Handbook of Nursing Diagnoses

BonnieSc · Dec 9, 2012

We haven't used this at all in the hospitals where I've worked. I saw some paper-pushing related to nursing diagnoses at one of the hospitals where I did clinicals, but it was the kind of thing nurses did when they'd finished absolutely everything else, or maybe when a student was watching.

nurseprnRN, BSN, RN · Dec 9, 2012

Very unfortunate attitude, but that's why nursing is becoming less and less professional-- more tasks, less assessment, less professional autonomy and planning for nursing care, less understanding of the power a nursing license bestows, and no real impetus to claim and use that power. This degraded practice level is convenient for the hospitals but it reflects poorly on the people who go to nursing school and don't care to learn better.

Get a NANDA-I 2012-2014 (free 2-day delivery from AMAZON), THE authoritative book on the hows and whys of professional nursing diagnosis, read it, and learn what your profession is all about. You'll think better of making a nursing plan of care when you do.

twinkerrs · Dec 10, 2012

I do care plans almost every day. It is the backbone of my practice and helps us measure improvement. Of course I work in psych so maybe it's different

BrandonLPN, LPN · Dec 10, 2012

I'm very curious how a floor nurse would be able to really use nursing dx on a regular basis. Especially in acute care. Should the "tasky" stuff take a back seat to care planning? Is this wise or advisable? Aren't the tasks we perform what keep the pt medicated, fed, clean and safe? Should all this stuff just be delegated to UAP (possibly LPNs?) while the RN does assessmnets plans care? I'm not trying to be snarky here, I'm just genuinely confused as to what the RN role would be in a nursing model where the "tasky" stuff takes a backseat to more professional (so to speak) practice. Is delegating most of the bedside care something some RNs really want to see?