1. Chapter 7
Nursing Diagnosis

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

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

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

5. Historical Perspective
2000
Taxonomy II
Research

6. 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

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

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

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

10. Categories of a Nursing Diagnosis
Actual
Risk
Wellness
Health promotion

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

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

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

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

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

16. 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

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

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

19. 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

20. 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