Talk:Nursing diagnosis

Difference

And ICD 10 code is required to get paid. A NANDA nursing "diagnosis" isn't. The only reason to perpetuate the ND is to sell books for colleges. You can get rid of the subject altogether and still be a nurse. Indeed, the "Joint Commission" (another for-profit agency, self regulated, and selling it's quality checks...) has declared that you don't need a nursing diagnosis to get paid anymore. That's been true for many years.

Perhaps a section on criticism is needed. Blondesareeasy (talk) 18:14, 11 September 2012 (UTC)

Undeclared Commercial Interest

NANDA-i holds copyright on intellectual property and seeks payment for the sale of rights, making the language commercial rather than scientific. This commercial interest should be declared. reference NANDA terms and conditions Tradimus (talk) 14:52, 12 February 2011 (UTC)

ALL diagnostic languages, including ICD-10, CPT codes, ABC codes, etc. are copyrighted, intellectual property requiring payment for their terms. This does not change the fact that the diagnoses within NANDA-I are based on research available at the time of submission and/or revision —Preceding unsigned comment added by 200.144.94.36 (talk) 18:20, 16 March 2011 (UTC)

I concur - hence no problem to declare it. NANDA-i has a longstanding financial relationship with Blackwell scientific publications, trading internationally as Wiley & Sons. They occasionally sponsor nursing research on diagnosis.The real 'owners' of the knowledge are the nurses who did the work and allowed publication. Perhaps the difference for clinicians is that the ICD 10 and ICNP has an on-line searchable database.--58.170.169.86 (talk) 23:22, 12 November 2011 (UTC)

References

Alternatives to NANDA-i missing

It is not impossible or even unusual for several alternative diagnostic systems to co-exist simultaneously, as is the case with the DSM-5 and ICD-10. There is at least one alternative to Nannda-i not mentioned in the article.

The World Health Organization has accepted the ICNP into the Family of International Classifications. - but these are not defined so cannot be taught or used clinically, these are for computer use as reference terminology

• World Health Organization Family of International Classifications contains diagnoses and can be used as such.
• ICNP

Ref1. Rutherford, M., (Jan. 31, 2008) "Standardized Nursing Language: What Does It Mean for Nursing Practice? "OJIN: The Online Journal of Issues in Nursing. Vol. 13 No. 1.

Ref2. Hardiker & Rector (2001) Structural Validation of Nursing Terminologies JAMIA 2001;8:212-221 doi:10.1136/jamia.2001.008021 Tradimus (talk) 14:53, 12 February 2011 (UTC)

ANA also recognizes the Omaha system and the Home Health Classification system as two additional nursing diagnosis systems currently in use. ---58.170.169.86 (talk) 23:26, 12 November 2011 (UTC)

References

The section entitled "The process of diagnoses"

This section is supported by a single reference. Alternatives exist to this description of the diagnostic process, such as Marjory Gordons clustering of data. The term Implementation is also the name given to the stage at which the nurse takes action based on their diagnosis, as such I believe this terminology confusing and I suggest renaminging implementation.

In this illustration, the sequence of steps has the hypothsesis stage follow the nursing assessment. Presumably during assessment the nurse has the opportunity to make measurements or collect data to support a hypothetical diagnosis which she is yet to formulate, The hypothesis stage would more logically occur prior to the health assessment, yet assessment is not research and the word diagnosis (Literally: "through knowledge") presumes the existence of criteria on which the clients problem could be identified . In reality these stages often occur out of sequence or simultaneously and some may find this version reductionist, as opposed to holistic.

Further, there is a subtle and complex point to be made here, that diagnosis may be less important to nursing than to a related field called Health informatics. To use an example from another discipline, in australia the medical benefit schedule [1] is a list of item numbers or procedures which can treat related conditions, this classification system is fascinating and pivotal in that it governs funding. Health care taxonomy is entirely concerned with health care occurences but is not, in itself, health care.

Henderson, V (1987) Nursing Process: A critique Holistic Nursing Practice:May 1987 - Volume 1 - Issue 3 - ppg 7-18

Vancoe, C. (1996) Disparagement of the Nursing Process: The new dogma. Journal of Advanced Nursing Volume 23, Issue 1, pages 120–125, January 1996

--Tradimus (talk) 02:40, 3 March 2011 (UTC)

"Tradimus," I'm sorry, but I follow nothing of the above. And what is the point of your cites? It seems like a lot of copy/paste "whatever" going on here. Blondesareeasy (talk) —Preceding undated comment added 20:03, 20 September 2012 (UTC)

I have removed the categories that link to medicine as nursing has its own category. Nursing is a healthcare profession closely allied to medicine but is not a branch of medicine--Vincej 21:14, 21 Jun 2005 (UTC)

I was asked to provide a cite for the statement that "many nurses feel, however, that nursing diagnoses are an ivory tower mentality and are not relevant to clinical practice." I wrote this from my general impression from working in nursing and reading some nursing liturature, but it's valid to ask for something more concrete than that. I did a quick google search and came up with [2] which is a discussion board including some candid observations on the validitiy of NDs. I vaguely recall reading something in one of nanda's journal articles to that effect, I'll see if I can find it again. Matt 01:10, 27 May 2005 (UTC)

I also found [3] which isn't from NANDA, but I can't seem to find any NANDA stuff now. I might look it up next time I'm at school. Matt 01:42, 27 May 2005 (UTC)

Ok, that seems to be a critical, balanced look at the problem. I would like to paraphrase the conclusions from that article, which would mean replacing the current criticism. --Viriditas | Talk 01:58, 28 May 2005 (UTC)

"Considerable work has also been done in the area of developing nursing terminologies, yet very little of this work has been implemented in practice settings" and certainly in my country nursing diagnosis is not used at all outside nursing schools. --Tradimus (talk) 12:32, 11 November 2011 (UTC)

References

how to write a diagnosis

how we write a diagnosis —Preceding unsigned comment added by 117.197.22.131 (talk) 13:37, 23 April 2009 (UTC)

Here is a step by step guide

• state if there is a problem which a nurse can deal with and name (Using a nursing capacity for reflection and critical thinking).
• state what started the problem
• state any personal or observable proof

Example: Hunger proportional to starvation shown by growling stomach and stating "I'm hungry" --Tradimus (talk) 02:28, 11 November 2011 (UTC)

Nursing diagnosis

More explanation and please avail us with download 154.227.110.198 (talk) 02:40, 16 December 2021 (UTC)