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Diagnostic
Language of
Nursing Practice
NANDA International
Nursing Diagnosis
Nursing diagnosis is a clinical judgment
NANDA International
Develops terminology (Nursing
Evidence
Expertise Based Practice
Best evidence
Patient
Values
Patient
Preferences
Standardize practice
Reduce wide variations in individual
clinicians practices
Reduce costs
Improve the quality of care
Questioning Clinical
Practice
Questioning Clinical
Practice
Adopt a reflective, inquiring
approach
Asking the right questions
takes as much skill
as giving the right answers!
Robert Half
Questioning Clinical
Practice
Consider research taking place in other
clinical practice settings
Look to the Centers for Evidence-Based
Practice that exist around the world
Germany, New Zealand, Australia, United
Practice Outcome
Evaluation Points
Developing EBP
Guidelines
Protocols or Guidelines provide:
Comfort for practitioners that the practice
Nursing Diagnosis:
Diagnoses in the
Research
Based?
NANDA-I taxonomy
(Gordon, 1998 )
Nursing Diagnosis
Research
Research on the validity and reliability of
Concept Analysis
First step in developing a new diagnosis and
Concept Analysis
Distinguish between the defining
Content Validation
Refinement of current diagnoses
Development of new diagnoses
Studies involving patients who are
Epidemiologic
Incidence/prevalence of diagnoses in different settings &
populations
Shows importance & co-occurrence of diagnoses
Demonstrates relationships between NDx Nursing
Outcomes Nursing Interventions
Generalizability studies
Demonstrate importance of nursing diagnoses across
setting, patient type, institutions and/or medical
diagnoses
Outcome / Effectiveness studies
Demonstrate prognoses of diagnoses
Identifies which interventions best lead to desired
outcomes
Reliability
Establish stability & coherence of diagnose
(Parker & Lunney, 1998)
Consensus Validation
Used to establish connections
Studies of Diagnostic
Accuracy
Accuracy of nurses
Lack of Cultural
Sensitivity
Diagnoses have primarily been developed
What do we need?
Emphasis on development, testing