Chapter 7 Nursing Diagnosis Copyright 2011 Delmar Cengage

Chapter 7 Nursing Diagnosis Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

What is a Nursing Diagnosis? • Diagnosis – Science and art of identifying problems or conditions • Variety of definitions Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Comparison of Nursing and Medical Diagnoses • Medical – Specific disease, condition, or pathological state • Nursing – Purpose, goals, and therapeutic interventions Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Historical Perspective • 1973 – First national conference for Classification of Nursing Diagnoses – ANA endorsement • 1994 – Taxonomy I (continued) Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Historical Perspective • 2000 – Taxonomy II • Research Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

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 communityfocused care Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Nursing Diagnoses and Nursing Informatics • Nursing informatics – Specialty that focuses on dealing with information in nursing practice – Can: • Demonstrate value of nursing • Improve client care Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Components of a Nursing Diagnosis • • • Diagnostic label Definition Defining characteristics Risk factors Related factors (continued) Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Components of a Nursing Diagnosis • Two-part statement – Diagnostic label – Etiology • Three-part statement – Diagnostic label – Etiology – Defining characteristics Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Categories of a Nursing Diagnosis • • Actual Risk Wellness Health promotion Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Taxonomy of a Nursing Diagnosis • Organizational framework – Domains – Classes – Diagnostic statements (continued) Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Taxonomy of a Nursing Diagnosis • Domains: – – – – Health promotion Nutrition Elimination Activity/rest Perception and cognition Self-perception Role relationship (continued) Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Taxonomy of a Nursing Diagnosis • Domains: – – – Sexuality Coping and stress tolerance Life principles Safety and protection Comfort Growth/development Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Clinical Judgment in Nursing: Developing a Nursing Diagnosis • • Generating cues Validating cues Interpreting cues Clustering cues (continued) Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Clinical Judgment in Nursing: Developing a Nursing Diagnosis • Using North American Nursing Diagnosis Association (NANDA)approved nursing diagnoses • Writing nursing diagnosis statement Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

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 Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Limitations of a Nursing Diagnosis • Lack of consensus among nurses regarding NANDA-approved nursing diagnosis list • Disagreement over specific label in classification system (continued) Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Limitations of a Nursing Diagnosis • Perception that list is confining, incomplete, medically oriented, and confusing Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

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 Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

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 Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.