- 0Dec 2, '12 by jmqphd
1973: Kristine Gebbie and Mary Ann Lavin call the First Task Force to Name and Classify Nursing Diagnoses. Members plan to meet biannually in St. Louis, MO.
My question is... why? What was the pressing social or professional impetus to standardize nursing diagnosis?
- 0Dec 11, '12 by VickyRN Senior ModeratorI believe Rutherford in this article makes a good case for standardized language unique to nursing: "...nurses need an explicit language to better establish their standards and influence the regulations that guide their practice..."
Standardized Nursing Language: What Does It Mean for Nursing Practice?
- 0Dec 11, '12 by jmqphdI'm having difficulty with students struggling to find the exact NANDA dx for their patient's problems. Rather than reason through their assessment data and synthesize in their own minds their patient's problems, I see them thumbing through NANDA to find a diagnosis that "fits".
Language has two functions (it seems to me): First... we communicate our thoughts to others (I think this is where NANDA is most significant) and second... it is the way we put sensory data together, retain and categorize it in the cortex. Here I'm finding NANDA to be a hindrance.
I don't think this is what the originators intended. Am I the only educator encountering this?
- 1Jan 20, '13 by NurseGuyBriI didnt put it together in nursing school what the NANDA's truly did for me. They drove the tasks/ interventions I needed to do for each concern of the patient. Now, we use a different classification system that works better, but I can still write a mean care plan with NANDA's. You have to break the cycle of finding one that "fits". Have them write their care plan backwards, starting with the interventions appropriate for that patients medical problems and have them work backwards. Worked for me. Example: Dx: COPD. WHat do we do for COPD? Give them O2. How much? <3L/min. WHat else do we do? Watch their breathing. Elaborate? LS. SpO2. Anxiety. cyanosis. Hyperventilating. Now we can write our interventions and group them with: Blood oxygenation/ respiratory distress. This helps lead to a NANDA with appropriate grouping. Do that enough and they can get used to doing it the other way. Worked for us in school!Last edit by NurseGuyBri on Jan 20, '13 : Reason: Half of the post deleted after i hit submit...