nanda i Nursing diagnoses: definitions and Classification - Nursing Science

What is NANDA-I?

NANDA International (NANDA-I) is an organization that develops, refines, and promotes terminology that accurately reflects the clinical judgments made by nurses. The primary goal of NANDA-I is to standardize the terminology used in nursing practice worldwide, ensuring a common language for nurses to communicate patient care needs effectively.

What are Nursing Diagnoses?

A nursing diagnosis is a clinical judgment about individual, family, or community experiences and responses to actual or potential health problems/life processes. Nursing diagnoses provide the basis for the selection of nursing interventions to achieve outcomes for which the nurse is accountable.

Classification of Nursing Diagnoses

NANDA-I classifies nursing diagnoses into three main types: actual diagnoses, risk diagnoses, and health promotion diagnoses.
Actual Diagnoses: These diagnoses are based on the presence of signs and symptoms. They describe a current health problem that is validated by the patient's data.
Risk Diagnoses: These diagnoses indicate a potential problem that could develop without intervention. They are based on the presence of risk factors that make the patient susceptible to developing the condition.
Health Promotion Diagnoses: These diagnoses focus on the patient’s readiness to enhance specific health behaviors. They are used when the patient expresses a desire to improve their health and well-being.

How are Nursing Diagnoses Structured?

Nursing diagnoses are typically structured using a three-part statement known as PES, which stands for Problem, Etiology, and Symptoms.
Problem: This is the diagnostic label that describes the essence of the patient's response to health conditions.
Etiology: This part identifies the cause or contributing factors, often stated as "related to" (R/T).
Symptoms: These are the defining characteristics or signs and symptoms, often stated as "as evidenced by" (AEB).

Examples of Nursing Diagnoses

Here are a few examples of commonly used nursing diagnoses:
Acute Pain related to surgical incision as evidenced by patient verbalizing pain rating of 8 on a scale of 0-10.
Risk for Infection related to compromised immune system.
Readiness for Enhanced Nutrition as evidenced by expressed desire to learn about healthy food choices.

Why are Nursing Diagnoses Important?

Nursing diagnoses are essential for several reasons:
Standardization: They provide a standardized language for nurses to communicate patient care needs clearly and concisely.
Guidance: They guide the development of nursing care plans and interventions.
Quality of Care: They help ensure that patients receive individualized and holistic care.
Evaluation: They allow for the evaluation of patient outcomes and the effectiveness of nursing interventions.

How to Use NANDA-I Nursing Diagnoses?

To use NANDA-I nursing diagnoses effectively, nurses should:
Assess: Conduct a comprehensive assessment to gather relevant patient data.
Analyze: Analyze the data to identify patterns and determine the patient's health problems.
Diagnose: Formulate nursing diagnoses using the NANDA-I taxonomy.
Plan: Develop a care plan with specific interventions aimed at addressing the nursing diagnoses.
Implement: Carry out the planned interventions while continually assessing the patient's response.
Evaluate: Evaluate the effectiveness of the interventions and modify the care plan as needed.

Conclusion

The use of NANDA-I nursing diagnoses plays a crucial role in the nursing process. It enables nurses to provide high-quality, patient-centered care through a standardized approach. By understanding and utilizing these diagnoses, nurses can ensure that their care is both effective and evidence-based, ultimately improving patient outcomes.

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