“Call for the Use of Axial Terms”: Toward Completeness of NANDA‐I Nursing Diagnoses Labels

Abstract

PURPOSE This article explores the current structure of NANDA‐I nursing diagnoses (ND) labels. METHODS Critical analysis of the ND labels, as categorized in the NANDA‐I terminology. FINDINGS Most of the 244 ND labels are composed of terms from the focus and judgment axes. CONCLUSIONS The specificity of the human responses toward health and life transitions may not be totally represented in the two most common axes, as categorized within taxonomy II. IMPLICATIONS FOR NURSING PRACTICE Improvements in NANDA‐I diagnosis labels would contribute to an advanced terminology and to increased specificity and accuracy of the diagnostic process that is needed in clinical practice. Completeness of the ND labels would reflect clinical reasoning preciseness and help students and nurses in delivering more personalized, safe, and effective patient‐centered care. OBJETIVO Este artigo explora os títulos dos diagnósticos de enfermagem da NANDA‐I. MÉTODOS Análise crítica dos títulos dos diagnósticos de enfermagem da NANDA‐I. RESULTADOS A maioria dos 244 diagnósticos de enfermagem classificados são compostos essencialmente por termos referentes ao foco e ao julgamento. CONCLUSÕES A especificidade das respostas às transições de saúde e vida pode não estar totalmente representada nos dois eixos mais comuns, como apresentado na taxonomia II. IMPLICAÇÕES PARA A PRÁTICA Melhorias nos diagnósticos da NANDA‐I em relação ao seu aspeto multiaxial contribuiriam no desenvolvimento da sua terminologia e poderiam melhorar a especificidade e acurácia do processo diagnóstico que é necessário à prática clínica. Complementar os títulos dos diagnósticos de enfermagem poderia refletir a acurácia do raciocínio clínico e ajudar os estudantes e enfermeiros em prestarem cuidados centrados no paciente mais personalizados, seguros e eficazes.

Validation of the Belief Into Action Scale (BIAC) in Portuguese Cancer Patients Receiving Chemotherapy

“…There is a need for a reliable and valid tool to assess religious commitment in Portugal, both for conducting research and for accurate assessment when conducting a nursing spiritual assessment (Miguel, Romeiro, Martins, Casaleiro, Caldeira, & Herdman, 2019). In the present study, following the nursing research guidelines presented by Sousa and Rojjanasrirat (2011), the BIAC was adapted for this purpose, translated into European Portuguese, and its psychometric properties established for use in Portuguese cancer patients.…”

End‐of‐life: An urgent update in nursing terminology

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“…These axes comprise the following: Axis 1 (focus of the diagnosis); Axis 2 (subject of the diagnosis); Axis 3 (judgement); Axis 4 (location); Axis 5 (age); Axis 6 (time); and Axis 7 (status of the diagnosis) (Herdman & Kamitsuru, 2018). However, current ND labels still lack completeness with regard to the use of the axes' terms, and a call for more complete use of these axes was recently released (Miguel et al 2019). This reaffirms the need to invest in the development of ND and in the enhancement of the level of evidence (LOE) for each ND, as recommended by NANDA‐I.…”