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!
"i see nothing at all wrong with nurses being used to gather information and administer physician ordered treatments. i think nanda diagnoses are stupid as well. if it's emphysema, as someone used as an example, then call it emphysema. why say or even need to say impaired gas exchange or whatever. see? there's even ambiguity in finding a nursing diagnoses."
there is nothing "wrong" with that at all. we are legally bound to do this (and we are also legally bound to evaluate the actual and potential consequences of the medical plan of care and not to implement any components of it that we know to be detrimental). it's just that it's not all we do. once again, we develop a nursing plan of care for impaired gas exchange, using your example, a nursing diagnosis that could arise with many different medical conditions. some of them may not be intuitively obvious to the newer practitioner, either, but the nursing process gives that person a methodology for making the nursing diagnosis independent of the medical diagnosis and then planning the appropriate nursing interventions for that individual patient.the parallel to medical practice is that a physician will prescribe the antibiotic that's specific to the causative organism, or do a bronchoscopy to diagnose the obstructing tumor, or whatever the individual pneumonia needs.
professionals do this all the time. if you are going to practice a profession, you should do so mindfully. how do you think you justify your work as integral? by fulfilling the popular vision of nursing as "caring, comfort, and following doctor's orders (sic)"? we are so much more than that; i fully realize that when you are in the midst of an educational preparation that has you at the beginning of your professional life, barely wetting your toes, you do not see the ramifications yet. you're still working on a student-level perception, seeing through a glass, darkly.
you're also sometimes hearing misinformation from working nurses who, through no fault of their own, don't always recognize the power the nurse practice act vests in them. i'm just trying to give you a glimmer of that power. we have it because of our legal responsibility to do nursing assessment and nursing diagnosis and nursing planning, not in spite of it or independent of it. i hope you find this out and put your power to good use in a more mindful way; i think you will. many of us look forward to that.
nurseprnRN, BSN, RN
1 Article; 5,116 Posts
"i see nothing at all wrong with nurses being used to gather information and administer physician ordered treatments. i think nanda diagnoses are stupid as well. if it's emphysema, as someone used as an example, then call it emphysema. why say or even need to say impaired gas exchange or whatever. see? there's even ambiguity in finding a nursing diagnoses."
there is nothing "wrong" with that at all. we are legally bound to do this (and we are also legally bound to evaluate the actual and potential consequences of the medical plan of care and not to implement any components of it that we know to be detrimental). it's just that it's not all we do. once again, we develop a nursing plan of care for impaired gas exchange, using your example, a nursing diagnosis that could arise with many different medical conditions. some of them may not be intuitively obvious to the newer practitioner, either, but the nursing process gives that person a methodology for making the nursing diagnosis independent of the medical diagnosis and then planning the appropriate nursing interventions for that individual patient.the parallel to medical practice is that a physician will prescribe the antibiotic that's specific to the causative organism, or do a bronchoscopy to diagnose the obstructing tumor, or whatever the individual pneumonia needs.
professionals do this all the time. if you are going to practice a profession, you should do so mindfully. how do you think you justify your work as integral? by fulfilling the popular vision of nursing as "caring, comfort, and following doctor's orders (sic)"? we are so much more than that; i fully realize that when you are in the midst of an educational preparation that has you at the beginning of your professional life, barely wetting your toes, you do not see the ramifications yet. you're still working on a student-level perception, seeing through a glass, darkly.
you're also sometimes hearing misinformation from working nurses who, through no fault of their own, don't always recognize the power the nurse practice act vests in them. i'm just trying to give you a glimmer of that power. we have it because of our legal responsibility to do nursing assessment and nursing diagnosis and nursing planning, not in spite of it or independent of it. i hope you find this out and put your power to good use in a more mindful way; i think you will. many of us look forward to that.