“…To be valid, a nursing diagnosis must have a conceptual focus that is consistent with the definition of nursing diagnosis and falls within the boundaries of diagnoses described in the literature. Diagnostic definitions cover a spectrum of foci: the patient's response to a situation or illness that is actually or potentially unhealthful (Jones, 1979); a health state or an actual or potential alteration in one's life processes, (Carpenito, 1983); human response to actual or potential health problems (American Nurses' Association, 1980); and actual or potential health problems that nurses by virtue of their education and experience are capable of treating and are licensed to treat (Gordon, 1976). Gordon (1982) defines a health problem as a dysfunctional health state or health pattern and describes the latter as a "sequence of behaviors over time representing a change from baseline data" (p. 82).…”
Section: Conceptual Focus Of Nursing Diagnosesmentioning
This paper challenges the conceptual validity of the approved nursing diagnosis “Knowledge Deficit (specify).” The concept is examined in relation to four criteria for legitimate nursing diagnoses: appropriate conceptual focus, necessary diagnostic attributes, theoretical validity and clinical utility. Using these criteria, the author concludes that knowledge deficit is not a legitimate diagnosis and suggests that it can be dropped from the taxonomy. This would encourage clinicians to focus on patients' Problem state using lack of knowledge as a risk factor, etiology or defining characteristic. Patient outcomes would then be defined in terms of state resolution rather than knowledge increment alone.
“…To be valid, a nursing diagnosis must have a conceptual focus that is consistent with the definition of nursing diagnosis and falls within the boundaries of diagnoses described in the literature. Diagnostic definitions cover a spectrum of foci: the patient's response to a situation or illness that is actually or potentially unhealthful (Jones, 1979); a health state or an actual or potential alteration in one's life processes, (Carpenito, 1983); human response to actual or potential health problems (American Nurses' Association, 1980); and actual or potential health problems that nurses by virtue of their education and experience are capable of treating and are licensed to treat (Gordon, 1976). Gordon (1982) defines a health problem as a dysfunctional health state or health pattern and describes the latter as a "sequence of behaviors over time representing a change from baseline data" (p. 82).…”
Section: Conceptual Focus Of Nursing Diagnosesmentioning
This paper challenges the conceptual validity of the approved nursing diagnosis “Knowledge Deficit (specify).” The concept is examined in relation to four criteria for legitimate nursing diagnoses: appropriate conceptual focus, necessary diagnostic attributes, theoretical validity and clinical utility. Using these criteria, the author concludes that knowledge deficit is not a legitimate diagnosis and suggests that it can be dropped from the taxonomy. This would encourage clinicians to focus on patients' Problem state using lack of knowledge as a risk factor, etiology or defining characteristic. Patient outcomes would then be defined in terms of state resolution rather than knowledge increment alone.
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