Chapter 7 Nursing Diagnosis

What is a Nursing Diagnosis? Science and art of identifying problems or conditions Variety of definitions

Comparison of Nursing and Medical Diagnoses Specific disease, condition, or pathological state Nursing Purpose, goals, and therapeutic interventions

Historical Perspective 1973 First national conference for Classification of Nursing Diagnoses ANA endorsement 1994 Taxonomy I (continued)

Historical Perspective 2000 Taxonomy II Research

Purposes of a Nursing Diagnosis Professionalism Contributes to professional status of discipline Communication Provides means for effective communication Holistic, individualized care Facilitate holistic client, family, and community-focused care

Nursing Diagnoses and Nursing Informatics Specialty that focuses on dealing with information in nursing practice Can: Demonstrate value of nursing Improve client care

Components of a Nursing Diagnosis Diagnostic label Definition Defining characteristics Risk factors Related factors (continued)

Components of a Nursing Diagnosis Two-part statement Diagnostic label Etiology Three-part statement Defining characteristics

Categories of a Nursing Diagnosis Actual Risk Wellness Health promotion

Taxonomy of a Nursing Diagnosis Organizational framework Domains Classes Diagnostic statements (continued)

Taxonomy of a Nursing Diagnosis Domains: Health promotion Nutrition Elimination Activity/rest Perception and cognition Self-perception Role relationship (continued)

Taxonomy of a Nursing Diagnosis Domains: Sexuality Coping and stress tolerance Life principles Safety and protection Comfort Growth/development

Clinical Judgment in Nursing: Developing a Nursing Diagnosis Generating cues Validating cues Interpreting cues Clustering cues (continued)

Clinical Judgment in Nursing: Developing a Nursing Diagnosis Using North American Nursing Diagnosis Association (NANDA)-approved nursing diagnoses Writing nursing diagnosis statement

Avoiding Errors in the Development and Use of a Nursing Diagnosis Assessment errors: Incomplete assessment data Validation errors Misinterpreting data Diagnostic errors: Inappropriate data clustering Incorrect writing of nursing diagnosis statement

Limitations of a Nursing Diagnosis Lack of consensus among nurses regarding NANDA-approved nursing diagnosis list Disagreement over specific label in classification system (continued)

Limitations of a Nursing Diagnosis Perception that list is confining, incomplete, medically oriented, and confusing

Overcoming Limitations of a Nursing Diagnosis Recognize that NANDA’s language is young and ever-changing Become familiar with language to empower communication Develop accurate diagnoses

Overcoming Barriers to a Nursing Diagnosis Continue offering standardized content related to nursing diagnoses in educational programs Provide opportunities for experienced nurses to review nursing diagnoses