and limitations of the members of the nursing team and supervise the performance of the nursing interventions. Deciding whether delegation is indicated is another activity that arises during the nursing process.

The American Nurses Association and the National Council of State Boards of Nursing (2006) define delegation as “the process for a nurse to direct another person to perform nursing tasks and activities.” It generally concerns the appointment of the performance of activities or tasks associated with patient care to unlicensed assistive personnel while retaining accountability for the outcome.

Nevertheless, registered nurses cannot delegate responsibilities related to making nursing judgments. Examples of nursing activities that cannot be delegated to unlicensed assistive personnel include assessment and evaluation of the impact of interventions on care provided to the patient.

Record what has been done as well as the patient’s responses to nursing interventions precisely and concisely.

5. Evaluation : “Did the plan work?”

Evaluating is the fifth step of the nursing process. This final phase of the nursing process is vital to a positive patient outcome. Once all nursing intervention actions have taken place, the team now learns what works and what doesn’t by evaluating what was done beforehand. Whenever a healthcare provider intervenes or implements care, they must reassess or evaluate to ensure the desired outcome has been met. The possible patient outcomes are generally explained under three terms: the patient’s condition improved, the patient’s condition stabilized, and the patient’s condition worsened.

Steps in Evaluation

Nursing evaluation includes (1) collecting data, (2) comparing collected data with desired outcomes, (3) analyzing client’s response relating to nursing activities, (4) identifying factors that contributed to the success or failure of the care plan, (5) continuing, modifying, or terminating the nursing care plan, and (6) planning for future nursing care.

The nurse recollects data so that conclusions can be drawn about whether goals have been fulfilled. It is usually vital to collect both objective and subjective data. Data must be documented concisely and accurately to facilitate the next part of the evaluating process.

The documented goals and objectives of the nursing care plan become the standards or criteria by which to measure the client’s progress whether the desired outcome has been met, partially met, or not met.

  • The goal was met , when the client response is the same as the desired outcome.
  • The goal was partially met , when either a short-term outcome was achieved but the long-term goal was not, or the desired goal was incompletely attained.
  • The goal was not met.

It is also very important to determine whether the nursing activities had any relation to the outcomes whether it was successfully accomplished or not.

It is required to collect more data to confirm if the plan was successful or a failure. Different factors may contribute to the achievement of goals. For example, the client’s family may or may not be supportive, or the client may be uncooperative to perform such activities. 

The nursing process is dynamic and cyclical. If goals were not sufficed, the nursing process begins again from the first step. Reassessment and modification may continually be needed to keep them current and relevant depending upon general patient condition. The plan of care may be adjusted based on new assessment data. Problems may arise or change accordingly. As clients complete their goals, new goals are set. If goals remain unmet, nurses must evaluate the reasons these goals are not being achieved and recommend revisions to the nursing care plan.

Discharge planning is the process of transitioning a patient from one level of care to the next. Discharge plans are individualized instructions provided as the client is prepared for continued care outside the healthcare facility or for independent living at home. The main purpose of a discharge plan is to improve the client’s quality of life by ensuring continuity of care together with the client’s family or other healthcare workers providing continuing care.

The following are the key elements of IDEAL discharge planning according to the Agency for Healthcare Research and Quality:

  • I nclude the patient and family as full partners in the discharge planning process.
  • Describe what life at home will be like
  • Review medications
  • Highlight warning signs and problems
  • Explain test results
  • Schedule follow-up appointments
  • E ducate the patient and family in plain language about the patient’s condition, the discharge process, and next steps throughout the hospital stay.
  • A ssess how well doctors and nurses explain the diagnosis, condition, and next steps in the patient’s care to the patient and family and use teach back.
  • L isten to and honor the patient’s and family’s goals, preferences, observations, and concerns. 

A discharge plan includes specific components of client teaching with documentation such as:

  • Equipment needed at home. Coordinate home-based care and special equipment needed.
  • Dietary needs or special diet . Discuss what the patient can or cannot eat at home.
  • Medications to be taken at home. List the patient’s medications and discuss the purpose of each medicine, how much to take, how to take it, and potential side effects.
  • Resources such as contact numbers and addresses of important people. Write down the name and contact information of someone to call if there is a problem.
  • Emergency response: Danger signs. Identify and educate patients and families about warning signs or potential problems.
  • Home care activities. Educate patient on what activities to do or avoid at home.
  • Summary. Discuss with the patient and family about the patient’s condition, the discharge process, and follow-up checkups.

34 thoughts on “The Nursing Process: A Comprehensive Guide”

This article is helpful

So helpful And easy to understand A very good guide for nurses

I’m a clinical instructor teaching Fundamentals this semester. The article will be very helpful to give an in-depth explanation of “The Nursing Process” to students. Thank you.

Very detailed and easy to understand. Thx

Am a student I find it very educative

This is so helpful

Excellent information that is clearly outlined and user friendly.

This is so wonderful thank you

So helpful thank you

this is very helpful thank you

Helpful. So grateful

Is the nursing process the same as “critical thinking”?

Great information! Thanks!

This is very helpful. Thank you

Great explanation, in the understanding of Nursing process

Very Helpful to students, thank you for sharing

Excellent job. A great help to all nursing students. Thank you for sharing. God bless you.

Hi Joycelyn, Thank you so much for your kind words! It’s really rewarding to hear that it’s helping nursing students out there. We’re all about sharing knowledge and making things a bit easier. 😊 If there’s anything else you’d like to see or know, just let me know. And blessings right back at you!

Thank you so much…It’s a very comprehensive reference.

You’re very welcome, A.C! I’m glad you found the nursing process reference comprehensive and useful. Just out of curiosity, is there a particular step in the nursing process you’d like to explore more deeply, or do you have any specific areas where you’d like more detailed information?

I am a nursing student and I see this as a helpful tool, very detailed and easy to understand thanks for sharing

Hi Mawuli, I’m delighted to know that you’re finding our resources helpful! If you have any specific questions or if there’s a particular topic you’d like more information on, please feel free to ask. I’m here to assist you with any nursing-related inquiries you may have. Keep up the great work in your studies! 🩺📚🌟

Keep updating me about Nursing pdfs. You guys are really good at your work!!

Hey Mokete, Thank you so much for the kind words! We’re thrilled to hear that you’re finding our nursing resources helpful. We’ll do our best to keep you updated with more valuable nursing PDFs and information. If there’s anything specific you’d like to see or if you have any questions, feel free to let us know. Keep up the great work in your nursing journey! 👩‍⚕️📚🌟

Thanks it really helps alot

Glad to be of help! Thank you!

This guideline very useful for Nurses building their competency and practice quality of care of Nursing to use as reference please allow to download free especially to Nurses who live in developing countries since it is not affordable to buy it

You can download the articles by printing them as PDF :) You can use a service called printfriendly (google it) to make PDFs of our webpages.

Excellent work done I’m very happy to see this stuffs

Thank you so much…It’s a very comprehensive reference. God bless you

Hello Theophilus, You’re very welcome, and thank you for the blessings! 😊 I’m glad you found the reference on the nursing process comprehensive. Just out of curiosity, is there a particular part of the nursing process you’re most interested in, or any aspect you’d like to explore more deeply?

God bless you too, and if you have any more questions, feel free to ask!

Leave a Comment Cancel reply

Nursing Professors

7 steps to successful nursing case study writing.

A nursing case study is a detailed study of a patient that is encountered during a nurse’s daily practice. They are usually written by nurses in training as part of their coursework, but they can also be written by experienced nurses as a way of sharing best practice.

Case studies are an important part of the nursing curriculum as they provide students with a real-life insight into the complexities of patient care. They also allow nurses to reflect on their own practice and identify areas where they could make improvements.

When writing a nursing case study, it is important to follow the instructions provided by your tutor. This will ensure that your case study is relevant and meets the required academic standards. It is also important to be clear and concise in your writing, and to use evidence-based sources to support your claims.

If you are struggling to write a nursing case study, there are a number of resources that can help you. The following books are all recommended reading for anyone wanting to write a case study:

  • The Complete Guide to Case Study Research by Elaine M. Hubbell
  • Nursing Case Studies: A Guide to Understanding and Writing Them by Jennifer R. Gray
  • Writing Nursing Case Studies by Sally G. Reed

Once you have a good understanding of how to write a nursing case study, you will be able to produce high-quality studies that will be of benefit to both yourself and your patients.

Importance of nursing case study writing.

Nursing case studies are an important part of your nursing education. They provide you with the opportunity to apply the knowledge and skills you have learned in the classroom to real-world scenarios. Nursing case studies also allow you to develop critical thinking and problem-solving skills.

The nursing case study should be a detailed and accurate account of the care that was provided to the patient. It should be used to evaluate the outcome of that care and to identify any areas where improvements can be made.

nursing case study writing

Steps when writing a nursing case study paper.

There are various steps you should keep in mind in order to help you write a successful nursing case study.

These important steps include:

  • Define the problem.
  • Gathering information.
  • Developing alternatives.
  • Analyzing the alternatives.
  • Selecting the best alternative.
  • Implementing the solution.
  • Evaluating the outcome.

Defining the Problem

When writing a nursing case study, it is important to first define the problem. The problem should be something that can be solved through nursing interventions. Once the problem is defined, the nursing case study can be written to discuss the interventions that were used to solve the problem.

Nursing case studies are a great way to learn about different nursing interventions and how they can be used to solve problems. By reading nursing case studies, nurses can learn about different diseases and conditions and how to treat them. Nursing case studies can also be used to teach other nurses about different interventions.

Gathering Information

When it comes to writing a nursing case study, the first and most important step is gathering information. This is where you will need to do your research and collect data from a variety of sources. Once you have all of the information you need, you can begin to write your case study.

It is crucial to gather information before starting to write your nursing case study. This ensures that you include all of the relevant information. This means including details about the patient’s medical history, symptoms, and treatment.

Developing Alternatives

Once you have all of the necessary information, you can begin developing alternatives for the patient’s treatment. This will involve looking at the different options and deciding which is best based on the specific case. You will need to consider the risks and benefits of each option before making a recommendation.

Once you have developed a few different options, you can then start writing the case study. This should include an overview of the patient’s history, their current condition, and the different treatment options that were considered. Be sure to explain why you ultimately recommended the chosen course of treatment.

Analyzing the Alternatives

When you are given a nursing case study to write, the first step is to read the case thoroughly. Make sure you understand the situation and the patient’s history. Once you have a good understanding of the case, you can start to analyze the alternatives.

There are usually three alternatives in a nursing case study: nursing intervention, medical intervention, and no intervention. You will need to evaluate each alternative and decide which is best for the patient.

Nursing intervention is usually the first choice because it is the least invasive and has the least risk. Medical intervention is usually the next choice because it is more invasive but has a higher chance of success. No intervention is usually the last choice because it means doing nothing and letting the patient’s condition worsen.

Once you have evaluated the alternatives, you can start to write your case study. Remember to include all of the important information, such as the patient’s history, the alternatives you considered, and your recommendation.

Selecting the Best Alternative

When you are presented with a nursing case study, the first thing you need to do is identify the problem. Once you have identified the problem, you need to gather information about the patient. This information will help you to develop a plan of care. Once you have developed a plan of care, you need to select the best alternative.

The best alternative is the one that will best meet the needs of the patient. When selecting the best alternative, you need to consider the patient’s preferences, the severity of the problem, the risks and benefits of each alternative, and the resources available.

Implementing the Solution

Once you have selected the best alternative, you need to implement the plan of care. After you have implemented the plan of care, you need to evaluate the patient’s response. If the patient’s condition improves, you need to continue the plan of care. If the patient’s condition does not improve, you need to reevaluate the plan of care and select a different alternative.

Evaluating the Outcome

A nursing case study is a detailed account of a patient’s medical history and treatment. It is used to evaluate the outcome of a patient’s care and to identify any areas where improvements can be made.

When writing a nursing case study, it is important to include a detailed description of the patient’s symptoms and medical history. The case study should also include a discussion of the treatment that was provided and the outcome of that treatment.

It is also important to discuss any areas where improvements could be made in the care that was provided. This could include changes to the treatment plan, changes to the way that the patient was monitored, or changes to the way that the patient’s symptoms were managed.

Conclusion.

Writing a successful nursing case study can be a challenging task. However, by following the steps provided in this blog that is, first defining the problem, gathering information, developing alternatives., analyzing the alternatives, selecting the best alternative, implementing the solution and evaluating the outcome. You will be able to write a top-notch nursing case study that meets your requirements.

If you need professional assistance, place your order right here to get help from expert nursing paper writers.

case study nursing process example

Work with professional online writers

case study nursing process example

  • Affordable Nursing Papers
  • Nursing Coursework Writing
  • Nursing Essay Writing Service
  • Nursing Essay Assignments
  • Nursing Assignment Writing
  • Nursing Case Study Writing
  • Nursing Process Essay Writing
  • Nursing Capstone Project
  • BSN Capstone Project
  • Reliable Nursing Writers
  • PICO Question Examples
  • Nursing Speeches
  • Nursing PowerPoint Presentations
  • Online Nursing Essay Writers
  • Nursing Thesis
  • Nursing Coursework
  • Nursing Term Papers
  • Legit Nursing Writers
  • Best Nursing Writing Company
  • Nursing Students Writing Help
  • Cheap Nursing Term Paper

case study nursing process example

  • Refund Guarantee
  • On time delivery
  • Plagiarism-free papers
  • Safe and Confidential
  • Trained Writers
  • Nursing Essay Writing
  • Nursing Coursework Help
  • Nursing Dissertations
  • Nursing Case Studies
  • Nursing Assignment Help

Contact Info

U.S. flag

An official website of the United States government

The .gov means it’s official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

The site is secure. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

  • Publications
  • Account settings
  • Advanced Search
  • Journal List
  • v.24(6); 2019 Sep

Logo of jrn

Lessons learnt: examining the use of case study methodology for nursing research in the context of palliative care

Paula brogan.

School of Communication and Media, University of Ulster, Northern Ireland, UK

Felicity Hasson

Institute of Nursing Research, University of Ulster, Northern Ireland, UK

An empirical social research approach, facilitating in-depth exploration of complex, contemporary contextualised phenomena, case study research has been used internationally in healthcare studies across clinical settings, to explore systems and processes of care delivery. In the United Kingdom, case study methods have been championed by nurse researchers, particularly in the context of community nursing and palliative care provision, where its applicability is well established. Yet, dogged by conceptual confusion, case study remains largely underutilised as a research approach.

Drawing on examples from nursing and palliative care studies, this paper clarifies case study research, identifies key concepts and considers lessons learned about its potential for nursing research within the unique and complex palliative and end of life context.

A case study approach offers nurse researchers the opportunity for in-depth, contextualised understanding of the systems and processes which influence their role in palliative care delivery across settings. However, philosophical and conceptual understandings are needed and further training in case study methodology is required to enable researchers to articulate and conduct case study.

Introduction

An empirical social research approach, facilitating in-depth exploration of a contemporary phenomenon ( Yin, 2009 ), case study research has been used internationally in healthcare studies ( Anthony and Jack, 2009 ) to explore systems of palliative care ( Lalor et al., 2013 ), diverse contexts for palliative care delivery ( Sussman et al., 2011 ), roles of professional groups such as pharmacy ( O’Connor et al., 2011 ), the impact of services such as complementary therapy ( Maddalena et al., 2010 ) and nursing (Kaasalainen et al., 2013). In the United Kingdom, case study methods have been championed by nurse researchers ( Payne et al., 2006 ), particularly in the context of community nursing and palliative care provision ( Kennedy, 2005 ; Walshe et al., 2004 , 2008 ) and its applicability to palliative and end-of-life care research is established ( Goodman et al., 2012 ). Suited to the study of complex processes ( Walshe, 2011 ), case study methodology is embedded in professional guidance on the development of complex interventions ( Medical Research Council, 2008 ). Yet, case study is dogged by conceptual confusion (Flyvberg, 2006), and, despite sporadic use, remains underutilised as a research approach in healthcare settings ( Froggatt et al., 2003 ).

Illustrated by examples from nursing and palliative care studies, this paper aims to clarify conceptual understanding and identify key lessons for its application within these unique and complex contexts and, more broadly, for nursing research.

Origins and definitions

French sociologist Frederic Le Play (1806–1882) is associated with the origin of the case study approach ( Hamel et al., 1993 ). Using a purposive sample of working class families and fieldwork methods of observation and individual interview, he sought a contextualised and in-depth understanding of their individual experiences. Each family case study uncovered the unique experience of that family, but each additional family studied was another ‘ case of the lived experience’ of working class families in mid-18th century France. Thereby, Le Play used the lens of individual experience ( Yin, 2013 ) to build comparisons across families and enrich overall understanding of that complex society.

This early glimpse of the case study approach showed it to be a straightforward ‘field investigation’ ( Hamel et al., 1993 ); epistemologically pragmatic as it generated knowledge through data drawn from diverse sources, such as family members, and used the best available data collection methods then, to inform a holistic and contextualised understanding of how people operated within a complex social system ( Stake, 1995 ).

However, defining case study has become increasingly challenging since its expansion into North America in the 1800s ( Platt, 1992 ), and its use across a range of disciplines such as politics ( Gerring, 2004 ), social science ( George and Bennett, 2005 ), education ( Merriam, 1998 ) and healthcare ( Yin, 2013 ). Variously characterised as a case report, data collection method and methodology ( Anthony and Jack, 2009 ), the development of case histories as illustrations in health and social care and in education ( Merriam, 1998 ) has contributed to further confusion for researchers and readers of case study research ( Gomm et al., 2000 ). Critiques of case study note that it lacks a single definition, such that a plethora of discipline dependant interpretations ( Simons, 2009 ) and loose use of the term case study ( Tight, 2010 ) have contributed to confusion and undermined case study credibility. However, Simons ( 2009 , p. 63) advises researchers that case study must be seen within the complex nexus of political, methodological and epistemological convictions that constitute the field of enquiry, and variations of these may be glimpsed in Table 1 as definitions from four eminent and frequently cited case study authors illustrate philosophical and discipline-influenced differences in emphasis. Consequently, the case study definition selected, with its underpinning ontology and epistemology has important implications for the coherent outworking of the overall research design. It is therefore notable that many of the palliative care case studies contained in Table 2 fail to identify any such definition and this may have implications for interpretation of the quality of studies.

Definitions of case study by four key authors, showing the variation in meaning and interpretation.

Examples of Case Studies (CS) conducted in palliative care contexts.

Case study as a philosophy for the epistemology of knowledge generation

Although frequently linked to naturalistic inquiry ( Lincoln and Guba, 1986 ), interpretative/constructivist philosophy and qualitative methodology ( Stake, 1995 ), case study is not in fact bound to any single research paradigm ( Creswell, 2013 ). It is philosophically pragmatic, such that the case study design should reflect the ontological positions and epistemological considerations of the researchers and their topic of interest ( Luck et al., 2006 ). In practice, this means that case study research may pragmatically employ both qualitative and quantitative methods independently or together in order to respond to the research objectives ( Cooper et al., 2012 ; Simons, 1987 ; Stake, 2006 ). So whilst Table 2 shows that qualitative case studies are common in palliative care, epistemological variation is evident and reflects the study topic, purpose and context of the research. For example, Maddalena et al. (2010) used in-depth interview and discourse analysis to understand individual patient meaning-making; Brogan et al. (2017) used focus groups and thematic analysis as part of an embedded element of a multiple case study, to contrast the diverse perspectives of multi-disciplinary healthcare practitioners on end-of-life decision-making; Sussman et al. (2011) incorporated survey data into a mixed methods multiple case study which explored health system characteristics and quality of care delivery for cancer patients across four regions of Canada. Consequently, it is useful to ‘conceptualise (case study) as an approach to research rather than a methodology in its own right’ ( Rosenberg and Yates, 2007 , p. 448), so that a non-standardised approach exists and the case study design, its boundaries, numbers of cases and methods are guided by the stated underpinning ontological perspectives of the researcher and their topic of interest. The study then flexibly adopts the best methods to gain an in-depth, holistic and contextualised understanding of the phenomenon of interest – the latter objectives being at the core of any definition of case study research.

Key case study concepts and lessons for practice

When considering the utility of a case study approach, research conducted in complex palliative care contexts offers several insights into how central concepts translate to practice.

Contextualised understanding

Drawing on the definitions in Table 1 , Stake emphasised the particularity and intrinsic value of each individual case ( Stake, 1995 ), to emphasise the usefulness of multiple cases to increase insight ( Stake, 2006 ), analyse patterns ( Gerring, 2004 ; George and Bennett, 2005 ) and develop causal hypotheses ( Yin, 2013 ). Yet, whatever the purpose, all case studies are concerned with the crucial relationship between a phenomenon and the environment in which it has occurred. In practice therefore, case study researchers must be concerned with understanding the background systems, structures and processes that influence and interact with the phenomenon under study. This capacity for contextualised and holistic understanding is underpinned by use of multiple data collection methods, such as observation, interview and document review, used simultaneously or sequentially ( Stake, 2006 ; Scholz and Tietje, 2002 ), to mine multiple sources of data, such as participant experience ( Brogan et al., 2017 ; Kaasalainen et al., 2012 ), documents (Lalor et al., 2003) service evaluations ( Walshe et al., 2008 ), and diaries ( Skilbeck and Seymour, 2002 ). This is exemplified in a study by Walshe et al. (2011) , who investigated referral decisions made by community palliative care nurses in the UK, by capturing interview data on the self-reported perspectives of healthcare professionals, in combination with observed team meetings in which decisions were influenced, and review of the written referral policies, protocols and palliative healthcare strategies specific to those decisions. This comprehensive and complex data enabled comparison of decisional processes and their influencing factors both within and across three Primary Care Trusts, thus providing a contemporaneous understanding of the complex relationship between individual nurse's referral decisions and the impact of the organisational and professional systems that underpinned them. Enhancing rigor, such methodological triangulation importantly contributed to the richness of data analysis and the development of assertions which might be drawn from the findings ( Cooper et al., 2012 ; Stake, 2006 ).

Process-focused

Flexible data collection methods, linked to the research purpose, enables case study researchers to gather both historical and real-time data in a variety of ways. For example, Kennedy’s longitudinal case study ( Kennedy, 2002 ) observed snapshots of the initial and follow-up assessment conducted by 11 district nurses over the subsequent 12 months, enabling an exploration of the outcome and impact of their decision-making, demonstrating the usefulness of case study to understand complex roles and processes which are fluid and elusive ( Yin, 2013 ), or otherwise difficult to capture, particularly in the intimate interpersonal contexts where nursing happens.

Analytic frame

Palliative care studies reviewed frequently report the use of thematic analysis. However, whilst this approach is certainly useful to process data generated in qualitative case studies, the approach to analysis must be congruent with the research design and reflect the purpose of the research and methods used. Moreover, beyond decisions about use of thematic analysis or descriptive statistics etc., in case study, important decisions must be made about the analytic frame of the research. Gerring’s definition (2004) set out the analytic frame in which the cases studied might be understood, explaining that each unit of analysis (or case), sheds light on other units (or cases). Thus defined, an individual case offers intrinsically valuable information about a phenomenon ( Stake, 1995 ) and the purposeful selection of cases is central to case study design. This is because, viewed from a certain angle, each case is also a case of something else, such that the findings have broader implications ( Gerring, 2004 ; Simons, 2009 , 1987 ; Yin, 2013 ). In practice, this means that the case and what it is a case of, must be clearly identified and well defined at the outset of a study, since this has implications for the relevance of findings. This can be seen in a study by O’Connor et al., (2011) , who considered the perceived role of community pharmacists in palliative care teams in Australia. Each unique case included multi-disciplinary healthcare team members, such as pharmacists, doctors and nurses working in localities, whose perspectives were sought. Each locality group was a case of community pharmacy provision in palliative care settings in Australia, and findings had implications for the planning of community services overall. So, insight development was possible at an individual, group and organisational level, and inferences were made directly in relation to the parameters of that case study.

The addition of several carefully selected cases, as in multiple case studies, offers the opportunity to analyse data gained within and across cases ( Stake, 2006 ). Case selection may be made in order to explore similarities and contrasting perspectives ( Brogan et al., 2017 ), understand the various impacts of geographical differences ( Sussman et al., 2011 ), and different organisational influences ( Walshe et al., 2008 ). However, whilst repetition of data across cases may reinforce propositions made at the outset of a study, the purpose of increasing the number of cases in case study research is primarily about increasing insight development into the complexity of a phenomenon ( Stake, 2006 ). Since case study is the study of a boundaried phenomenon ( Yin, 2013 ), establishing the analytic frame then underpins the selection criteria for potentially useful cases. Such clarification is essential since it provides the lens through which to focus research ( Gerring, 2004 ; Scholz and Tietje, 2002 ; Stake, 2006 ) and permits key decisions to be made about data which may be included and that which is not applicable.

However, significantly, this information is rarely articulated within published case studies in palliative care. This is an important issue for the quality of case study research, since description of the process of refining case study parameters, establishing clear boundaries of the case, articulating propositions based on existing literature, identifying the sources of data (people, records, policies, etc.) and the ways in which data would be captured, establishes clarity and underpins a rigorous, systematic and comprehensive process ( Gibbert et al., 2008 ), which can usefully contribute to practice and policy development ( George and Bennett, 2005 ).

Shaped by organisational systems, intimate settings and significant life stage contexts, the interconnection between context and participant experience of palliative care is one example of a process of healthcare provision that is often complex, subtle and elusive ( Walshe et al., 2011 ). Case studies conducted in these swiftly changing contexts illustrate several characteristics of case study research, which make it an appropriate methodological option for nurse researchers, providing the opportunity for in-depth, contextualised understanding of the systems and processes which influence their role in palliative care delivery across settings ( Walshe et al., 2004 ) and many others who seek a contextualised, contemporaneous understanding of any complex role or process ( Yin, 2013 ; Simons, 2009 ). This fieldwork-based approach has the potential to achieve depth and breadth of insight through the pragmatic, but carefully planned and articulated, use of multiple methods of data collection in order to answer the research question ( Stake, 2006 ) when analysed systematically within a frame determined at the outset by the definition of the case and its boundaries ( Gerring, 2004 ). Yet, the methodological flexibility that is advantageous in complex contexts, may be misunderstood ( Hammersley, 2012 ), particularly where terminology is unclear ( Lather, 1996 ) or where description of the systematic and rigorous application of the approach is missing from the report ( Morrow, 2005 ). Taken as an example of one area of healthcare research, evidence suggests that palliative care studies that deal meaningfully with underpinning philosophical perspectives for their selected case study approach, or which articulate coherent links between the defined case, its boundaries and the analytical frame are rare. The impact of such omissions may be the perpetuation of confusion and out-dated perceptions about the personality and quality of case study research ( King et al., 1994 ), with implications for its wider adoption by nurses in healthcare research. Further training in case study methodology is required to promote philosophical and conceptual understanding, and to enable researchers to fully articulate, conduct and report case study, to underpin its credibility, relevance and future use ( Hammersley et al., 2000 ; Stake and Turnbull, 1982).

Key points for policy, practice and/or research

  • Case study is well suited to nursing research in palliative care contexts, where in-depth understanding of participant experience, complex systems and processes of care within changing contexts is needed.
  • Not bound to any single paradigm, nor defined by any methodology, case study’s pragmatism and flexibility makes it useful for studies in palliative care.
  • Training is needed in the underpinning philosophical and conceptual basis of case study methodology, in order to articulate, conduct and report credible case study research, and take advantage of the opportunities it offers for the conduct of palliative and end-of-life care research.

Paula Brogan is a Lecturer in counselling and communication in the School of Communication and Media, and was recently appointed as Faculty Partnership Manager, University of Ulster. Dual qualified as a Registered Nurse with specialism in District Nursing and as a Counsellor/couple psychotherapist (Reg MBACPaccred), she has over 30 years’ clinical practice experience in community palliative care nursing and the provision of psychological care to patients and families dealing with palliative and chronic illness. Having worked across statutory, voluntary and private sectors, her PhD focused on multi-disciplinary decision-making at the end of life with patients and families in the community setting. Currently secretary of the Palliative Care Research Forum for Northern Ireland (PCRFNI), Paula’s ongoing research interests include communication and co-constructed decision-making in palliative and chronic illness, and the psychological support of individuals, couples, patient-family groups and multi-disciplinary staff responding to challenges of advanced progressive illness.

Felicity Hasson is a Senior Lecturer in the Institute of Nursing Research at the University of Ulster with 20 years’ experience in research. A social researcher by background, she has extensive experience and knowledge of qualitative, quantitative and mixed method research and has been involved in numerous research studies in palliative and end-of-life care. She completed her MSc in 1996 and her PhD from University of Ulster in 2012. Felicity sits on the Council of Partners for the All Ireland Institute of Hospice and the Palliative Care Palliative Care Research Network (PCRN) and is an executive board member for the UK Palliative Care Research Society. She holds an editorial board position on Futures and Foresight Science. Felicity has an established publication track recorded and successful history of grant applications. Her research interests include nurse and assistant workforce, workforce training, palliative care and chronic illness (malignant and non-malignant with patients, families and multi-disciplinary health care professionals) and public awareness of palliative care and end of life issues.

Sonja McIlfatrick is a Professor in Nursing and Palliative Care and has recently been appointed as the Head of School of Nursing at University of Ulster. She is an experienced clinical academic with experience in nursing and palliative care practice, education and research. She previously worked as the Head of Research for the All Ireland Institute of Hospice and Palliative Care (2011-2014) and led the establishment of the All Ireland Palliative Care Research Network (PCRN) and is the current Chair of the Strategic Scientific Committee for the PCRN (AIIHPC). Sonja is an Executive Board member for the UK, Palliative Care Research Society and is member of the Research Scientific Advisory Committee for Marie Curie, UK. Sonja holds an Editorial Board position on the International Journal of Palliative Nursing and Journal of Research in Nursing. Professor McIlfatrick has published widely in academic and professional journals focused on palliative care research and has a successful history of grant acquisition. Sonja has a keen interest in doctoral education and is the current President of the International Network of Doctoral Education in Nursing (INDEN). Her research interests include, palliative care in chronic illness, decision making at end of life; public awareness of palliative care and psychosocial support for family caregivers affected by advanced disease.

Declaration of conflicting interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Ethics statement

Ethical permission was not required for this paper.

The author(s) received no financial support for the research, authorship, and/or publication of this article.

  • Anthony S, Jack S. (2009) Qualitative case-study methodology in nursing research: An integrative review . Journal of Advanced Nursing 65 ( 6 ): 1171–1181. [ PubMed ] [ Google Scholar ]
  • Brogan P, Hasson F, McIlfatrick S. (2017) Shared decision-making at the end of life: A focus group study exploring the perceptions and experiences of multi-disciplinary healthcare professionals working in a home setting . Palliative Medicine 32 ( 1 ): 123–132. [ PubMed ] [ Google Scholar ]
  • Cooper B, Glaesser J, Gomm R, et al. (2012) Challenging the Qualitative-Quantitative Divide: Explorations in Case-focused Causal Analysis , London: Continuum. [ Google Scholar ]
  • Creswell JW. (2013) Qualitative Inquiry and Research Design: Choosing among five approaches , 3rd ed. Thousand Oaks: SAGE. [ Google Scholar ]
  • Flyvbjerg B. (2006) Five misunderstandings about case-study research . Qualitative Inquiry 12 ( 2 ): 219–245. [ Google Scholar ]
  • Froggatt KA, Field D, Bailey C, et al. (2003) Qualitative research in palliative care 1990–1999: A descriptive review . International Journal of Palliative Nursing 9 ( 3 ): 98–104. [ PubMed ] [ Google Scholar ]
  • George AL, Bennett A. (2005) Case Studies and Theory Development in the Social Sciences , Cambridge, MA: MIT Press. [ Google Scholar ]
  • Gerring J. (2004) What is case-study and what is it good for? The American Political Science Review 98 ( 2 ): 341–354. [ Google Scholar ]
  • Gibbert M, Ruigrok W, Wicki B. (2008) What passes as rigorous case-study? Strategic Management Journal 29 : 1465–1474. [ Google Scholar ]
  • Gomm R, Hammersley M, Foster P. (2000) Case Study Method: Key Issues, Key Texts , London: SAGE. [ Google Scholar ]
  • Goodman C, Froggatt KA, Mathie E. (2012) End-of-life Care. Methods Review 12 , London: National Institute for Health Research and School for Social Care Research. [ Google Scholar ]
  • Hamel J, Defour S, Fortin D. (1993) Case-study Methods. Qualitative Research Methods Series. 32 , Newbury Park: SAGE. [ Google Scholar ]
  • Hammersley M, Foster P, Gomm R. (2000) Case study and generalisation . In: Gomm R, Hammersley M, Foster P. (eds) Case Study Method: Key Issues, Key Texts , London: SAGE, pp. 98–115. [ Google Scholar ]
  • Hammersley M. (2012) Troubling theory in case study research . Higher Education Research and Development 31 ( 3 ): 393–405. [ Google Scholar ]
  • Kaasalainen S, Ploeg J, McAiney C, et al. (2012) Role of the nurse practitioners in providing palliative care in long-term care homes . International Journal of Palliative Nursing 19 ( 10 ): 477–485. [ PubMed ] [ Google Scholar ]
  • Kennedy C. (2005) District nursing support for patients with cancer requiring palliative care . British Journal of Community Nursing 10 ( 12 ): 566–574. [ PubMed ] [ Google Scholar ]
  • Kennedy C. (2002) The decision-making process in a district nursing assessment . British Journal of Community Nursing 7 ( 10 ): 505–513. [ PubMed ] [ Google Scholar ]
  • King G, Keohane RO, Verba S. (1994) Designing Social Inquiry: Scientific Inference in Qualitative Research , Princeton: Princeton University Press. [ Google Scholar ]
  • Lalor JG, Casey D, Elliott N, et al. (2013) Using case-study within a sequential explanatory design to evaluate the impact of specialist and advanced practice roles on clinical outcomes: The SCAPE study . BMC Medical Research Methodology 13 ( 1 ): 55. [ PMC free article ] [ PubMed ] [ Google Scholar ]
  • Lather P. (1996) Troubling clarity: The politics of accessible language . Harvard Educational Review 66 ( 3 ): 525–554. [ Google Scholar ]
  • Lincoln YS, Guba EG. (1986) But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation . In: Williams DD. (eds) Naturalistic Evaluation , San Francisco: Josey-Bass, pp. 73–84. [ Google Scholar ]
  • Luck L, Jackson D, Usher K. (2006) Case-study: A bridge across paradigms . Nursing Inquiry 13 ( 2 ): 103–109. [ PubMed ] [ Google Scholar ]
  • Maddalena VJ, Bernard WT, Etowa J, et al. (2010) Cancer care experiences and the use of complementary and alternative medicine at the end-of-life in Nova Scotia’s black communities . J Transcultural Nursing 21 ( 2 ): 114–122. [ PMC free article ] [ PubMed ] [ Google Scholar ]
  • Medical Research Council (2008) Complex Interventions Guidance, www.mrc.ac.uk/complexinterventionsguidance (accessed 14 March 2014).
  • Merriam SB. (1998) Qualitative research and case-study applications in education , San Francisco: Jossey-Bass. [ Google Scholar ]
  • Morrow SL. (2005) Quality and trustworthiness in qualitative research in counselling psychology . Journal of Counseling Psychology 52 ( 2 ): 256–260. [ Google Scholar ]
  • O’Connor M, Fisher C, French L, et al. (2011) Exploring the community pharmacist’s role in palliative care: Focusing on the person not just the prescription . Patient Education and Counseling 83 : 458–464. [ PubMed ] [ Google Scholar ]
  • Payne S, Field D, Rolls L, et al. (2006) Case-study research methods in end-of-life care: Reflections on three studies . Journal of Advanced Nursing 58 ( 3 ): 236–245. [ PubMed ] [ Google Scholar ]
  • Platt J. (1992) Case study in American methodological thought . Current Sociology 40 ( 1 ): 17–48. [ Google Scholar ]
  • Rosenberg JP, Yates PM. (2007) Schematic representation of case-study research designs . Journal of Advanced Nursing 60 ( 4 ): 447–452. [ PubMed ] [ Google Scholar ]
  • Scholz RW, Tietje O. (2002) Embedded Case Study Methods: Integrating Quantitative and Qualitative Knowledge , Los Angeles: SAGE. [ Google Scholar ]
  • Simons H. (1987) The paradox of case-study . Cambridge Journal of Education 26 ( 2 ): 225–240. [ Google Scholar ]
  • Simons H. (2009) Case-study Research in Practice , Thousand Oaks: SAGE. [ Google Scholar ]
  • Skilbeck J, Seymour J. (2002) Meeting complex needs: And analysis of Macmillan nurses’ work with patients . International Journal of Palliative Nursing 8 ( 12 ): 574–582. [ PubMed ] [ Google Scholar ]
  • Stake RE. (1995) The Art of Case-study Research , Thousand Oaks: SAGE. [ Google Scholar ]
  • Stake RE, Trumbull DJ. (1987) Naturalistic generalizations . Review Journal of Philosophy and Social Science 7 : 1–12. [ Google Scholar ]
  • Stake RE. (2006) Multiple case-study analysis , New York: The Guilford Press. [ Google Scholar ]
  • Sussman J, Barbera L, Bainbridge D, et al. (2011) Health system characteristics and quality of care delivery: A comparative case-study examination of palliative care for cancer patients in four regions in Ontario, Canada . Palliative Medecine 26 ( 4 ): 322–335. [ PubMed ] [ Google Scholar ]
  • Tight M. (2010) The curious case of case study: A viewpoint . International Journal of Social Research Methodology 13 ( 4 ): 329–339. [ Google Scholar ]
  • Walshe C. (2011) The evaluation of complex interventions in palliative care: An exploration of the potential of case-study . Palliative Medicine 25 ( 8 ): 774–781. [ PubMed ] [ Google Scholar ]
  • Walshe C, Chew-Graham C, Todd C, et al. (2008) What influences referrals within community palliative care services? A qualitative case-study . Social Science and Medicine 6 : 137–146. [ PubMed ] [ Google Scholar ]
  • Walshe CE, Caress AL, Chew-Graham C, et al. (2004) Case studies: A research strategy appropriate for palliative care?’ . Palliative Medicine 18 : 677–684. [ PubMed ] [ Google Scholar ]
  • Yin RK. (2013) Case-study Research: Design and Methods (Applied Social Research Methods) , Newbury Park: SAGE. [ Google Scholar ]
  • Yin RK. (2009) Case-study Research: Design and Methods , 4th ed. Newbury Park: SAGE. [ Google Scholar ]

Find Study Materials for

  • Business Studies
  • Combined Science
  • Computer Science
  • Engineering
  • English Literature
  • Environmental Science
  • Human Geography
  • Macroeconomics
  • Microeconomics
  • Social Studies
  • Browse all subjects
  • Read our Magazine

Create Study Materials

Delve into the intricacies of a nursing case study, a critical component in nursing education and practice. This comprehensive guide will establish a robust understanding of the construction, relevance, and application of these integral studies. You'll explore various formats, ethical implications, and practical examples, ultimately honing your skills in creating effective nursing case studies. With an in-depth analysis and step-by-step guidance, this guide is crucial for aspiring or seasoned nursing professionals looking to enhance their case study proficiency.

Mockup Schule

Explore our app and discover over 50 million learning materials for free.

  • Nursing Case Study
  • Explanations
  • StudySmarter AI
  • Textbook Solutions
  • AACN Essentials
  • Active Listening in Nursing
  • Advanced Procedures
  • Barriers in Communication in Nursing
  • Basic Procedures
  • Bedside Manners
  • Blood Pressure Measurement
  • Brazil Healthcare system
  • Building Rapport
  • CPR Training
  • Canadian Medicare
  • Catheterisation
  • Clinical Assessment
  • Clinical Competence
  • Clinical Decision-Making
  • Clinical Experience
  • Clinical Exposure
  • Clinical Judgment
  • Clinical Learning Activities
  • Clinical Learning Environment
  • Clinical Learning Outcomes
  • Clinical Outcomes
  • Clinical Practice Guidelines
  • Clinical Reasoning in Nursing
  • Clinical Rotation
  • Clinical Scenarios
  • Clinical Simulation Scenarios
  • Clinical Skill Demonstration
  • Clinical Skills
  • Clinical Skills Assessment
  • Clinical Supervision
  • Clinical Training
  • Clustering Data
  • Collaborative Interventions
  • Collaborative Practice
  • Comfort Care
  • Communication Strategies in Healthcare
  • Conflict Resolution
  • Coordination of Care
  • Critical Reflection
  • Critical Thinking in Nursing
  • Cultural Responsiveness
  • Direct Patient Care
  • Disease Prevention
  • E-learning modules
  • Empathy in Nursing
  • Error Reporting
  • Ethical Principles in Nursing
  • Ethical Standards
  • France Healthcare System
  • Germany Healthcare System
  • Hands on Learning
  • Health Assessment
  • Health Care Delivery
  • Health Care Policy
  • Health Care Service
  • Health Care System Structure
  • Health Care Teamwork
  • Health Promotion
  • Health Teaching
  • Healthcare Service Delivery
  • Healthcare Systems
  • Healthcare Team
  • Hospital Protocol
  • Human Error
  • Hybrid Healthcare Systems
  • IV Insertion
  • Implicit Bias
  • India Healthcare System
  • Infection Control
  • Interdisciplinary Collaboration
  • Interpersonal Communications
  • Japan Healthcare System
  • Learning Opportunities
  • Licensing Requirements
  • Malpractice
  • Medicare Australia
  • Medication Administration
  • Miscommunication in Nursing
  • Morals in Nursing
  • NHS Nursing
  • Negligence in Nursing
  • Non-therapeutic Communication
  • Nurse Licensure Compact
  • Nursing Care Assessment
  • Nursing Care Delivery
  • Nursing Care Plan Evaluation
  • Nursing Care Plans
  • Nursing Cues
  • Nursing Diagnoses
  • Nursing Documentation
  • Nursing Education
  • Nursing Inferences
  • Nursing Interventions
  • Nursing Judgment
  • Nursing Outcomes Classification
  • Nursing Procedures
  • Nursing Process
  • Patient Assessment
  • Patient Care
  • Patient Care Scenarios
  • Patient Care Skills
  • Patient Communication
  • Patient Confidentiality
  • Patient Education
  • Patient Feedback
  • Patient History Collection
  • Patient Hygiene
  • Patient Interaction
  • Patient Interaction Skills
  • Patient Management
  • Patient Needs
  • Patient Outcomes
  • Patient Privacy
  • Patient Safety
  • Patient Safety Measures
  • Patient-Centered Care
  • Patient-Centered Interventions
  • Private Healthcare
  • Professional Accountability
  • Professional Behavior
  • Professional Ethics
  • Professional Growth
  • Professional Standards
  • Public HealthCare
  • Pulse and Respiratory Rate
  • Recklessness
  • SMART Goals
  • Scope of Practice
  • Simulation in Nursing Education
  • Student Learning Objectives
  • Swedish Healthcare System
  • Teaching and Learning Methods in Nursing
  • Team Communication
  • Temperature Assessment
  • Therapeutic Communication
  • Therapeutic Interactions
  • UK Healthcare System
  • US Healthcare System
  • US Medical Insurance
  • Verbal Communication
  • Virtual Reality Training
  • Vital Signs
  • Wellness Education
  • Human Anatomy
  • Intensive Care Nursing
  • Mental Health Nursing
  • Nursing Management
  • Nursing Theories
  • Types of Nursing

Lerne mit deinen Freunden und bleibe auf dem richtigen Kurs mit deinen persönlichen Lernstatistiken

Nie wieder prokastinieren mit unseren Lernerinnerungen.

Understanding the Concept of a Nursing Case Study

Entering the field of nursing often requires more than simple rote learning. It demands an in-depth understanding of specific patient conditions, collaborative care planning, and the application of theoretical knowledge in practical scenarios. This is where a nursing case study plays a key role.

A nursing case study is a comprehensive examination of a patient's status, which comprises the gathering, assessment, and interpretation of data through various medical examinations and tests. This process allows healthcare professionals to make better-informed decisions about a patient's care plan and overall health management.

What is a Nursing Case Study: An Introduction

A Nursing Case Study is an in-depth examination of a patient case, wherein the nurse documents detailed information about the patient—everything from their initial history, diagnosis, to treatment—whilst also noting observations and reflecting on their nursing care.

A nursing case study typically includes sections for patient history, diagnosis, nursing assessment, treatment, and results. You will:

  • Start by documenting a detailed patient history including previous medical conditions and lifestyle.
  • Then, you'll progress to the diagnosis of the patient's condition.
  • Next, perform a nursing assessment to identify potential health risks or complications.
  • Formulate a treatment plan based on the assessment.
  • And finally, evaluate the results of the treatment plan and adjust as necessary.

These comprehensive evaluations are critical in the field of nursing as they not only allow for appropriate patient care but also help guide future medical recommendations.

For example, consider a patient diagnosed with type 2 diabetes who complains of unexpected weight loss. A comprehensive nursing case study would involve recording the patient's current symptoms, medical history, conducting a nursing assessment to identify potential complications, and formulating a treatment plan. The results of this treatment would be regularly evaluated and adjusted to optimise the patient's health.

Importance and Relevance of a Nursing Case Study in Clinical Placement

A nursing case study plays an indispensable role in clinical placement . As you navigate your clinical experience :/p>

  • You can use case studies as a reference tool in diagnosing, planning, implementing and evaluating patient care .
  • Through case studies, you can also enhance your critical thinking and problem-solving skills.

Clinical placement refers to the practice-based learning experience that allows nursing students to apply their theoretical knowledge in a real-world clinic or hospital setting.

Such hands-on experience is essential to developing a solid understanding and mastery in nursing. A thorough nursing case study stands as a practical resource, providing valuable insights into complex patient conditions and providing a framework for delivering effective patient care. Furthermore, it also enables better comprehension of theoretical practice, thus bridging the gap between theory and application in nursing.

Exploring the Format of a Case Study in Nursing

It is crucial to understand the layout of a nursing case study. Having a solid grasp of the format will enable you to document all essential pieces of information about your patient care efficiently and thoroughly. Furthermore, clear structuring strongly supports effective communication within the healthcare team .

Remember, just like other academic papers, a nursing case study generally follows a logical flow that reflects the nursing process . This process includes five steps: Assessment, Diagnosis, Planning, Implementation and Evaluation; often abbreviated as ADPIE.

How to Write a Nursing Case Study: Step by Step Guide

When writing a nursing case study, it's vital to maintain a clear, structured and detail-oriented approach. Here, you will learn a standard step-by-step guide to creating your case study.

  • Review the Patient History : Start by gathering all relevant details about the patient's medical history. Include specifics like past medical conditions, medication use, lifestyle factors and family history of diseases.
  • Document Recent Health Assessments : Mention any recent diagnostic tests and their results, physical examination findings, and present complaints or conditions if any.
  • Analyze Clinical Data : Analyze the data from the assessments and tests to identify any pertinent patterns or connections.
  • Formulate Nursing Diagnoses : Based on your analysis, formulate nursing diagnoses . A nursing diagnosis can be described as a clinical judgement concerning a human response to health conditions.
  • Develop a Comprehensive Care Plan : After diagnosis, establish a comprehensive care plan detailing the intended therapeutic interventions and expected outcomes. Remember, it's crucial to form SMART (Specific, Measurable, Achievable, Relevant, Time-bound) outcomes.
  • Evaluate Progress : Lastly, evaluate the patient's progress towards the desired outcome and note any necessary changes to the care plan.

Please, keep in mind that the case study should follow a narrative approach, ensuring the information flows logically while maintaining patient confidentiality at all times.

An example could be a nursing case study for a patient with pneumonia . First, the patient's history is gathered, noting previous respiratory issues or any risk factors like smoking or occupational exposure. Next, the current clinical data would be documented, such as the results of a chest X-ray showing an infection in the lungs , together with vital signs and physical examination results. The data is then analyzed to arrive at a nursing diagnosis of impaired gas exchange related to alveolar consolidation, as evidenced by abnormal breath sounds and decreased oxygen saturation levels. The care plan would include interventions such as administering prescribed medications, oxygen therapy , and promoting good lung hygiene, with the expected outcome of improved respiratory function. Regular progress evaluations would be made, adjusting the plan as required.

Key Components of a Well-Written Nursing Case Study

The resultant quality of a case study depends on whether all key components are properly addressed. Here are some pivotal sections that should be present:

  • Introduction : This provides a brief overview of the patient's demographic information and reason for admission.
  • Patient History : The patient’s medical, surgical, and family history, including lifestyle factors.
  • Physical Examination : Findings from the nurse's initial physical assessment of the patient, noting any abnormalities.
  • Nursing Assessment : Identification of health issues or potential complications based on nursing theory.
  • Nursing Diagnosis : Clinical judgement concerning a human response to health conditions.
  • Nursing Interventions and Rationale : Explanation of the actions taken by the nurse to reach the planned outcomes, with a clear rationale behind each intervention.
  • Expected Results and Actual Outcomes : Anticipation of results after interventions and comparison with actual outcomes. Adjustments to interventions may be made based on this comparison.

By giving due importance to each of these components, you ensure that the case study is comprehensive, accurate, and informative. This process aids in the ongoing optimisation of patient care, and shows the continual evidence-based practice in nursing.

Diving into Nursing Case Study Examples

An understanding of nursing case studies is significantly enhanced with the examination of practical examples. Analysis of these examples provides a real-life context to theories and practices, reinforcing their relevance and applicability. It is a great tool for learning by experience and expanding your knowledge in the field.

Reviewing nursing case study examples can spotlight the importance of thorough data collection, patient history compilation, diagnosis determination, and subsequent treatment provisioning. It permits you to appreciate the diversity of patient conditions, honing your skills in managing complex health situations effectively.

Nurse Practitioner Case Studies: Comprehensive Analysis

Nurse Practitioner case studies offer rich insights into the critical role nurse practitioners play within healthcare teams, particularly in primary care settings.

A Nurse Practitioner (NP) is a registered nurse with additional education and training in a particular area like family practice or paediatrics allowing them to examine, diagnose, and treat patients.

By looking into nurse practitioner case studies, you can expand your understanding of the advanced critical thinking, decision-making, and leadership skills exercised by NPs in diverse health scenarios. Here are the major steps that are typically followed during case analysis:

  • First Step - Understanding the Patient's Details : The big picture of the patient's background, including their demographics, social, medical and personal history.
  • Second Step - Identification of the Care Gaps : Identifying the issues in the existing care provision and areas of improvement for the Nurse Practitioner.
  • Third Step - Formulation of a Healthcare Plan : The NP devises a robust patient-specific care plan detailing the required interventions.
  • Fourth Step - Execution and Evaluation of the Plan : The plan is implemented, and the results are closely monitored for necessary changes.

Consider a Nurse Practitioner case study involving a 70-year-old female with a history of hypertension . The patient complaints of frequent headaches and tiredness. The NP begins by understanding the patient's overall health background, and then identifies the gaps in care—possibly inadequate control of hypertension. The NP formulates a plan that includes adjustment of antihypertensive drugs, lifestyle changes, and regular blood pressure monitoring . The execution of this plan is followed by a careful analysis of the patient's improvement in symptoms and hypertension control.

Delegation of Nursing Management Case Study: An Overview

Evaluating delegation in nursing management through case studies is an excellent way to understand its significance in nursing practice and learn the best principles for its application.

Delegation in nursing management refers to the process of assigning tasks to subordinates or team members in a way that maximises the efficiency and effectiveness of healthcare delivery.

Delegation is a crucial skill for every nurse, especially for those in leadership roles. It not only ensures smoother workflow but also empowers less experienced nurses, imparting skill development opportunities. The following points are important when analysing a delegation case study:

  • Assessing the Situation : First, understand the precise patient care scenario and the workforce available.
  • Identifying the Skills Required : After assessing the situation, identify the kind of skills needed for the delegated tasks.
  • Assigning the Task : Delegate the task to the most competent and available person, considering their individual competencies and workload.
  • Monitoring and Feedback : After delegation, it's crucial to supervise the task completion and provide constructive feedback to enhance performance in the future.

For instance, consider a case study highlighting delegation in a busy hospital setting. The nurse manager has to manage the care of 30 patients with only five nurses on duty. After assessing the situation and the individual abilities of the nurses, she assigns roles like medication administration , wound care , and patient education optimally. She then monitors the work and offers feedback after the shift, leading to efficient patient care despite the heavy workload.

Learning from these case studies equips you with efficient strategies for nursing management and ensures streamlined patient care. This knowledge acquisition is essential in modern healthcare settings to establish a patient-centred, coordinated approach.

Case Studies in Nursing Ethics

Examining case studies in nursing ethics is an invaluable way to explore the complex nature of ethical dilemmas in clinical settings. It allows you to conceptualise ethical concepts applied to patient care, while providing robust resources for learning and growth.

These case studies essentially offer an exploration into the intersection of healthcare, morality, philosophy, and social justice, which is represented in daily nursing practice.

Ethical Dilemmas in Nursing: Case Study Illustrations

An 'ethical dilemma' refers to situations where moral obligations conflict or where moral reasoning is not clear-cut. Nurses frequently encounter such dilemmas in their practice, making it crucial to understand how to approach these complex situations.

Ethical dilemma in nursing is a scenario where a decision must be made between two morally correct courses of action, but they are conflicting.

In nursing, the prime focus is always to provide the best possible care for a patient. However, ethical dilemmas arise when the right course of action is unclear, or when different beliefs and values clash. These situations can be stressful and deciding on the course of action can be challenging. Reviewing case study illustrations of ethical dilemmas can be a powerful teaching tool that facilitates a deeper understanding of these challenges.

Here are the most common ethical dilemmas that nurses face:

  • Disclosure : How much information about the patient's health should be shared and with whom?
  • Quality of Life : When a patient is suffering, what measures should be taken to maintain quality of life versus prolonging life itself?
  • Professional Boundaries : How does a nurse maintain the right balance between being professional yet compassionate and empathetic?
  • Cultural Differences : Treatment should be offered based on the patient's cultural beliefs, but what happens when these are in conflict with standard healthcare practices?
  • End of Life Decisions : Addressing issues like euthanasia, Do Not Resuscitate orders and withdrawal or withholding of treatment.

It’s worth remembering that these issues often put a nurse’s professional duty against their personal beliefs, which further increases the complexity of managing them effectively.

For instance, consider a scenario where a patient’s religious beliefs prohibit blood transfusions, but they require one to survive. In carrying out the patient's wishes, the health provider might have to compromise the patient's wellbeing. Conversely, if the nurse ignores the patient's wishes to save their life, it can be considered a disregard for the patient's autonomy and beliefs. Thus, navigating this delicate balance may present an ethical dilemma.

Learning from Ethical Scenarios in Nursing Case Studies

Each ethical scenario in nursing case studies is a profound learning opportunity. Through exploring these intense and complex scenarios, you evolve as a nurse, honing your critical thinking, decision-making and reflection skills.

When analysing an ethical scenario, it's best to follow these steps:

  • Identify the Dilemma : First, identify the ethical issue at hand and why it creates a dilemma.
  • Understand the Context : Ascertain the involved parties, their beliefs or values, and how they relate to the situation.
  • Evaluate the Options : Review the possible actions you could take, bearing in mind ethical guidelines and professional duties.
  • Seek Advice : Consult with colleagues, mentors or your nursing governing body if in doubt. Asking for perspectives helps create a broader view of options.
  • Make an Informed Decision : Based on all the information and advice, make a decision. Always keep the patient's best interest in focus.

Consider a case study where a patient refuses necessary treatment due to their religious beliefs. You first identify the ethical dilemma: respecting the patient's autonomous decision versus ensuring their wellbeing. The context includes the patient's health condition and their deeply-held religious belief. Possible options would be to respect the patient's choice, seek legal advice, discuss alternatives, or try to convince the patient or their family. Seeking advice from senior colleagues or the nurse manager may offer valuable insights into managing such situations. Finally, the decision should be taken considering all perspectives while maintaining the prime focus on the patient's wellbeing and rights.

With each ethical scenario analysed, you gain a deeper understanding of the ethical dimensions of nursing. This understanding fortifies your ability to provide effective, ethical patient care and to handle challenging situations in your nursing journey.

Tips and Techniques for an Effective Nursing Case Study

Nursing case studies are an integral part of nursing education and practice. They provide an in-depth insight into patient care, from diagnosis to treatment, through a practical approach. Understanding how to write them effectively is a vital skill for both nursing students and practicing nurses.

Improving Your Writing Skills for Nursing Case Studies

Improving your writing skills specifically for nursing case studies primarily means honing your ability to accurately document and articulate patient interactions, clinical symptoms, nursing interventions , and treatment results. It’s about refining your observational, analytic, and reporting skills.

Here's a list of techniques you can follow to enhance your case study writing skills :

  • Understand the Format : Familiarise yourself with the structure and formatting of nursing case studies. Standard sections include patient history, diagnosis, nursing assessments, treatment, and evaluation.
  • Be Clear and Precise : Use clear, precise language and mention facts accurately. Avoid unneeded jargon or long sentences.
  • Consistent Clinical Terminology : Utilise the approved clinical language, acronyms, and terminology consistently for clarity and professionalism.
  • Detail-Oriented Observation : Be observant about the smallest details related to a patient's symptoms, behaviours, reactions to interventions, and overall progress. Every tiny detail could be significant.
  • Reflective Thinking : Develop your reflective thinking skills. Reflect on your nursing interventions: what has worked, what hasn't, and potential improvements.

Reflective thinking in nursing is a process where nurses analyse their clinical experiences to learn and improve their practices. It aids in transforming practical experiences into meaningful knowledge.

Suppose you are documenting a case study about a patient with diabetes suffering from recurring cases of hypoglycaemia. You'll need to provide a comprehensive patient history, precise details about their symptoms, and a clear description of your nursing interventions to prevent these episodes. Be sure to use consistent terminology and observe all related factors, like the patient's diet or emotional state, which could impact their sugar levels. The report should include regular evaluations of the patient's condition, and your reflections on the efficacy of your implemented care plan.

Do's and Don'ts in Writing a Nursing Case Study

To ensure you create compelling, informative, and accurate nursing case studies, here are some indispensable do's and don'ts to keep in mind:

Reflective writing in nursing case studies is a process where nurses consider their experiences, actions, feelings, and responses and analyse their impacts on patient outcomes . It includes assessing what was done well, what could be improved, and steps for future development.

If you have handled an incident of rapid patient deterioration in a clinical setting, instead of merely describing the event chronologically in the case study, engage in reflective writing. Discuss the nursing assessments undertaken, the intuitions you had, the quick decisions you made, and the outcomes you achieved. Reflect on your emotions, your learning, and the improvements you would implement in similar future scenarios.

Following these tips will, without a doubt, help you improve the quality of your nursing case studies, either for academic or professional purposes. Understanding the importance of each step, from precise patient details to reflective evaluations, is key to writing an effective nursing case study.

Nursing Case Study - Key takeaways

  • A Nursing Case Study involves gathering patient history, analyzing clinical data, formulating nursing diagnoses, developing a comprehensive care plan, and evaluating progress.
  • Nursing Case Study examples illuminate the process and importance of thorough data collection, patient history compilation, diagnosis determination, and subsequent treatment.
  • The delegation of nursing management Case Study explores the efficient assignment of tasks within a nursing team, maximizing efficiency and effectiveness of healthcare delivery.
  • Case studies in nursing ethics provide insight into ethical dilemmas in clinical settings and help to conceptualize ethical concepts applied to patient care.
  • The format of a nursing case study typically includes an introduction, patient history, physical/nursing assessment, nursing diagnosis, nursing interventions and rationale, and expected/actual outcomes.

Frequently Asked Questions about Nursing Case Study

--> what is a nursing case study and how does it contribute to patient care, --> how can i develop an effective nursing case study, --> what steps should i follow in conducting a nursing case study, --> what are some important elements to consider while writing a nursing case study, --> what are the potential challenges in creating a nursing case study and how can they be overcome, test your knowledge with multiple choice flashcards.

What is a Nursing Case Study?

What is the significance of case studies in Nursing education and practice?

How does a nurse proceed with a nursing case study?

Your score:

Smart Exams

Join the StudySmarter App and learn efficiently with millions of flashcards and more!

Learn with 30 nursing case study flashcards in the free studysmarter app.

Already have an account? Log in

A nursing case study is an in-depth analysis of a patient or group of patients, involving observations, data collection, diagnosis, planning and implementing interventions, then evaluating outcomes. It incorporates a nurse's clinical reasoning in patient care.

Case studies bridge theoretical learning and actual practice, enabling the application of learned knowledge in real scenarios. They promote critical thinking, decision-making, and enhance clinical skills while providing evidence-based learning.

The nurse analyses patients’ health records, carries out physical assessments, interacts with patients to gain insights into their experiences, symptoms, and responses to treatment, and implements interventions while evaluating the outcomes.

What are nursing case study examples and what do they provide?

Nursing case study examples provide insights into how theoretical nursing knowledge is applied in real-world situations. They equip you with an understanding of different patient conditions and nursing responsibilities.

What does a nursing management case study involving delegation illustrate?

A nursing management case study involving delegation shows the importance of efficient task distribution, quick judgment-making in stressful situations, and careful selection of staff members for specific tasks based on their competence.

What do Nurse Practitioner case studies typically illustrate?

Nurse Practitioner case studies illustrate the comprehensive, patient-centred care provided by NPs, including initial interaction and assessment, diagnosis and treatment, and evaluating outcomes through patient responsiveness over time.

Flashcards

of the users don't pass the Nursing Case Study quiz! Will you pass the quiz?

How would you like to learn this content?

Free nursing cheat sheet!

Everything you need to know on . A perfect summary so you can easily remember everything.

Join over 22 million students in learning with our StudySmarter App

The first learning app that truly has everything you need to ace your exams in one place

  • Flashcards & Quizzes
  • AI Study Assistant
  • Study Planner
  • Smart Note-Taking

Join over 22 million students in learning with our StudySmarter App

Sign up to highlight and take notes. It’s 100% free.

This is still free to read, it's not a paywall.

You need to register to keep reading, start learning with studysmarter, the only learning app you need..

Illustration

Create a free account to save this explanation.

Save explanations to your personalised space and access them anytime, anywhere!

By signing up, you agree to the Terms and Conditions and the Privacy Policy of StudySmarter.

Entdecke Lernmaterial in der StudySmarter-App

Privacy overview.

Registered Nurse RN

Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. Join the nursing revolution.

Next Generation NCLEX Case Study Sample Questions

One of the big changes on the Next Generation NCLEX exam is a shift toward case studies. Case studies often require a deeper level of critical thinking, and understanding diseases on a more in-depth level (especially the pathophysiology) will make these types of questions easier to answer.

In this article, you’ll be able to watch a free video to help you prepare for the new Next Generation NCLEX case study format. Nurse Sarah will walk you step-by-step through each scenario and help you understand how to use critical thinking and nursing knowledge to answer these types of questions.

Next Generation NCLEX Case Study Review Questions Video

NGN Case Study Sample Questions and Answers

First, let’s take a look at our case study summary below:

Case Study Summary:

A 68-year-old male is admitted with shortness of breath. He reports difficulty breathing with activity, lying down, or while sleeping. He states that in order to “breathe easier,” he has had to sleep in a recliner for the past week. The patient has a history of hypertension, myocardial infarction (2 years ago), and cholecystectomy (10 years ago). The patient is being transferred to a cardiac progressive care unit for further evaluation and treatment.

Question 1 of 6: The nurse receives the patient admitted with shortness of breath. What findings are significant and require follow-up? The options are listed below. Select all that apply.

To answer this first question in the NGN case study, let’s look at the information provided in the nursing notes and vital signs tabs provided:

next generation nclex, ngn case study, next generation nclex case study, next generation nclex questions and answers, ngn practice

This question is asking us to identify findings that are significant and require the nurse to follow-up. In other words, what is presenting that we can’t ignore but need to investigate further.

Therefore, let’s comb through the nursing notes and vital signs to see what is abnormal and requires follow-up.

First, the patient arrived to the room via stretcher. That’s fine and doesn’t necessarily require follow-up.

Next, the patient is alert and oriented x 4 (person, place, time, event). This tells us that the patient’s neuro status is intact so far. Therefore, the shortness of breath isn’t affecting the patient’s mental function yet (we have enough oxygen on board right now for brain activity).

However, the nurse has noticed the shortness of breath with activity and talking, which should not normally happen. This tells us something is wrong and is significant enough to require follow-up. We want to know why is this happening, is it going to get worse, etc.

The patient’s weight and vital signs were collected (this is good). Weight is 155 lbs. and BMI is within a healthy range (doesn’t tell us too much but may be useful later). The patient is also connected to a bedside monitor, so they need to be monitored constantly like on a progressive care unit.

The monitor shows sinus tachycardia . This is significant because it seems the patient’s shortness of breath is causing the heart to compensate by increasing the heart rate to provide more oxygen (hence the lungs may be compromised).

Then we find out that the lungs are indeed compromised because crackles are heard in both lungs , and this may be why our patient is short of breath. This is significant (could the patient have pulmonary edema?)

Then we find out the nurse has noted an S3. This is an extra heart sound noted after S2. And what jumps out to me about this is that it is usually associated with volume overload in the heart like in cases of heart failure . However, S3 may be normal in some people under 40 or during pregnancy, but that’s not the case with our patient based on what we read in the case summary.

Therefore, based on everything I’m reading in this case study, I’m thinking this patient may have heart failure, but we need those test results back (especially the echo and chest x-ray, and hopefully a BNP will be in there too).

We are also told that the patient has an 18 gauge IV inserted (which is good thing to have so we can give medications if required), orders have been received, labs drawn, and testing results are pending.

next generation nclex, nclex prep, nclex case study questions, nclex questions and answers, ngn review,

Now let’s look at the “Vital Signs” tab above, and ask yourself what is normal vs. abnormal for this patient (adult male).

  • The heart rate is high at 112 (tachycardia), and should normally be 60-100 bpm (see heart rhythms ).
  • Blood pressure is higher than normal (normal is 120/80), which indicates hypertension.
  • Oxygen saturation is 94% (this is on the low side as we’d normally want around 95% or higher, and the patient is on 4 L nasal cannula, which tells us the lungs are not okay).
  • Respiratory rate is increased (26 breaths per minute)…normal is 12-20 breaths per minute.

Based on the information we were provided, I’ve selected the answers below. These findings are significant and definitely require follow-up by the nurse.

next generation nclex questions and answers, next generation nclex answers, next generation nclex sample questions, ngn questions

When answering these NGN case study questions, it’s helpful to think of the ABCDE (airway, breathing, circulation, etc.) as all of these fall into that category. If we don’t follow-up on the shortness of breath, crackles, respiratory rate, o2 saturation (94% on 4 L nasal cannula), the respiratory system can further decline.

In addition, the sinus tachycardia, S3 gallop, and hypertension could indicate fluid overload in the heart. This may cause the heart to tire out and lead the lethal rhythm. On the other hand, temperature, pain, weight, and BMI are not abnormal and do not require follow-up.

See the Complete Next Generation NCLEX Case Study Review

Each question in the case study builds on the previous question. To see how these questions evolve based on the patient’s condition and labs, watch the entire Next Generation NCLEX Case Study Review video on our YouTube Channel (RegisteredNurseRN).

NCLEX Practice Quizzes

We’ve developed many free NCLEX review quizzes to test your knowledge on nursing topics and to help you prepare for the Next Generation NCLEX exam.

Nurse Sarah’s Notes and Merch

fluid electrolytes nursing nclex, notes, mnemonics, quizzes, nurse sarah, registerednursern

Just released is “ Fluid and Electrolytes Notes, Mnemonics, and Quizzes by Nurse Sarah “. These notes contain 84 pages of Nurse Sarah’s illustrated, fun notes with mnemonics, worksheets, and 130 test questions with rationales.

You can get an eBook version here or a physical copy of the book here.

Please Share:

  • Click to print (Opens in new window)
  • Click to share on Facebook (Opens in new window)
  • Click to share on Twitter (Opens in new window)
  • Click to share on Pinterest (Opens in new window)
  • Click to share on Reddit (Opens in new window)
  • Click to share on LinkedIn (Opens in new window)
  • Click to share on WhatsApp (Opens in new window)
  • Click to share on Pocket (Opens in new window)
  • Click to share on Telegram (Opens in new window)

Disclosure and Privacy Policy

Important links, follow us on social media.

  • Facebook Nursing
  • Instagram Nursing
  • TikTok Nurse
  • Twitter Nursing
  • YouTube Nursing

Copyright Notice

How to Write a Nursing Case Study [Examples, Format, & Tips]

A nursing case study is a deep analysis of the health situation of a patient. This article answers all the questions about the proper way to prepare this kind of writing. It also suggests some writing tipis and features free nursing case study examples.

✒️ Case Study Topics for Nursing Students

  • 🩺️ The Basics
  • 💉 Nursing Case Study: Writing Rules

📑 Nursing Case Study Format

📝 nursing case study examples.

  • ⏱️ Tips on Quick Writing

🔗 References

A nursing case study is an in-depth analysis of the health situation of an individual patient.

A nursing case study is an in-depth analysis of the health situation of an individual patient.

The analysis is based on:

  • medical history,
  • other relevant criteria.

In most cases, you will be asked to diagnose to suggest the first aid measures. Alternatively, nurses can be asked to describe a patient in their practice and analyze the correctness of their actions. The purpose is to recreate a realistic hospital setting in the classroom and make students reflect on the treatment process from diagnosis to treatment.

  • Anaphylactic shock in a teenager with peanut allergy.
  • Non-compliant patient with diabetes: ways to improve adherence.
  • Telehealth intervention for managing chronic disease.
  • Communication strategies to address vaccine hesitancy in a rural community.
  • Postpartum hemorrhage in a new mother: risk factors and interventions.
  • Ways to improve recognition of dehydration in aging adults.
  • The effective ways of maintaining work-life balance for nurses.
  • Cultural competency in providing care to migrants and refugees.
  • Why should every patient’s medical history remain confidential?
  • The use of massage therapy in relieving pain.
  • The challenges facing medicine in 2024.
  • How does modern technology impact nursing?
  • The significance of regular follow-up appointments with the healthcare provider.
  • What are the primary treatments for postpartum depression?
  • The use of steroids in cancer treatment.

🩺️ Nursing Case Study: What Is It About?

As a nursing student, you should understand that no two patients are the same. Each has a unique clinical record and condition. And although most nursing case study tasks will ask you to suggest a diagnosis or treatment, your focus should rest on the patient.

Busy nurses can sometimes see their patients in the framework of an illness to be treated or a procedure to be fulfilled. But you should do your best to remember that each patient is a living person with a complex set of needs, emotions, and preferences. A ready-made textbook answer is rarely the best solution for them. Moreover, it rarely helps to analyze a condition in isolation from the patient.

In a nursing case study, your task is to analyze a disorder or illness as a part of a specific medical situation. If you don’t do that, your case study becomes an essay (theoretical and generalized). It is the difference between the two assignment types.

Once again:

A case study in nursing emphasizes the particular patient’s condition. Meanwhile, a nursing essay will explore the disease, prevention methods, treatment, or possible consequences of the disease.

Even if the case is hypothetical, it should focus on the suggested reality. On the other hand, essays are usually literature-based. You are expected to do some reading for a case study too, but you should research and present the information within the context of the patient. In simple terms, a case study uses information in the actual application, and an essay uses it for the sake of generalized suggestions.

💉 How to Write a Nursing Case Study: 3 Key Rules

  • Do the fieldwork. Before setting your hands to writing, you should collect all of the available materials: clinical notes, results of medical tests, x-rays, sickness records, etc. Use this information to draw a clear picture of the story. It is always helpful to ask yourself, “What is interesting or unusual about this patient’s condition?” In the course of writing, recall your answer from time to time not to get lost in words. It will help you to convey a definite and appropriate message.

The picture contains the 3 key rules of nursing case study writing.

  • Stick to the facts. A nursing case study should be an accurate description of the actual situation. Restrain from speculating about the inherent mechanisms of the illness or the general treatment methodology. In fact, students are rarely prepared enough to discuss pathology and physiology. Leave this to reputable experts. The best result you can provide in a case study is an honest account of clinical events.
  • Concentrate on the patients and their progress. Remember that a nursing case study is a story of a patient’s progress and not a narrative about their nurse. No matter how efficiently the medical specialist acted, it would be incorrect to add any praiseful remarks. The optimal way is to tell the story in its logical and time order and outline the result of treatment. In this case, the outcome will speak for itself.

Introduction

It is where you should tell the reader why this case is interesting . Place your study in a social or historical context. If, during your preliminary research, you found some similar cases, describe them briefly. If you had a hard time diagnosing the patient or your proposed treatment is complicated, mention it here. Don’t forget to cite the references to each of them!

The introduction should not exceed several paragraphs. The purpose is to explain why the reader will benefit from reading about the case.

The picture contains a list of structural components of a nursing case study,

Case Presentation

  • Why did the patient seek medical help? (Describe the symptoms.)
  • What is known about the patient? (Mention only the information that influenced your diagnosis. Otherwise, explain why some information is irrelevant to the diagnosis.)
  • Stick to the narrative form. (Make it a story!)
  • What are the variants for diagnosis? (Make a shortlist of possible disorders that fall under the patient’s symptoms. But make it specific: not just “pneumonia” but “bilateral pneumonia,” for example. Besides, this point is optional.)
  • What were the results of your clinical examination? (If you saw the patient in person.)
  • Explain the results of lab tests. (The words “positive” or “negative” are not always clear.)

Actions and Their Results

This section describes the care that has been provided and/or is planned. You can answer the following questions in narrative form . If some information is missing, skip the point:

  • What preliminary actions have been taken? (Be specific: not just “wound care,” but “wound cleaning and dressing.”)
  • How long has the patient been under care?
  • Has the previous treatment given any visible result?
  • Why was it suspended or finished?
  • Why did the patient withdraw from treatment (if applicable)?
  • How could you improve the patient’s condition if the result was negative?
  • If the disease is incurable (like in the case of diabetes), which activities would stabilize the patient’s condition?
  • If possible, include the patient’s reports of their own physical and mental health.

In this section, you should identify your questions about the case. It is impossible to answer all of them in one case study. Likewise, it is unreal to suggest all the relevant hypotheses explaining the patient’s condition. Your purpose is to show your critical thinking and observation skills. Finalize your conclusion by summarizing the lessons you learned from the nursing case study.

Whenever you directly or indirectly cite other sources or use data from them, add these books and documents to the references list. Follow the citation style assigned by your professor. Besides, 15 items are already too much. Try to make a list of up to 10. Using textbooks as references can be viewed as bad manners.

Include all the tables, photographs, x-rays, figures, and the journal of medication usage in this section. Unless required otherwise in the assignment, start each item from a new page, naming them “Appendix A,” “Appendix B…”.

Below you will find case study samples for various topics. Using them as a reference will improve your writing. If you need more ideas, you are welcome to use our free title-generating tool .

  • Case study: healing and autonomy.
  • Sara’s case study: maternal and child nursing.
  • COPD medical diagnostics: case study.
  • Care standards in healthcare institutions: case study.
  • Acute bacterial prostatitis: case study analysis.
  • Alzheimer disease: the patient case study.
  • The treatment of foot ulcers in diabetic patients: case study.
  • Hypertension: C.D’s case study.
  • Myocardial infarction: cardiovascular case study.
  • Major depressive disorder case.
  • Case study of the patient with metabolic syndrome .
  • Pulmonary analysis case study .
  • Older adults isolation: Case study .
  • The holistic care: Case study .
  • Medical ethics: Case study .
  • Patient diagnoses and treatment: Case study .
  • Obesity case study: Mr. C .
  • Nurse Joserine: Case study problems .
  • Chronic stable angina: Case study .
  • Fetal abnormality: Case study .
  • Researching SOAP: Case study .
  • Case study for a patient with hormonal disorders .
  • Obesity in the elderly: The case study .
  • “Walking the Tightrope”: A case study analysis .
  • ARNP approach: Case study analysis .
  • Case study on biomedical ethics in the Christian narrative .
  • Thermal injury: Case study .
  • Ethical dilemma in nursing: Case study .
  • Asthma: A case study of the patient .
  • Asthma discharge plan: Mini case study .
  • Case study: An ethics of euthanasia .
  • Case study: Head-to-toe assessment steps .
  • Pain management strategies: Case study .
  • Case study: Inflammatory bowel disease .
  • Sleep deprivation and insomnia: The case study .
  • The case study of a heart failure .
  • Porphyria cutanea tarda: Disease case study .
  • Case study: Hardy Hospital case summary .
  • Obesity and its complications: Case study .
  • Angina disease case study .
  • Nursing ethics case study .
  • Case study of a patient: Assessment and treatment plan .
  • Cecile case study: Mrs. J .
  • Nursing power in the emergency department: Case study .
  • Heart failure case study: Mrs. J .
  • Application of ethics in nursing: Case study .
  • Sudden visual impairment: Case study .
  • Epidemiology case study: Outbreak at Watersedge — Public health discovery game .
  • Wellness of senior citizens: Case study .
  • Healthcare organization evaluation: Case study of Banner Health .

⏱️ Bonus: Tips on Writing a Case Study in Record Time

Need to prepare a case study on nursing or in another field? Below you’ll find a collection fo tips that will help you do it as quickly as possible!

3 Shortcuts for a Quick Start

If you’re about to start writing a case study, you should check yourself if you’re not doing any of the following:

  • spending too much time on selecting a topic;
  • reading too much before selecting a topic;
  • making conclusions too early – creating bias.

Instead of killing time doing the three useless things discussed above, consider these:

  • Choose approach. Note that there are 2 major approaches to case studies: the analytical approach (investigating possible reasons without making any conclusions) and problem-oriented approach (focusing on a particular problem and investigating it).
  • Skim some sources (DON’T READ THEM). Select several sources. Simply skim abstracts and conclusions.
  • Start making notes early. Simply reading is ineffective unless you’re lucky to have a phenomenal memory. Always make notes of any useful arguments.

4 Shortcuts Not to Get Stuck in the Middle

Even if you kick started your case study, it’s too early to celebrate it. Consider the following traps in the middle of the project:

  • Watch the structure. The classic logical structure is your formula of success. It will help you move from one point to another without the unnecessary procrastination:
  • Respect the logic. Make your case study flow – make logical transitions between the different parts and make it consistent. Avoid changing your position throughout the paper.
  • Be detail-oriented. Any trifle deserves attention when you write a case study.
  • Avoid bias. Be sure that all your opinions are based on the specific arguments form the case study. Avoid pouring your biased views into the project.

3 Shortcuts for a Happy Ending

  • Offer a realistic solution. College case study is a rehearsal of real-life situations. Take the responsibility for your suggestions.
  • Keep your conclusion short. Avoid repeating the details and don’t include any new information.
  • Consider creating a Power Point. If your task is not only writing a case study, but also presenting it – why not create PowerPoint slides to help you?

As the last step on your way to a perfect nursing case study, prepare the title page. Its format usually depends on the professor’s requirements. But if you know the citation style, our Title Page Maker is a perfect tool to apply the right formatting and accelerate the process. And if you have any know-how on how to write a medical case study, you are very welcome to share it with other students in the comments below.

❓ Nursing Case Study: FAQ

What is a case study in nursing.

A nursing case study explores the condition of a patient. It is based on previous clinical records, lab reports, and other medical and personal information. A case study focuses on the patient and describes the treatment that was (or should be) applied and its (expected) outcome.

How to Write a Nursing Case Study?

  • Collect the bulk of data available about the patient.
  • Read literature about the diagnosed condition.
  • Focus on the individual patient and their symptoms.
  • Describe the situation and outline its development in time.
  • Analyze the actions of the medical personnel that have been done.
  • Plan further treatment of the patient.

Why Are Case Studies Good for Nursing Students?

Nursing case studies offer you a priceless opportunity to gain experience of different patient conditions and cure methods without visiting the clinic. You can think about whether the proposed treatment was appropriate or wrong and suggest a better solution. And the best thing, your teacher will indicate your mistakes (and no patient will be hurt in the process).

Why Are Case Studies Important in Nursing?

  • You learn to distinguish the relevant data and analyze it.
  • You learn to ask the right questions.
  • You learn to evaluate the severity of symptoms.
  • You learn to make better diagnoses.
  • You train your critical thinking in terms of treatment methods
  • Case studies are in-class simulators of authentic atmosphere in a clinical ward.
  • What is a case study? | Evidence-Based Nursing
  • Case Studies – Johns Hopkins Medicine
  • Case Study Research Design in Nursing
  • Case study report for Nursing | Learning Lab – RMIT University
  • Case Study or Nursing Care Study? – jstor

Research Paper Analysis: How to Analyze a Research Article + Example

Film analysis: example, format, and outline + topics & prompts.

Examples logo

Nursing Case Study

Nursing Case Study

ScienceDirect posted a nursing ethics case study where an end-stage prostate cancer patient, Mr. Green, confided to nursing staff about his plan to commit suicide. The patient asked the nurse to keep it a secret. The ethical problem is whether the nurse should tell the health care team members about the patient’s thought without his permission. The best ethical decision for this nursing case study was to share this critical information with other health care professionals, which was the action the nurse took. The team adhered to the proper self-harm and suicide protocol. The appropriate team performed a palliative therapy. As a result, the patient didn’t harm himself and died peacefully a few months after he was discharged.

What Is a Nursing Case Study? A nursing case study is a detailed study of an individual patient. Through this type of research, you can gain more information about the symptoms and the medical history of a patient. It will also allow you to provide the proper diagnoses of the patient’s illness based on the symptoms he or she experienced and other affecting factors. Nursing students usually perform this study as part of their practicum, making it an essential experience because, through this research methodology , they can apply the lessons they have learned from school. The situation mentioned above was an excellent example of a nursing case study.

Nursing Case Study Format

1. introduction.

Purpose: Briefly introduces the case study, including the main health issue or condition being explored. Background: Provides context for the patient scenario, outlining the significance of the case in nursing practice. Objectives: Lists the learning objectives or goals that the case study aims to achieve.

2. Patient Information

Demographics: Age, gender, ethnicity, and relevant personal information. Medical History: Past medical history, including any chronic conditions, surgeries, or significant health events. Current Health Assessment: Presents the patient’s current health status, including symptoms, vital signs, and results from initial examinations.

3. Case Description

Clinical Presentation: Detailed description of the patient’s presentation, including physical examination findings and patient-reported symptoms. Diagnostic Findings: Summarizes diagnostic tests that were performed, including lab tests, imaging studies, and other diagnostic procedures, along with their results. Treatment Plan: Outlines the initial treatment provided to the patient, including medications, therapies, surgeries, or other interventions.

4. Nursing Care Plan

Nursing Diagnoses: Identifies the nursing diagnoses based on the assessment data. Goals and Outcomes: Establishes short-term and long-term goals for the patient’s care, including expected outcomes. Interventions: Describes specific nursing interventions planned or implemented to address each nursing diagnosis and achieve the stated goals. Evaluation: Discusses the effectiveness of the nursing interventions, including patient progress and any adjustments made to the care plan.

5. Analysis

Critical Analysis: Analyzes the case in depth, considering different aspects of patient care, decision-making processes, and the application of nursing theories and principles. Reflection: Reflects on the nursing practice, lessons learned, and how the case study has impacted the understanding and application of nursing knowledge.

6. Conclusion

Summary: Provides a concise summary of the key points from the case study, including the patient outcome and the nursing care impact. Implications for Practice: Discusses the implications of the case for nursing practice, including any changes to practice or policy that could improve patient care. Recommendations: Offers recommendations for future care or areas for further study based on the case study findings.

Examples of Nursing Case Study

Management of Acute Myocardial Infarction (AMI) Introduction: A 58-year-old male with a history of hypertension and smoking presents to the emergency department with chest pain. This case study explores the nursing management for patients with AMI.   Patient Information: Demographics: 58-year-old male, smoker. Medical History: Hypertension, no previous diagnosis of heart disease. Current Health Assessment: Reports severe chest pain radiating to his left arm, sweating, and nausea.   Case Description: Clinical Presentation: Patient appeared in distress, clutching his chest. Diagnostic Findings: ECG showed ST-elevation in anterior leads. Troponin levels were elevated. Treatment Plan: Immediate administration of aspirin, nitroglycerin, and morphine for pain. Referred for emergency coronary angiography.   Nursing Care Plan: Nursing Diagnoses: Acute pain related to myocardial ischemia. Goals: Relieve pain and prevent further myocardial damage. Interventions: Monitoring vital signs, administering prescribed medications, and providing emotional support. Evaluation: Pain was managed effectively, and the patient was stabilized for angiography.   Analysis: The timely nursing interventions contributed to stabilizing the patient’s condition, showcasing the critical role nurses play in acute care settings.   Conclusion: This case highlights the importance of quick assessment and intervention in patients with AMI, emphasizing the nurse’s role in pain management and support.
Managing Type 1 Diabetes in a Pediatric Patient Introduction: A 10-year-old female diagnosed with type 1 diabetes presents for a routine check-up. This case study focuses on the nursing care plan for managing diabetes in pediatric patients.   Patient Information: Demographics: 10-year-old female. Medical History: Diagnosed with type 1 diabetes six months ago. Current Health Assessment: Well-controlled blood glucose levels, but expresses difficulty with frequent insulin injections.   Case Description: Clinical Presentation: Patient is active, engaging in school activities but struggles with diabetes management. Diagnostic Findings: HbA1c is 7.2%, indicating good control. Treatment Plan: Insulin therapy, carbohydrate counting, and regular blood glucose monitoring.   Nursing Care Plan: Nursing Diagnoses: Risk for unstable blood glucose levels. Goals: Maintain blood glucose within target range and increase patient comfort with diabetes management. Interventions: Education on insulin pump use, dietary advice, and coping strategies. Evaluation: Patient showed interest in using an insulin pump and understood dietary recommendations.   Analysis: This case emphasizes the importance of education and emotional support in managing chronic conditions in pediatric patients.   Conclusion: Effective management of type 1 diabetes in children requires a comprehensive approach that includes education, technological aids, and psychological support.
Elderly Care for Alzheimer’s Disease Introduction: An 82-year-old female with Alzheimer’s disease presents with increased confusion and agitation. This case study examines the complexities of caring for elderly patients with Alzheimer’s.   Patient Information: Demographics: 82-year-old female. Medical History: Alzheimer’s disease, osteoarthritis. Current Health Assessment: Increased confusion, agitation, and occasional aggression.   Case Description: Clinical Presentation: Patient exhibits signs of advanced Alzheimer’s with memory loss and disorientation. Diagnostic Findings: Cognitive tests confirm the progression of Alzheimer’s. Treatment Plan: Non-pharmacological interventions for agitation, memory aids, and safety measures in the home.   Nursing Care Plan: Nursing Diagnoses: Impaired memory related to Alzheimer’s disease. Goals: Reduce agitation and prevent harm. Interventions: Use of calming techniques, establishing a routine, and environmental modifications. Evaluation: Agitation was reduced, and the patient’s safety was improved through environmental adjustments.   Analysis: The case underscores the need for tailored interventions to manage Alzheimer’s symptoms and improve the quality of life for the elderly.   Conclusion: Nursing care for Alzheimer’s patients requires a multifaceted approach focusing on safety, symptom management, and patient dignity.

Nursing Case Study Topics with Samples to Edit & Download

  • Telehealth Nursing
  • Mental Health and Psychiatric Nursing
  • Geriatric Nursing Care
  • Palliative and End-of-Life Care
  • Pediatric Nursing
  • Emergency and Critical Care Nursing
  • Chronic Disease Management
  • Nursing Ethics and Patient Rights
  • Infection Control and Prevention
  • Oncology Nursing
  • Nursing Leadership and Management
  • Cultural Competence in Nursing
  • Substance Abuse and Addiction Nursing
  • Technological Innovations in Nursing
  • Nursing Education and Training

Nursing Case Study Examples & Templates

1. nursing case study template.

nursing case study template

2. Free Nursing Student Care Plan Template

free nursing student care plan template

3. Nursing Action Case Study Example

nursing action case study example

4. Hospital Nursing Care Case Study Example

hospital nursein care case study example

5. Printable Nursing Health Case Study Example

nursing health case study example

professays.com

6. Fundamentals of Nursing Case Study Example

fundamentals of nursing case study example

secure-ecsd.elsevier.com

7. Sample Nursing Case Study Example

sample nursing case study example

caresearch.com.au

8. Nursing Research Case Study Example

nursing research case study example

9. Standard Nursing Case Study Example

standard nursing case study

resourcecenter.ovid.com

10. Nursing Disability Case Study Example

nursing disability case study example

careerswales.com

11. Nursing care Patients Case Study Example

nursing care patients case study

12. School of Nursing Case Study Example

school of nursing case study example

ebn.bmj.com

13. Evaluation of Nursing Care Case Study Example

evaluation of nursing care case study example

philadelphia.edu

Nursing Case Study Segments

Typically, a nursing case study contains three main categories, such as the items below.

1. The Status of a Patient

In this section, you will provide the patient’s information, such as medical history, and give the current patient’s diagnosis, condition, and treatment. Always remember to write down all the relevant information about the patient. Other items that you can collect in this stage are the reasons for the patient to seek medical care and the initial symptoms that he or she is experiencing. After that, based on the gathered information, you will explain the nature and cause of the illness of the patient.

2. The Nursing Assessment of the Patient

In this stage, you will need to prepare your evaluation of the patient’s condition. You should explain each observation that you have collected based on the vital signs and test results. You will also explain each nursing diagnosis that you have identified and determine the proper nursing care plan for the patient.

3. The Current Care Plan and Recommendations

Describe the appropriate care plan that you can recommend to the patient based on the diagnosis, current status, and prognosis in detail, including how the care plan will affect his or her life quality. If needed, you can also evaluate the patient’s existing care plan and give recommendations to enhance it. It is also crucial to cite relevant authoritative sources that will support your recommendations .

Objectives of Nursing Case Study

Nursing case studies are integral educational tools that bridge theoretical knowledge with practical application in patient care. They serve several key objectives essential for the development of nursing students and professionals. Here are the primary objectives of nursing case studies:

1. Enhance Critical Thinking and Clinical Reasoning

Case studies encourage nurses to analyze complex patient scenarios, make informed decisions, and apply critical thinking skills to solve problems. They simulate real-life situations, requiring nurses to evaluate data, consider multiple outcomes, and choose the best course of action.

2. Improve Diagnostic Skills

Through the detailed analysis of patient information, symptoms, and diagnostic results, nursing case studies help improve diagnostic skills. They allow nurses to practice interpreting clinical data to identify patient conditions and understand the underlying causes of symptoms.

3. Facilitate Application of Theoretical Knowledge

Nursing case studies provide a direct bridge between classroom learning and clinical practice. They offer a practical venue for applying theoretical knowledge about anatomy, physiology, pharmacology, and nursing theories to real-world patient care situations.

4. Promote Understanding of Comprehensive Patient Care

These studies emphasize the importance of holistic care, considering the physical, emotional, social, and psychological aspects of patient well-being. Nurses learn to develop comprehensive care plans that address all facets of a patient’s health.

5. Encourage Reflective Practice and Self-Assessment

Reflecting on case study outcomes enables nurses to evaluate their own decision-making processes, clinical judgments, and actions. This self-assessment promotes continuous learning and professional growth by identifying areas for improvement.

6. Foster Interdisciplinary Collaboration

Case studies often involve scenarios that require collaboration among healthcare professionals from various disciplines. They teach nurses the value of teamwork, communication, and the integration of different expertise to achieve optimal patient outcomes.

7. Enhance Patient Education and Advocacy Skills

By working through case studies, nurses improve their ability to educate patients and families about health conditions, treatment plans, and preventive measures. They also learn to advocate for their patients’ needs and preferences within the healthcare system.

8. Prepare for Real-Life Challenges

Nursing case studies prepare students and new nurses for the unpredictability and challenges of real-life clinical settings. They provide safe, controlled environments to practice responses to emergencies, ethical dilemmas, and complex patient needs without the risk of actual harm.

Steps in Nursing Process

Whether you are handling a patient with schizophrenia, pneumonia, diabetes, appendicitis, hypertension, COPD, etc, you will need to follow specific steps to ensure that you are executing the critical nursing process.

1. Assess the Patient

The first step of the nursing process requires critical thinking skills as it involves gathering both subjective and objective data. Subjective data includes verbal statements that you can collect from the patient or caregiver. In contrast, objective information refers to measurable and tangible data, such as vital signs, height, weight, etc. You can also use other sources of information, such as electronic health records, and friends that are in direct contact with the patient.

2. Diagnose the Patient

This critical step will help you in the next steps, such as planning and implementation of patient care. In this step, you will formulate a nursing diagnosis by applying clinical judgment. As a nurse, the North American Nursing Diagnosis Association (NANDA) will give you an up-to-date nursing diagnosis list, which will allow you to form a diagnosis based on the actual health problem.

3. Plan for a Proper Patient Care Plan

This part is where you will plan out the appropriate care plan for the patient. You will set this goal following the evidence-based practice (EDP) guidelines. The goal you will set should be specific, measurable, attainable, realistic, and timely ( SMART ).

4. Implement the Plan

In this stage, you can execute the plan that you have developed in the previous step. The implementation may need interventions such as a cardiac monitor, medication administration, etc.

5. Evaluate the Results

It is crucial to remember that every time the team does an intervention, you must do a reassessment to ensure that the process will lead to a positive result. You may need to reassess the patient depending on his progress, and the care plan may be modified based on the reassessment result.

Where to find nursing case studies?

Nursing case studies can be found in a variety of academic, professional, and medical resources. Here are some key places to look for nursing case studies:

  • Academic Journals : Many academic journals focus on nursing and healthcare and publish case studies regularly. Examples include the “Journal of Clinical Nursing,” “Nursing Case Studies,” and “American Journal of Nursing.”
  • University and College Libraries : Many academic institutions provide access to databases and journals that contain nursing case studies. Libraries often have subscriptions to these resources.
  • Online Medical Libraries : Websites like PubMed, ScienceDirect, and Wiley Online Library offer a vast collection of nursing and medical case studies.
  • Professional Nursing Organizations : Organizations such as the American Nurses Association (ANA) and the National League for Nursing (NLN) often provide resources, including case studies, for their members.
  • Nursing Education Websites : Websites dedicated to nursing education, such as Lippincott NursingCenter and Nurse.com, often feature case studies for educational purposes.
  • Government Health Websites : The Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) sometimes publish case studies related to public health nursing and disease outbreaks.
  • Nursing Textbooks and eBooks : Many nursing textbooks and eBooks include case studies to illustrate key concepts and scenarios encountered in practice.
  • Online Nursing Forums and Communities : Forums and online communities for nursing professionals may share or discuss case studies as part of their content.
  • Conference Proceedings : Nursing and healthcare conferences often include presentations of case studies. Many of these are published in the conference proceedings, which may be accessible online.

Carrying out a nursing case study can be a delicate task since it puts the life of a person at stake. Thus, it requires a thorough investigation. With that said, it is essential to gain intensive knowledge about this type of study. Today, we have discussed an overview of how to conduct a nursing case study. However, if you think that you are having problems with your writing skills , we recommend you to consider looking for an essay writing service from the experts in the nursing department to ensure that the output follows the appropriate writing style and terminology.

case study nursing process example

AI Generator

Text prompt

  • Instructive
  • Professional

10 Examples of Public speaking

20 Examples of Gas lighting

Log in using your username and password

  • Search More Search for this keyword Advanced search
  • Latest content
  • Current issue
  • Write for Us
  • BMJ Journals More You are viewing from: Google Indexer

You are here

  • Volume 21, Issue 1
  • What is a case study?
  • Article Text
  • Article info
  • Citation Tools
  • Rapid Responses
  • Article metrics

Download PDF

  • Roberta Heale 1 ,
  • Alison Twycross 2
  • 1 School of Nursing , Laurentian University , Sudbury , Ontario , Canada
  • 2 School of Health and Social Care , London South Bank University , London , UK
  • Correspondence to Dr Roberta Heale, School of Nursing, Laurentian University, Sudbury, ON P3E2C6, Canada; rheale{at}laurentian.ca

https://doi.org/10.1136/eb-2017-102845

Statistics from Altmetric.com

Request permissions.

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

What is it?

Case study is a research methodology, typically seen in social and life sciences. There is no one definition of case study research. 1 However, very simply… ‘a case study can be defined as an intensive study about a person, a group of people or a unit, which is aimed to generalize over several units’. 1 A case study has also been described as an intensive, systematic investigation of a single individual, group, community or some other unit in which the researcher examines in-depth data relating to several variables. 2

Often there are several similar cases to consider such as educational or social service programmes that are delivered from a number of locations. Although similar, they are complex and have unique features. In these circumstances, the evaluation of several, similar cases will provide a better answer to a research question than if only one case is examined, hence the multiple-case study. Stake asserts that the cases are grouped and viewed as one entity, called the quintain . 6  ‘We study what is similar and different about the cases to understand the quintain better’. 6

The steps when using case study methodology are the same as for other types of research. 6 The first step is defining the single case or identifying a group of similar cases that can then be incorporated into a multiple-case study. A search to determine what is known about the case(s) is typically conducted. This may include a review of the literature, grey literature, media, reports and more, which serves to establish a basic understanding of the cases and informs the development of research questions. Data in case studies are often, but not exclusively, qualitative in nature. In multiple-case studies, analysis within cases and across cases is conducted. Themes arise from the analyses and assertions about the cases as a whole, or the quintain, emerge. 6

Benefits and limitations of case studies

If a researcher wants to study a specific phenomenon arising from a particular entity, then a single-case study is warranted and will allow for a in-depth understanding of the single phenomenon and, as discussed above, would involve collecting several different types of data. This is illustrated in example 1 below.

Using a multiple-case research study allows for a more in-depth understanding of the cases as a unit, through comparison of similarities and differences of the individual cases embedded within the quintain. Evidence arising from multiple-case studies is often stronger and more reliable than from single-case research. Multiple-case studies allow for more comprehensive exploration of research questions and theory development. 6

Despite the advantages of case studies, there are limitations. The sheer volume of data is difficult to organise and data analysis and integration strategies need to be carefully thought through. There is also sometimes a temptation to veer away from the research focus. 2 Reporting of findings from multiple-case research studies is also challenging at times, 1 particularly in relation to the word limits for some journal papers.

Examples of case studies

Example 1: nurses’ paediatric pain management practices.

One of the authors of this paper (AT) has used a case study approach to explore nurses’ paediatric pain management practices. This involved collecting several datasets:

Observational data to gain a picture about actual pain management practices.

Questionnaire data about nurses’ knowledge about paediatric pain management practices and how well they felt they managed pain in children.

Questionnaire data about how critical nurses perceived pain management tasks to be.

These datasets were analysed separately and then compared 7–9 and demonstrated that nurses’ level of theoretical did not impact on the quality of their pain management practices. 7 Nor did individual nurse’s perceptions of how critical a task was effect the likelihood of them carrying out this task in practice. 8 There was also a difference in self-reported and observed practices 9 ; actual (observed) practices did not confirm to best practice guidelines, whereas self-reported practices tended to.

Example 2: quality of care for complex patients at Nurse Practitioner-Led Clinics (NPLCs)

The other author of this paper (RH) has conducted a multiple-case study to determine the quality of care for patients with complex clinical presentations in NPLCs in Ontario, Canada. 10 Five NPLCs served as individual cases that, together, represented the quatrain. Three types of data were collected including:

Review of documentation related to the NPLC model (media, annual reports, research articles, grey literature and regulatory legislation).

Interviews with nurse practitioners (NPs) practising at the five NPLCs to determine their perceptions of the impact of the NPLC model on the quality of care provided to patients with multimorbidity.

Chart audits conducted at the five NPLCs to determine the extent to which evidence-based guidelines were followed for patients with diabetes and at least one other chronic condition.

The three sources of data collected from the five NPLCs were analysed and themes arose related to the quality of care for complex patients at NPLCs. The multiple-case study confirmed that nurse practitioners are the primary care providers at the NPLCs, and this positively impacts the quality of care for patients with multimorbidity. Healthcare policy, such as lack of an increase in salary for NPs for 10 years, has resulted in issues in recruitment and retention of NPs at NPLCs. This, along with insufficient resources in the communities where NPLCs are located and high patient vulnerability at NPLCs, have a negative impact on the quality of care. 10

These examples illustrate how collecting data about a single case or multiple cases helps us to better understand the phenomenon in question. Case study methodology serves to provide a framework for evaluation and analysis of complex issues. It shines a light on the holistic nature of nursing practice and offers a perspective that informs improved patient care.

  • Gustafsson J
  • Calanzaro M
  • Sandelowski M

Competing interests None declared.

Provenance and peer review Commissioned; internally peer reviewed.

Read the full text or download the PDF:

This website is intended for healthcare professionals

British Journal of Nursing

  • { $refs.search.focus(); })" aria-controls="searchpanel" :aria-expanded="open" class="hidden lg:inline-flex justify-end text-gray-800 hover:text-primary py-2 px-4 lg:px-0 items-center text-base font-medium"> Search

Search menu

Akhtar N, Lee L Utilization and complications of central venous access devices in oncology patients. Current Oncology.. 2021; 28:(1)367-377 https://doi.org/10.3390/curroncol28010039

BD ChloraPrep: summary of product characteristics.. 2021; https://www.bd.com/en-uk/products/infection-prevention/chloraprep-patient-preoperative-skin-preparation/chloraprep-smpc-pil-msds

Chloraprep 10.5ml applicator.. 2022a; https://www.bd.com/en-uk/products/infection-prevention/chloraprep-patient-preoperative-skin-preparation/chloraprep-patient-preoperative-skin-preparation-product-line/chloraprep-105-ml-applicator

Chloraprep 3ml applicator.. 2022b; https://www.bd.com/en-uk/products/infection-prevention/chloraprep-patient-preoperative-skin-preparation/chloraprep-patient-preoperative-skin-preparation-product-line/chloraprep-3-ml-applicator

Website.. 2021; https://www.cdc.gov/cancer/preventinfections/providers.htm

Ceylan G, Topal S, Turgut N, Ozdamar N, Oruc Y, Agin H, Devrim I Assessment of potential differences between pre-filled and manually prepared syringe use during vascular access device management in a pediatric intensive care unit. https://doi.org/10.1177/11297298211015500

Clare S, Rowley S Best practice skin antisepsis for insertion of peripheral catheters. Br J Nurs.. 2021; 30:(1)8-14 https://doi.org/10.12968/bjon.2021.30.1.8

Caguioa J, Pilpil F, Greensitt C, Carnan D HANDS: standardised intravascular practice based on evidence. Br J Nurs.. 2012; 21:(14)S4-S11 https://doi.org/10.12968/bjon.2012.21.Sup14.S4

Easterlow D, Hoddinott P, Harrison S Implementing and standardising the use of peripheral vascular access devices. J Clin Nurs.. 2010; 19:(5-6)721-727 https://doi.org/10.1111/j.1365-2702.2009.03098.x

Florman S, Nichols RL Current approaches for the prevention of surgical site infections. Am J Infect Dis.. 2007; 3:(1)51-61 https://doi.org/10.3844/ajidsp.2007.51.61

Gorski LA, Hadaway L, Hagle M Infusion therapy standards of practice. J Infus Nurs.. 2021; 44:(S1)S1-S224 https://doi.org/10.1097/NAN.0000000000000396

Guenezan J, Marjanovic N, Drugeon B Chlorhexidine plus alcohol versus povidone iodine plus alcohol, combined or not with innovative devices, for prevention of short-term peripheral venous catheter infection and failure (CLEAN 3 study): an investigator-initiated, openlabel, single centre, randomised-controlled, two-by-two factorial trial [published correction appears in Lancet Infect Dis. 2021 Apr 6]. Lancet Infect Dis.. 2021; 21:(7)1038-1048 https://doi.org/10.1016/S1473-3099(20)30738-6

Gunka V, Soltani P, Astrakianakis G, Martinez M, Albert A, Taylor J, Kavanagh T Determination of ChloraPrep® drying time before neuraxial anesthesia in elective cesarean delivery: a prospective observational study. Int J Obstet Anesth.. 2019; 38:19-24 https://doi.org/10.1016/j.ijoa.2018.10.012

Ishikawa K, Furukawa K Staphylococcus aureus bacteraemia due to central venous catheter infection: a clinical comparison of infections caused by methicillin-resistant and methicillin-susceptible strains. Cureus.. 2021; 13:(7) https://doi.org/10.7759/cureus.16607

Loveday HP, Wilson JA, Pratt RJ Epic3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. J Hosp Infect.. 2014; 86:(S1)S1-70 https://doi.org/10.1016/S0195-6701(13)60012-2

Promoting safer use of injectable medicines.. 2007; https://healthcareea.vctms.co.uk/assets/content/9652/4759/content/injectable.pdf

Standards for infusion therapy. 4th edn.. 2016; https://www.rcn.org.uk/clinical-topics/Infection-prevention-and-control/Standards-for-infusion-therapy

Taxbro K, Chopra V Appropriate vascular access for patients with cancer. Lancet.. 2021; 398:(10298)367-368 https://doi.org/10.1016/S0140-6736(21)00920-X

Case Studies

Gema munoz-mozas.

Vascular Access Advanced Nurse Practitioner—Lead Vascular Access Nurse, The Royal Marsden NHS Foundation Trust

View articles · Email Gema

Colin Fairhurst

Vascular Access Advanced Clinical Practitioner, University Hospitals Plymouth NHS Trust

View articles

Simon Clare

Research and Practice Development Director, The Association for Safe Aseptic Practice

View articles · Email Simon

case study nursing process example

Intravenous (IV) access, both peripheral and central, is an integral part of the patient care pathways for diagnosing and treating cancer. Patients receiving systemic anticancer treatment (SACT) are at risk for developing infections, which may lead to hospitalisation, disruptions in treatment schedules and even death ( Centers for Disease Control and Prevention, 2021 ). However, infection rates can be reduced and general patient outcomes improved with the evidence-based standardisation of IV practice, and the adoption of the appropriate equipment, such as peripheral IV cannulas, flushing solutions and sterile IV dressings ( Easterlow et al, 2010 ).

Cancer treatment frequently involves the use of central venous catheters (CVCs)-also referred to as central venous access devices (CVADs)—which can represent a lifeline for patients when used to administer all kinds of IV medications, including chemotherapy, blood products and parenteral nutrition. They can also be used to obtain blood samples, which can improve the patient’s quality of life by reducing the need for peripheral stabs from regular venepunctures ( Taxbro and Chopra, 2021 ). CVCs are relatively easy to insert and care for; however, they are associated with potential complications throughout their insertion and maintenance.

One serious complication of CVC use is catheter-related bloodstream infections (CRBSIs), which can increase morbidity, leading to prolonged hospitalisation and critical use of hospital resources ( Akhtar and Lee, 2021 ). Early-onset CRBSIs are commonly caused by skin pathogens, and so a cornerstone of a CRBSI prevention is skin antisepsis at the time of CVC insertion. Appropriate antisepsis (decontamination/preparation) of the site for CVC insertion can prevent the transmission of such skin pathogens during insertion, while reducing the burden of bacteria on the CVC exit site ( Loveday et al, 2014 ).

Evidence-based practice for the prevention of a CRBSIs and other healthcare-associated infections recommends skin antisepsis prior to insertion of a vascular-access device (VAD) using a 2% chlorhexidine gluconate and 70% isopropyl alcohol solution. This is recommended in guidelines such as epic3 ( Loveday et al, 2014 ), the Standards for Infusion Therapy ( Royal College of Nursing, 2016 ) and the Infusion Therapy Standards of Practice ( Gorski et al, 2021 ). A strong evidenced-backed product such as BD ChloraPrep™ ( Figure 1 ) has a combination of 2% chlorhexidine gluconate in 70% isopropyl alcohol that provides broad-spectrum rapid-action antisepsis, while the applicators facilitate a sterile, single-use application that eliminates direct hand-to-patient contact, helping to reduce cross-contamination and maintaining sterile conditions ( BD, 2021 ). The BD ChloraPrep™ applicator’s circular head allows precise antisepsis of the required area, and the sponge head helps to apply gentle friction in back-and-forth motion to penetrate the skin layers ( BD, 2021 ). BD ChloraPrep’s rapidacting, persistent and broad-spectrum characteristics and proven applicator system ( Florman and Nichols, 2007 ) make it a vital part of the policy and protocol for insertion, care and maintenance of CVCs in specialist cancer centres such as the Royal Marsden. Meanwhile, the use of BD PosiFlush™ Prefilled Saline Syringe ( Figure 2 ), a prefilled normal saline (0.9% sodium choride) syringe, is established practice for the flushing regime of VADs in many NHS Trusts.

case study nursing process example

The following five case studies present examples from personal experience of clinical practice that illustrate how and why clinicians in oncology and other disciplines use BD ChloraPrep ™ and BD PosiFlush ™ Prefilled Saline Syringe in both adult and paediatric patients.

Case study 1 (Andy)

Andy was a 65-year-old man being treated for metastatic colorectal cancer at the Royal Marsden NHS Foundation Trust specialist cancer service, which provides state-of-the-art treatment to over 60 000 patients each year.

Andy had a peripherally inserted central catheter (PICC) placed at the onset of his chemotherapy treatment to facilitate IV treatment. While in situ, PICCs require regular maintenance to minimise associated risks. This consists of a weekly dressing change to minimise infection and a weekly flush to maintain patency, if not in constant use. For ambulatory patients, weekly PICC maintenance can be carried out either in the hospital outpatient department or at home by a district nurse or family member trained to do so. Patients, relatives, carers and less-experienced nurses involved in PICC care (flushing and dressing) can watch a video on the Royal Marsden website as an aide memoir.

Initially, Andy decided to have his weekly PICC maintenance at the hospital’s nurse-led clinic for the maintenance of CVCs. At the clinic, Andy’s PICC dressing change and catheter flushing procedures were performed by a nursing associate (NA), who, having completed the relevant competences and undergone supervised practise, could carry out weekly catheter maintenance and access PICC for blood sampling.

In line with hospital policy, the PICC dressing change was performed under aseptic non-touch technique (ANTT) using a dressing pack and sterile gloves. After removal of the old dressing, the skin around the entry site and the PICC was cleaned with a 3 ml BD ChloraPrep™ applicator, using back-andforth strokes for 30 seconds and allowing the area to air dry completely before applying the new dressing. As clarified in a recent article on skin antisepsis (Clare and Rowley, 2020), BD ChloraPrep™ applicator facilitated a sterile, single-use application that eliminates direct hand-to-patient contact, which help reduce cross-contamination and maintaining ANTT. Its circular head allowed precise antisepsis around the catheter, and the sponge head helped to apply gentle friction in back-and-forth strokes to penetrate the skin layers.

Once the new dressing was applied, the NA continued to clean the catheter hub and change the needle-free connector. Finally, the catheter lumen was flushed with 10 ml of normal saline (0.9% sodium chloride) with a pre-filled saline syringe (BD PosiFlush™ Prefilled Saline Syringe). This involved flushing 1 ml at a time, following a push-pause technique, with positive pressure disconnection to ensure catheter patency. The classification of these syringes as medical devices enables NAs and other nonregistered members of the clinical team to support nursing staff with the care and maintenance of PICCs and other CVCs, within local policies and procedures. Using pre-filled syringes can save time and minimise the risk of contamination of the solution ( Ceylan et al, 2021 ).

The use of pre-filled 0.9% sodium chloride syringes facilitates home maintenance of PICCs for patients. When Andy did not need to attend hospital, his PICC maintenance could be performed by a family member. Patients and relatives could access the necessary equipment and training from the day-case unit or outpatient department. Home PICC maintenance is extremely beneficial, not just to providers, but also to patients, who may avoid unnecessary hospital attendance and so benefit from more quality time at home and a reduced risk of hospital-acquired infections. Many patients and relatives have commented on the convenience of having their PICC maintenance at home and how easy they found using the ChloraPrep™ and BD PosiFlush™ Prefilled Saline Syringe ‘sticks’.

Case study 2 (Gail)

Gail was as a 48-year-old woman being treated for bladder cancer with folinic acid, fluorouracil and oxaliplatin (FOLOX). She was admitted for a replacement PICC, primarily for continuous cytotoxic intravenous medication via infusion pump in the homecare setting. Her first PICC developed a reaction thought to be related to a sutureless securement device (SSD) anchoring the PICC. The device was removed, but this resulted in displacement of the PICC and incorrect positioning in the vessel (superior vena cava). Now unsafe, the PICC was removed, awaiting replacement, which resulted in a delayed start for the chemotherapy.

A second PICC placement was attempted by a nurse-led CVC placement team, and a line attempt was made in Gail’s left arm. Skin antisepsis was undertaken using a 2% chlorhexidine gluconate and 70% isopropyl alcohol solution (ChloraPrep™). A BD ChloraPrep ™ 10 ml applicator was selected, using manufacturer’s recommendations, as per best practice guidance for CVC placement ( Loveday et al, 2014 ) and to comply with local policy for the use of ANTT. The BD ChloraPrep™ applicator allowed improved non-touch technique and helped facilitate good key-part and key-site protection, in line with ANTT ( Clare and Rowley, 2021 ).

The inserting clinician failed to successfully position the PICC in Gail’s left arm and moved to try on the right. On the second attempt, Gail noted the use of BD ChloraPrep™ and stated that she was allergic to the product, reporting a severe skin rash and local discomfort. The line placer informed the Gail that she had used BD ChloraPrep™ on the failed first attempt without issue, and she gave her consent to continue the procedure. No skin reaction was noted during or after insertion of the PICC.

BD ChloraPrep™ has a rapid-acting broad-spectrum antiseptic range and ability to keep fighting bacteria for at least 48 hours ( BD, 2021 ). These were tangible benefits during maintenance of the CVC insertion site, in the protection of key sites following dressing change and until subsequent dressing changes. There are reported observations of clinicians not allowing the skin to fully dry and applying a new dressing onto wet skin after removing old dressings and disinfecting the exit site with BD ChloraPrep™. This has been reported to cause skin irritation, which can be mistaken for an allergic reaction and lead the patient to think that they have an allergy to chlorhexidine. In our centre’s general experience, very few true allergic reactions have ever been reported by the insertion team. Improved surveillance might better differentiate between later reported reactions, possibly associated with a delayed response to exposure to BD ChloraPrep ™ at insertion, and local skin irritation caused by incorrect management at some later point during hospitalisation.

Staff training is an important consideration in the safe and correct use of BD ChloraPrep™ products and the correct use of adhesive dressings to avoid irritant contact dermatitis (ICD). It is worth noting that it can be difficult to differentiate between ICD and allergic contact dermatitis (ACD). Education and training should be multifaceted (such as with training videos and study days), allowing for different ways of learning, and monitored with audit. Local training in the benefits of using BD ChloraPrep™ correctly have been reinforced by adding simple instructions to ANTT procedure guidelines for CVC insertion and maintenance. Education on its own is often limited to a single episode of training, the benefit of using ANTT procedure guidelines is that they are embedded in a programme of audits and periodic competency reassessment. This makes sure that, as an integral part of good practice, skin antisepsis with BD ChloraPrep ™ is consistently and accurately retrained and assessed.

Gail’s case illustrates the importance of correct application of BD ChloraPrep ™ and how good documentation and surveillance are vital in monitoring skin health during the repeated use skindisinfection products. Care should be taken when recording ICD and ACD reactions, and staff should take steps to confirm true allergy versus temporary skin irritation.

Case study 3 (Beata)

Beata was a 13-year-old teenage girl being treated for acute myeloid leukaemia. Although Beata had a dual-lumen skin-tunnelled catheter in situ, a peripheral intravenous cannula (PIVC) was required for the administration of contrast media for computed tomography (CT) scanning. However, Beata had needlephobia, and so the lead vascular access nurse was contacted to insert the cannula, following ultrasound guidance and the ANTT. After Beata and her mother gave their consent to the procedure, the nurse gathered and prepared all the equipment, including a cannulation pack, single-use tourniquet, skin-antisepsis product, appropriate cannula, PIVC dressing, 0.9% sodium chloride BD PosiFlush ™ Prefilled Saline Syringe, sterile gel, sterile dressing to cover ultrasound probe and personal protective equipment.

Prior to PIVC insertion, a 4x5 cm area of skin underwent antisepsis with a 1.5 ml BD ChloraPrep ™ Frepp applicator, with back-and-forth strokes for 30 seconds, and was allowed to air-dry. The vascular access team prefer to use BD ChloraPrep ™ Frepp over single-use wipes, as the former is faster acting and provides the right volume to decontaminate the indicated area using ANTT ( Clare and Rowley, 2021 ).

Following insertion, the PIVC was flushed with a 10 ml BD PosiFlush ™ Prefilled Saline Syringe syringe, using a pushpause pulsatile technique, with positive pressure disconnection. Local policy recommends the use of pre-filled saline syringes, as they save time and minimise infection risk compared with manually drawn saline flushes ( Ceylan et al, 2021 ). The Trust also permits competent non-registered members of staff to perform PIVC insertion, which is more cost-effective than depending on registered nurses.

In Beata’s case, the team considered the use of BD ChloraPrep™ and BD PosiFlush™ Prefilled Saline Syringe to be essential for the prevention of VAD-associated infections, as well as increasing the quality of nursing care by saving time in the day-case and inpatient settings alike.

Case study 4 (Emma)

Emma, a 43-year-old woman diagnosed with acute lymphoblastic leukaemia, was scheduled for an allogenic stem-cell transplant and associated chemotherapy. To facilitate this, she attended the vascular access service at University Hospitals Plymouth NHS Trust for the insertion of a triple-lumen skin-tunnelled catheter. This was identified as the best VAD for her needs, because of its longevity, multiple points of access and decreased infection risk compared with other devices, such as PICCs.

This was Emma’s second advanced VAD insertion, having previously received an apheresis line due to poor peripheral venous access, to facilitate the prior stem-cell harvest. She was yet to receive any treatment, and, therefore, no immunodeficiency had been identified prior to the insertion procedure.

Trust policy for skin disinfection prior to the insertion or removal of PICC lines is a 2% chlorhexidine gluconate and 70% isopropyl alcohol solution, BD ChloraPrep™. There is an exception for patient history of allergy or sensitivity to BD ChloraPrep™, where 10% povidone iodine is used instead. Emma had received BD ChloraPrep™ before, with no sign allergy or sensitivity, and so the vascular access team decided to use this product again for insertion. BD Chloraprep™ was used, in preference of other skin antisepsis options, due to the applicator’s ability to effectively penetrate the layers of the epidermis, as well as the ability to eliminate direct hand-to-skin contact between the operator and patient ( Clare and Rowley, 2021 ).

Insertion of a skin-tunnelled catheter first requires disinfection of a large area, including the neck and upper chest. Following the manufacturer’s coverage recommendations, a 10.5 ml BD ChloraPrep™ applicator was selected as most suitable to cover an area of 25x30 cm ( BD, 2022 a).

The applicator was activated by pinching the wings to allow the antiseptic solution to properly load onto the sponge. To ensure proper release of the solution, the applicator was held on the skin against the anticipated site of insertion until the sponge pad became saturated. Then, a back-and-forth rubbing motion was undertaken for a minimum of 30 seconds, ensuring that the full area to be used was covered. The solution was then left to dry completely, prior to full-body draping, leaving the procedural area exposed for the procedure. Generally, drying time takes from 30 to 60 seconds, but local policy is not restrictive, as allowing the solution to fully dry is of paramount importance ( Gunka et al, 2019 ). BD Chloraprep™ is effective against a wide variety of microorganisms and has a rapid onset of action ( Florman and Nichols, 2007 ). Therefore, it was felt to be the best option for procedural and ongoing care skin asepsis in a patient anticipated to be immunocompromised during treatment.

It is the normal policy of the Trust’s vascular access service to flush VADs using BD PosiFlush™ Prefilled Saline Syringes with 0.9% sodium chloride. Likewise, BD PosiFlush™ Prefilled Saline Syringes Sterile Pathway (SP) are used to prime all VADs prior to insertion and to check for correct patency once inserted. BD PosiFlush ™ Prefilled Saline Syringe were used in preference of other options, such as vials or bags, due to the absence of requirement for a prescription in the local organisation. They are treated as a medical device and, therefore, can be used without prescription. The advantage of this is that flushes can be administered in a nurse-led clinic, where prescribers are not always available. Aside from the logistical advantages, the use of pre-filled syringes reduces the risk of microbial contamination through preparation error and administration error through correct labelling ( National Patient Safety Agency, 2007 ) In Emma’s case, three BD PosiFlush™ SP Prefilled Saline Syringes were used to check patency and/or ascertain venous location following the insertion of the skin-tunnelled catheter.

In this case, both BD ChloraPrep ™ and BD PosiFlush ™ Prefilled Saline Syringe proved simple to use and helped achieve a successful procedural outcome for the patient.

Case study 5 (Frank)

Frank was a 47-year-old man who had been diagnosed with infective endocarditis following a trans-oesophageal echo. A few days later, to facilitate his planned treatment of 6 weeks of intravenous antibiotics to be administered 4-hourly every day, he was referred to the vascular access service for insertion of longterm IV access. To facilitate this administration, the decision was made to place a PICC.

Frank’s referral included a history of illegal intravenous drug use and details of the consequent difficulty the ward-based team had in finding suitable veins to obtain vascular access. His medical history also included infected abscesses in the left groin and methicillin-resistant Staphylococcus aureus (MRSA) colonisation.

First, Frank was administered suppression therapy for MRSA decolonisation. Following this and prior to PICC insertion, the skin antisepsis procedure was undertaken using a 2% chlorhexidine gluconate and 70% isopropyl alcohol solution, BD ChloraPrep™, in adherence to Trust policy ( Loveday et al, 2014 ). Specifically, BD ChloraPrep™ applicators are selected for their single-use application. They have been demonstrated to reduce the risk of infectious complications (catheter colonisation and local infection) by 92% compared with 5% povidone iodine (PVI) 69% ethanol ( Guenezan et al, 2021 ). A 3 ml BD ChloraPrep™ applicator was considered suitable to decontaminate an area sufficient for the intended PICC insertion procedure, as recommended by the manufacturer ( BD, 2022 b). It was applied using a back-and-forth motion for a minimum of 30 seconds and left to fully dry ( Loveday et al, 2014 ). Staphylococcus aureus bacteraemia’s have a mortality rate of 20-40% and are predominantly caused by VAD insertion ( Ishikawa and Furukawa, 2021 ), and, therefore, the need to reduce this risk was of particular importance for this patient due to the history of MRSA colonisation.

In Frank’s case, the use of BD ChloraPrep™ during the insertion procedure and for each subsequent dressing change episode participated in an uneventful period of treatment. The clinical challenges posed by the patients’ presentation of MRSA colonisation meant the risk of infection was increased but, through correct antisepsis, no adverse events were noted, and the full course of treatment was successfully administered through the PICC.

Got Questions? Call Us: +1-888-925-3972

Email Us: [email protected]

Top 5 Case Scenarios for Nursing Students

doctos-and-patient

What is a Nursing Case Scenario?

A case scenario in the world of healthcare simulation is a patient file of sorts that presents a story of a patient that is suffering from a healthcare related condition to students.

What are Unfolding Clinical Scenarios for Nursing Students ? 

Unfolding clinical scenarios for nursing students reveal information incrementally, which mirrors real nursing practice. In other words, they require students to evaluate and reevaluate patient situations by analyzing and synthesizing the provided information as it follows a natural progression. Experienced nurses faced with limited context for a patient's situation use clinical forethought—based on past experiences—to predict possible complications and diagnosis.

Case Scenario Examples for Nursing Students

When we create case scenarios for PCS Spark , we think holistically of the patient we are creating and build the scenarios out as complete people in a sense that they have a complete backstory, past medical history, likes, dislikes, etc.  

Here are the top 5 case scenarios for nursing students:  

      1. Nervous System Case Scenario 

PCS_Patients-1

>> What Students Will Learn

In this scenario, nursing students will learn communication techniques for gathering patient history and synthesizing the provided information.

      2. Respiratory Case Scenario 

PCS_Patients-2

In this scenario , students will learn communication techniques of dealing with a pediatric patient while also consoling a troubled parent.  

      3. Endocrine Case Scenario

PCS_Patients-3

In this scenario, students will learn communication skills associated with screening for medication adherence and chronic disease management. 

      4. Cardiac Case Scenario 

PCS_Patients-4

> > What Students Will Learn

In this scenario, nursing students will practice and develop skills associated with providing emergent care and recognizing signs of an impending heart attack .

5. Mental Health Case Scenario

PCS_Patients-5

In this scenario, students will learn to work with patients suffering from mental health disorders and the communication techniques that work best.  

Other Common Case Scenario Examples for Nurses

Although this list certainly isn’t exhaustive of all the nursing scenarios being used in simulation with PCS Spark, other common scenarios include:  

  • PPD ( OB / MENTAL HEALTH )
  • Head Injury ( SUBSTANCE ABUSE )
  • Renal Failure ( URINARY )
  • New Patient Care ( SEXUAL HEALTH )
  • Pediatric Abdominal Pain ( GI )
  • Depression ( MENTAL HEALTH )
  • Influenza ( DRUG SEEKING )  
  • GERD ( GI )
  • Allergic Reaction ( RESPIRATORY )
  • Carpal Tunnel ( MUSCULOSKELETAL )

Need More Nursing Case Studies ? Try PCS’s Free Virtual Patients.  

Enhance your nursing students’ education with realistic case scenarios—but without the worry of real patient risks. PCS Spark offers countless predefined and custom case scenarios crafted by our team of physicians, industry experts and former standardized patient educators.

Screen Shot 2021-09-21 at 1.36.08 PM

Explore More

doctos-and-patient

Make ALEX smarter today with Speech Suggestions

Full disclosure: ALEX is smart … but only as smart as we’ve made him s...

Anatomy Of A Screen

In our eyes, one is just as important as the other. So when our softwa...

How to turn a shirt into a simulator

At first glance PCS Plus may resemble just a shirt bundled with a few ...

case study nursing process example

IMAGES

  1. Nursing Case Study: Examples & How-to Guide for Students

    case study nursing process example

  2. The Nursing Process: A Comprehensive Guide

    case study nursing process example

  3. How to write a case study assignment in nursing

    case study nursing process example

  4. Nursing Case Study

    case study nursing process example

  5. Nursing Case Study

    case study nursing process example

  6. 👍 Best nursing case study. Tips on Writing a Nursing Case Study. 2019-01-29

    case study nursing process example

VIDEO

  1. Case study report for nursing part 1: What is it and why?

  2. Nursing Case Study Practice for NCLEX, HESI, and ATI: Part I

  3. CASE STUDY FORMAT-NURSING CASE STUDY-HOW TO WRITE A CASE STUDY-ANALYSIS OF A DISEASE CONDITION

  4. How to Study with CASE STUDIES in Nursing School

  5. Case study report for nursing part 2: Research and writing

  6. The New Fundamentals of Nursing, 11th Edition: Clinical Case Studies

COMMENTS

  1. 5 Nursing Case Study Examples + Answer Guide

    5 Nursing Case Study Examples + Answer Guide — smart'n - NextGen Learning Support for Nurses NGN Discover real-life nursing case studies with different patient scenarios and diagnoses, and learn from their outcomes and solutions.

  2. Free Nursing Case Studies & Examples

    Click on a case study below to view in our Nursing Case Study Examples course which holds all of our 40+ nursing case studies with answers. Acute Kidney Injury Nursing Case Study Continue Case Study Cardiogenic Shock Nursing Case Study Continue Case Study Breast Cancer Nursing Case Study Continue Case Study Respiratory Nursing Case Study

  3. Nursing Process Example

    Assessment John visits his general physician on Monday because he was feeling sick over the weekend. When he is called back from the waiting room, the nurse on staff takes his temperature, heart rate, and blood pressure. She then asks John a series of questions about how he's been feeling lately.

  4. Nursing Case Study Analysis [10 Examples & How-To Guides]

    Rate this post What You'll Learn hide 1 What is a case study analysis? 2 Nursing Case Study Analysis 3 10 Nursing Case Study Analysis Examples 4 How to write case study analysis in nursing 5 How do you analyze a case study in nursing? 5.1 How nursing practitioners can analyze Patient's Cases 6 Steps of writing nursing case study analysis

  5. Application of the nursing process to a case study situation

    as They Relate to the Nursing . Process.139 . 5. Summary of Research Findings Relating . to the Application of the Steps of . the Nursing Process by the Associate . Degree Nurse and the Baccalaureate . Degree Nurse . 143 . 6. Summary of Competencies Serving as the . Basis for the Design of the Nursing . Process Application Test, Scoring

  6. The Nursing Process: A Comprehensive Guide

    What is the Nursing Process? What is the purpose of the nursing process? Characteristics of the nursing process Nursing Process Steps 1. Assessment: "What data is collected?" Collecting Data Types of Data Objective Data or Signs Subjective Data or Symptoms Verbal Data Nonverbal Data Sources of Data Primary Source Secondary Source Tertiary Source

  7. PDF What is a case study?

    Examples of case studies Example 1: nurses' paediatric pain management practices One of the authors of this paper (AT) has used a case study approach to explore nurses' paediatric pain management practices. This involved collecting several datasets: 1. Observational data to gain a picture about actual pain management practices. 2.

  8. 7 steps to successful nursing case study writing

    Writing a successful nursing case study can be a challenging task. However, by following the steps provided in this blog that is, first defining the problem, gathering information, developing alternatives., analyzing the alternatives, selecting the best alternative, implementing the solution and evaluating the outcome.

  9. Lessons learnt: examining the use of case study methodology for nursing

    Origins and definitions. French sociologist Frederic Le Play (1806-1882) is associated with the origin of the case study approach (Hamel et al., 1993).Using a purposive sample of working class families and fieldwork methods of observation and individual interview, he sought a contextualised and in-depth understanding of their individual experiences.

  10. Nursing Case Study: Ethics, Format & Examples

    1 / 3 What is a Nursing Case Study? A nursing case study is an in-depth analysis of a patient or group of patients, involving observations, data collection, diagnosis, planning and implementing interventions, then evaluating outcomes. It incorporates a nurse's clinical reasoning in patient care.

  11. PDF Using Case Studies to Develop Clinical Judgment and Ensure ...

    A nursing case study can be described as a student-learning activity that tells a story about a patient/family (clinical ... Example of an Unfolding Case Study: Care of the Patient Experiencing Trauma Phase 1: Critical Care A 24-year old woman, Cheryl, was admitted to the trauma unit following a motor vehicle accident as a front- ...

  12. From Nursing Process to Clinical Judgment

    Using a problem-solving approach as a basis for nursing practice requires the use of critical thinking and decision-making. Some experts have referred to that thinking more recently as clinical reasoning. The 2020 NCLEX-RN® Test Plan identifies the nursing process as one of five integrated processes which is defined as "a scientific ...

  13. Next Generation NCLEX Case Study Sample Questions

    What findings are significant and require follow-up? The options are listed below. Select all that apply. To answer this first question in the NGN case study, let's look at the information provided in the nursing notes and vital signs tabs provided:

  14. How to Write a Nursing Case Study + Examples, Format, & Tips

    A nursing case study is a deep analysis of the health situation of a patient. This article answers all the questions about the proper way to prepare this kind of writing. It also suggests some writing tipis and features free nursing case study examples. ️ Case Study Topics for Nursing Students; 🩺️ The Basics

  15. CASE Study

    The nurses implemented a hospital anxiety and depression scale (HADS) so he could score and grade how he feels and a PHQ- questionnaire for treatment selection and monitoring to determine his severity score after 4- 6 weeks on antidepressants and counselling after 3 sessions.

  16. Case Study Integrating Nursing Theory and Process into Practice

    Methodology: This document illustrates a case study integrating Virginia Henderson's need theory and nursing theory process. Conclusion: This paper is an example of theory based nursing care that ...

  17. Nursing Case Study

    1. The Status of a Patient In this section, you will provide the patient's information, such as medical history, and give the current patient's diagnosis, condition, and treatment. Always remember to write down all the relevant information about the patient.

  18. What is a case study?

    Case study is a research methodology, typically seen in social and life sciences. There is no one definition of case study research.1 However, very simply… 'a case study can be defined as an intensive study about a person, a group of people or a unit, which is aimed to generalize over several units'.1 A case study has also been described as an intensive, systematic investigation of a ...

  19. Nursing Case Study Introduction

    This nursing case study course is designed to help nursing students build critical thinking. Each case study was written by experienced nurses with first hand knowledge of the "real-world" disease process. To help you increase your nursing clinical judgement (critical thinking), each unfolding nursing case study includes answers laid out by ...

  20. British Journal of Nursing

    Case Studies. Intravenous (IV) access, both peripheral and central, is an integral part of the patient care pathways for diagnosing and treating cancer. Patients receiving systemic anticancer treatment (SACT) are at risk for developing infections, which may lead to hospitalisation, disruptions in treatment schedules and even death ( Centers for ...

  21. Nursing Case Study for Cardiogenic Shock

    This nursing case study course is designed to help nursing students build critical thinking. Each case study was written by experienced nurses with first hand knowledge of the "real-world" disease process. To help you increase your nursing clinical judgement (critical thinking), each unfolding nursing case study includes answers laid out by ...

  22. Top 5 Case Scenarios for Nursing Students

    Here are the top 5 case scenarios for nursing students: 1. Nervous System Case Scenario Valerie Miller is a 38-year-old female who comes into the clinic with complaints of frequent and increased headaches. Nursing students are tasked with performing a complete and focused health assessment gathering all relevant patient history.

  23. Case Study- Nursing Process Exam Flashcards

    Formulating client goals for prioritized problems is a component of planning, which is the third step in the nursing process. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of clients. Which of the following actions by the nurse demonstrates the use of critical thinking skills?, A nurse is ...