Nursing Diagnosis- NO MORE??

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Hey guys!

I am currently in school to get my BSN. I heard from a friend that goes to NP school that we are doing away with all nursing diagnoses? She said that nurses will now use the medical diagnosis?

I would think it would be a waste of time to spend all of this time learning how to write a nursing diagnosis if it is just going to change.

I tried to research more about this and couldn't find anything. If anyone knows anything please let me know!

Thanks!

Specializes in Emergency Department.
How cool! *so jealous!*

I'm jealous of the 1st semester students in Fall. I'm not sure they will ever learn about them. We, OTOH, have been dealing with this counter-intuitive nonsense all along. I do my clinicals in a hospital where a nursing diagnosis isn't ever mentioned. Care plan paperwork doesn't exist either... does your patient need help? Fix it, don't write a novel about it.

Think about this: "Hey, he's got emphysema." Everybody on "the healthcare team" has at least some understanding of that. Now comes along the nurse. "I'm not allowed to use the e-word. He actually has impaired gas exchange. Now, I'm going to go hug him."

That is the single funniest comment I've read on this website EVER. My hat is off to you, sir. Well done!

The real world doesn't use them anyway. My understanding is we're taught them in school so we can have a better understanding of the patient's needs and diagnosis.

I'd love to do away with NANDA, NIC, NOC, and nursing theory. I think all of that is a SERIOUS detriment to the profession. Time to re-tool and figure out who/what nurses want to be.

Ironically, there's a thread in the educator/instructor forum about schools wanting to do away with pathophysiology as a focus because it is too science-focused. Stupid, stupid, stupid!!!! Nursing is nursing's worst enemy.

Hey guys!

I am currently in school to get my BSN. I heard from a friend that goes to NP school that we are doing away with all nursing diagnoses? She said that nurses will now use the medical diagnosis?

I would think it would be a waste of time to spend all of this time learning how to write a nursing diagnosis if it is just going to change.

I tried to research more about this and couldn't find anything. If anyone knows anything please let me know!

Thanks!

I have been trying to find out more about this, too! My instructors at my BSN program keep saying that nursing diagnoses are going instinct and they will be done away with everywhere, but I don't know when that is and my google searches didn't come up with much info.

Ironically, there's a thread in the educator/instructor forum about schools wanting to do away with pathophysiology as a focus because it is too science-focused. Stupid, stupid, stupid!!!! Nursing is nursing's worst enemy.

Are you kidding???

Why can't be both nurturing and science focused?

How can you be an effective nurse without pathophysiology?

What do the mighty want?

Do they want to be just like medicine and have their own diagnoses... or do they want to be not like medicine and have no science base?

Nursing has an identity crisis!

Specializes in Critical Care.

We've known all along that Nursing Diagnoses have little practical use, although recent efforts by the Joint Commission and prominent Nursing leaders such as Benner have helped make the stupidity of Nursing Diagnoses more official.

Although if you are a student currently or in the near future, I wouldn't plan on not having to deal with Nursing Diagnoses, since Nursing schools and the curriculum tends to be many years behind the current wisdom. The use of the term "client" is a good example. The ANA reversed their recommendation to use the term "client" in 2004, although you'll still find most Nursing Schools using the term as a general term for patients 7 years later, even though it was a horrible idea at the very beginning.

The use of the term "client" is a good example. The ANA reversed their recommendation to use the term "client" in 2004, although you'll still find most Nursing Schools using the term as a general term for patients 7 years later, even though it was a horrible idea at the very beginning.

Oh, wow, I didn't know it was an official recommendation that was made! When I first started nursing school, it made me sick seeing that the patient was referred to as a "client" in my textbooks. Still makes me sick, but I'm used to it now, although I never really feel right writing "client" so my care plans would always say "patient."

Specializes in ICU.
"Hey, he's got emphysema." Everybody on "the healthcare team" has at least some understanding of that. Now comes along the nurse. "I'm not allowed to use the e-word. He actually has impaired gas exchange. Now, I'm going to go hug him."

HAaaaaaaaaaaaaaaaaaaaaaahahahahahahahahahhahahahahaha!@

Specializes in ICU.

Sucks to be NANDA.

Oh, wow, I didn't know it was an official recommendation that was made! When I first started nursing school, it made me sick seeing that the patient was referred to as a "client" in my textbooks. Still makes me sick, but I'm used to it now, although I never really feel right writing "client" so my care plans would always say "patient."

I was thinking the same thing after reading MunoRN's post. When I first entered fundamentals, I heard the instructor use the term "client" and said to myself "what, this is not social work or the mental health area, although there is a mental health component". Then when I read the text book they also used the term. It also sounds kind of stupid to hear patients referred to as clients, just doesn't fit to me. I thought I was the only one that still write "patient" in my care plans. Now that I think about it no one has yet to correct me or make a big stink about it. This sounds similar to the social and mental health area when they tried to change the use of "client" to "consumer", ah that too sounded retarded, but still has not worked.

Wow, never heard the "consumer" thing before.

I work in mental health, and we call them "patients"!

I always say "patient" in my care plans, too.

Again, I have never been corrected, and I'm sure it's because the instructors think "client" is inappropriate too.

I still don't understand what's wrong with the word "patient".

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