Classification of Nursing Diagnoses Proceedings of the Fifth National Conference

Kim, Mi Ja; McFarland, Gertrude K.; McLane, Audrey M.

doi:10.1097/00000446-198412000-00028

Cited by 20 publications

(13 citation statements)

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“…Results of this study support the literature (Jenny, 1987;Kim & Moritz, 1982;Pokorny, 1985), and suggest the need for the elimination of Knowledge Deficit from NANDA's list of approved diagnoses. As in previous studies, this diagnostic label was found to be among the most frequently used despite the fact that it does not meet the validation criteria.…”

Section: Resultssupporting

confidence: 82%

Clinical Support For Eliminating The Nursing Diagnosis Of Knowledge Deficit

Dennison

Keeling

1989

Image: the Journal of Nursing Scholarship

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An investigation of the appropriateness of the use of the nursing diagnosis, Knowledge Deficit, in specific clinical instances and examination of the diagnosis in light of validation criteria provided clinical support for eliminating it. The authors conclude that Knowledge Deficit falls outside of the boundaries of the discipline and that the label encourages nurses to focus attention on the promotion of knowledge as an entity rather than addressing a behavior related to the patients' lack of information. Removal of Knowledge Deficit from The North American Nursing Diagnosis Association (1986) taxonomy would force nurses to use other diagnostic labels.

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Section: Resultssupporting

confidence: 82%

Clinical Support For Eliminating The Nursing Diagnosis Of Knowledge Deficit

Dennison

Keeling

1989

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“…Kim (1987) suggested that diagnostic taxonomies appeared to unify communication and documentation among nurses, yet did not enhance the development of nursing science due to the lack of an explanatory framework. From 1973 to the present, members of NANDA, supported by other nursing authors, sought to remove non-compliance from the nursing diagnostic nomenclature because it emphasized a paternalistic obligation to follow orders rather than a collaborative agreement between patients and healthcare providers (Kim & Moritz 1982, Bakker et al 1997, Bradley-Springer 1998, Murphy & Canales 2001. Gilbert et al (1980) measured clinicians' ability to detect non-compliance among patients under their care, and revealed that clinicians were accurate with only 10% of patients.…”

Section: Evolution Of Adherence Terminology From 1970 To 1980mentioning

confidence: 99%

Adherence: a concept analysis

Bissonnette

2008

Journal of Advanced Nursing

123

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“…Powerlessness is characterized by feelings of no control over a current situation . Some qualitative studies had showed that patients with chronic disease experienced powerlessness in relation to the direct and indirect effects of their condition .…”

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confidence: 99%

Translation and validation of the Chinese powerlessness assessment tool

Huang

Yang

et al. 2018

Wound Repair Regeneration

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The objectives of this study were to translate the powerlessness assessment tool (PAT) into Chinese, and to evaluate its psychometric performance. The PAT was translated into Chinese and was evaluated in patients with chronic wounds. Mean PAT scores were compared between various wound types to evaluate the scale's power to differentiate wound severity (PUSH score). There were 154 consecutive patients included in this study. All items were included, and the results of item-domain correlation (r ranged from 0.838 to 0.967) and small-group analysis (critical ratio, p < 0.05) were satisfactory. Furthermore, the Chinese PAT also showed good criterion validity when correlated with the Cardiff wound impact schedule (r = 0.726, p < 0.01). Exploratory factor analysis of these items extracted only two domains instead of the hypothesized three domains: self-perception of behavioral control and decision making (9 items) and emotional responses to perceived control (3 items), explained 82.045% of the variance. Sensitivity was demonstrated between patients with different activity of daily living, wound severity (PUSH score) and wound types. The internal consistency of all scales of the Chinese PAT was consistently high (Cronbach's alpha ranged from 0.939 to 0. 965) and split-half reliability was 0.901. In conclusion, the validated Chinese PAT has good psychometric properties, and may be used to objectively evaluate the powerlessness experience of Chinese patients with chronic wounds.

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Classification of Nursing Diagnoses Proceedings of the Fifth National Conference

Cited by 20 publications

References 0 publications

Clinical Support For Eliminating The Nursing Diagnosis Of Knowledge Deficit

Clinical Support For Eliminating The Nursing Diagnosis Of Knowledge Deficit

Adherence: a concept analysis

Translation and validation of the Chinese powerlessness assessment tool

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