The theory utilizes the five steps in the nursing process. In the assessment stage, the nurse completes a holistic assessment of the patients’ needs including subjective and objective data. In the second stage, the nurse utilizes nursing judgement to form a nursing diagnosis. In the planning stage the nurse addresses each problem and identifies an appropriate outcome. In the implementation stage the care plan is put into action and in the evaluation stage the nurse reviews the progress towards the goals (Petiprin,