I just had this idea. We are forever seeing nursing students trying to come up with nursing diagnoses based off the M.D. diagnoses. I was guilty of it 3 years ago. Example " I need help for a patient with this dx and that dx."
I think it might be a good idea to teach the nursing process in class, then on just 1 clinical day, have the students come to clinical, be assigned 1 patient, bring their NSG dx books but they are not yet allowed to know the pt's dx at first. First the student looks at lab results and the v/s for their patients. Have them view their trends.
Then they must go in their patient's room (not knowing the M.D. dx .) They must then perform a complete head to toe assessment with v/s. Then come out, go to a conference room, and come up with a couple NSG dx based off their assessments. The NSG dx books are there only to guide them to a NANDA approved NSG dx.
Sounds pretty basic, I know. But I think it would help students to not rely on M.D.s diagnoses (or NP) and cause them to do a more thorough assessment knowing that when they come out, they have to tell their instructor a problem and an idea (plan) for their patient. Because nursing students just aren't really GETTING it. I didn't really get it either til about the end of my 2nd second semester. To nursing students who realize that the NSG dx is YOURS and comes from YOUR assessment....Excellent!!! But we've gotta do SOMETHING for those who aren't getting it. What is going wrong in the classrooms and books that makes students continue to try to find out a NSG dx for "diabetes" for example. They don't seem to understand that you can have 2+ patients with the exact same medical diagnoses and completely different nursing diagnoses.