1. 1 Submitting and Developing a Nursing Diagnosis Professor Dame June Clark

2. 2 NANDA I : Mission and Vision  Our Mission is to facilitate the development, use, and evaluation of nursing diagnoses  Our Vision is to become the global leader for development and use of standardized nursing diagnosis terminology

3. 3 Levels of development Level 1: Received for development Level 2: Accepted for publication and inclusion in the NANDA Taxonomy Level 3: Clinically supported (validation and clinical testing)

4. 4 Level 1: Received for development 1.1Label only 1.2Label and definition 1.3plus Defining Characteristics or Risk factors 1.4plus references

5. 5 Preliminary steps 1. Get the guidelines from the book or the web; 2. Contact Leann Scroggins (scroggins.leann@mayo.edu);scroggins.leann@mayo.edu 3. Look at the glossary of terms; 4. Decide the “status of the diagnosis” (actual, risk, or wellness); 5. Provide a label for the diagnosis.

6. 6 Every nursing diagnosis must include:  The diagnostic concept  The judgement about it BUT….  In some diagnoses these two pieces are combined, ie the judgement is contained in the diagnostic concept eg. Pain

7. 7 Level 2: Accepted for publication and inclusion in NANDA list 2.1Label, definition, defining characteristics or risk factors, related factors, references, and literature review 2.2Consensus studies using nurse experts

8. 8 Steps to Level 2 6. Provide a definition supported by references 7. Identify the defining characteristics or risk factors (with references) 8. Identify related factors 9. Develop a bibliography. 10. Email to nanda.rmpinc.org

9. 9 Level 3: Clinically supported 3.1Literature Synthesis; 3.2Clinical studies related to the diagnosis, but not generalisable to the population; 3.3Well designed clinical studies with small sample sizes; 3.4Well designed clinical studies with random sample of sufficient size for generalisation.

10. 10 Diagnostic concept Judgement Subject of the diagnosis Site Age The NANDA model for nursing diagnoses Time Status of the diagnosis

11. 11 Diagnostic concept coping Judgement ineffective Subject of the diagnosis family Site N/A Age N/A Risk for chronic ineffective family coping Time Chronic Status of the diagnosis Risk for

12. 12 The Future  IS YOURS!!  Please submit new diagnoses  NNN Conference Philadelphia March 2006: See you there!

13. 13 DO IT NOW!