Published Jan 30, 2004
Nursing Interventions? The idea here would to only use Medical Diagnoses, but to still focus on those interventions that a nurse could integrate into a care plan. This would in my opinion reduce confusion, and elevate the scientific credibility of nurses in general. If you think of nurses as "part of the health care team" to use a football analogy (all men think in terms of football analogies) using a nursing diagnosis is like a running back calling the play by a completely different name than say the WR or QB.
Chaya, ASN, RN
I think at the time the nursing diagnosis concept originated it was an attempt at empowerment and independance for nurses. However, I think their time is past and the effectiveness of this effort was pretty minimal. It is an unwieldly system and the same results could be achieved by more streamlined means now. I hate 'em- I wish we could do away with them. In the meantime I try to walk quietly, step carefully and carry a BIIG shovel...
Very interesting thread. I feel that sometimes medical diagnoses (for lack of a better term) "fit" better. Not so much to increase nursing credibility but to be more accurate in indentifying a problem and developing a plan of nursing interventions.
be better achieved by scrapping the NANDA nursing diagnosis, but also focusing on effective Nursing interventions. It is the intervention which will accrue benefit to the patient (and in so doing hopefully to the nursing profession as well). I also think that the "limits" of nursing interventions can PERHAPS be expanded. Consider, the well documented benefits of certain supplements such as vitamin C, that are not prescription based. Traditionally, nurses would not suggest vitamin C to promote wound healing, despite this not being a prescription based intevention ( and hence the exclusive domain of physicians and in some cases NP's). Consider, also considerable evidence that other non prescription based nutrients such as Co-enzme Q10, can play an important role in preventing cardiomyopathy when statin drugs are used long term (doctors are reticent to acknowledge this because it is considered "alternative" despite double blind clinical evidence). Perhaps, nurses can step in to fill the "alternative gap" that most physicians are unwilling to consider filling themselves. This would be a new paradigm of advancing Nursing, built upon a more solid and defensible scientific foundation. At the very least it might force physicians to more fully utilize alternative inteventions (for fear of losing "turf" to nurses), that have considerable scientific merit benefitting patients everywhere.
Having worked in Australia, Peru, UK, Spain, et al, the US NANDA is the laughing stock of professional nurses outside the USA...call it what it is: UT freaking I...not alteration in urinary comfort related to pain related to crapola...ask any MD who has some awareness of the "nursing diagnosis", and they will universally say "...WTF is that all about...(sic)".
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