Nursing Diagnoses

A nursing diagnosis is defined as a clinical judgement about individual, family or community responses to actual or potential health problems or life processes which provide the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable. Accurate and valid nursing diagnoses guide the selection of interventions that are likely to produce the desired treatment effects and determine nurse-sensitive outcomes. Nursing diagnoses are seen as key to the future of evidence-based, professionally-led nursing care - and to more effectively meeting the need of patients and ensuring patient safety. In an era of increasing electronic patient health records standardized nursing terminologies such as NANDA, NIC and NOC provide a means of collecting nursing data that are systematically analyzed within and across healthcare organizations and provide essential data for cost/benefit analysis and clinical audit. 'Nursing Diagnoses: Definitions and Classification' is the definitive guide to nursing diagnoses worldwide. Each nursing diagnoses undergoes a rigorous assessment process by NANDA-I with stringent criteria to indicate the strength of the underlying level of evidence. Each diagnosis comprises a label or name for the diagnosis and a definition. Actual diagnoses include defining characteristics and related factors. Risk diagnoses include risk factors. Many diagnoses are further qualified by terms such as effective, ineffective, impaired, imbalanced, readiness for, disturbed, decreased etc. The 2009-2011 edition is arranged by concept according to Taxonomy II domains (i.e. Health promotion, Nutrition, Elimination and Exchange, Activity/Rest, Perception/Cognition, Self-Perception, Role Relationships, Sexuality, Coping/ Stress Tolerance, Life Principles, Safety/Protection, Comfort, Growth/Development). The book contains new chapters on 'Critical judgement and assessment' and 'How to identify appropriate diagnoses' and core references for all nursing diagnoses. A companion website hosts NANDA-I position statements, new PowerPoint slides, and FAQs for students.* 2009-2011 edition arranged by concepts* New chapters on 'Critical judgement and assessment' and 'How to identify appropriate diagnoses'* Core references for new diagnoses and level of evidence for each diagnosis* Companion website available

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NANDA International, formed in 1982, is committed to increasing the visibility of nursing's contribution to patient care by continuing to develop, refine and classify phenomena of concern to nurses. NANDA International has approximately 206 diagnoses approved for clinical testing and refinement, and a dynamic process of diagnosis review and taxonomy development. For more information about NANDA-I, go to www.nanda.org.

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NANDA International Guidelines for Copyright Permission. Preface. Introduction. Part 1 An Introduction to Nursing Diagnoses: Accuracy, Application Across Setting, and Submission of Nursing Diagnoses to NANDA-I 2009-2011. Assessment, Clinical Judgment, and Nursing Diagnoses: How to Determine Accurate Diagnoses (Margaret Lunney). Nurses are Diagnosticians. Intellectual, Interpersonal and Technical Competencies. Personal Strengths: Tolerance for Ambiguity and Refl ective Practice. Assessment and Nursing Diagnosis. Assessment Framework. Validating Diagnoses. Case Study Example. References. Appendix: Functional Health Pattern Assessment Framework. Directions. Nursing Diagnosis in Education (Martha Craft-Rosenberg and Kelly Smith). Assessment and Identifying Defining Characteristics. History and Identifying Related Factors. Selecting the Nursing Diagnosis Label. Risk Diagnoses. Health-Promotion Diagnoses. Wellness Diagnoses. Prioritizing Diagnoses. Linking Nursing Diagnoses to Outcomes and Interventions. References. The Value of Nursing Diagnoses in Electronic Health Records (Jane Brokel and Crystal Health). References. Nursing Diagnosis and Research (Margaret Lunney). Concept Analyses. Construct and Criterion-Related Validity. Consensus Validation. Studies of Accuracy of Nurses' Diagnoses. Summary. References. Nursing Diagnosis in Administration (Dickon Weir-Hughes). Why Implement Nursing Diagnosis in a Clinical Environment? Evidence-based Practice: Integrating Theory and Practice. Nursing in the Era of Electronic Patient Records. Leading the Implementation of Nursing Diagnosis in Clinical Practice. Conclusion. References. The Process for Development of an Approved NANDA-I Nursing Diagnosis (Leann M. Scroggins). Axis 1: The Diagnostic Concept. Axis 2: Subject of the Diagnosis. Axis 3: Judgment. Axis 4: Location. Axis 5: Age. Axis 6: Time. Axis 7: Status of the Diagnosis. Defi ning Characteristics versus Risk Factors. References. Part 2 NANDA-I Nursing Diagnoses 2009-2011 Domain 1. Health Promotion. Ineffective Health Maintenance (00099). Ineffective Self Health Management (00078). Impaired Home Maintenance (00098). Readiness for Enhanced Immunization Status (00186). Self Neglect (00193). Readiness for Enhanced Nutrition (00163). Ineffective Family Therapeutic Regimen Management (00080). Readiness for Enhanced Self Health Management (00162). Domain 2. Nutrition. Ineffective Infant Feeding Pattern (00107). Imbalanced Nutrition: Less Than Body Requirements (00002). Imbalanced Nutrition: More Than Body Requirements (00001). Risk for Imbalanced Nutrition: More Than Body Requirements (00003). Impaired Swallowing (00103). Risk for Unstable Blood Glucose Level (00179). Neonatal Jaundice (00194). Risk for Impaired Liver Function (00178). Risk for Electrolyte Imbalance (00195). Readiness for Enhanced Fluid Balance (00160). Defi cient Fluid Volume (00027). Excess Fluid Volume (00026). Risk for Defi cient Fluid Volume (00028). Risk for Imbalanced Fluid Volume (00025). Domain 3. Elimination and Exchange. Functional Urinary Incontinence (00020). Overfl ow Urinary Incontinence (00176). Refl ex Urinary Incontinence (00018). Stress Urinary Incontinence (00017). Urge Urinary Incontinence (00019). Risk for Urge Urinary Incontinence (00022). Impaired Urinary Elimination (00016). Readiness for Enhanced Urinary Elimination (00166). Urinary Retention (00023). Bowel Incontinence (00014). Constipation (00011). Perceived Constipation (00012). Risk for Constipation (00015). Diarrhea (00013). Dysfunctional Gastrointestinal Motility (00196). Risk for Dysfunctional Gastrointestinal Motility (00197). Impaired Gas Exchange (00030). Domain 4. Activity/Rest. Insomnia (00095). Disturbed Sleep Pattern (00198). Sleep Deprivation (00096). Readiness for Enhanced Sleep (00165). Risk for Disuse Syndrome (00040). Defi cient Diversional Activity (00097). Sedentary Lifestyle (00168). Impaired Bed Mobility (00091). Impaired Physical Mobility (00085). Impaired Wheelchair Mobil

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