Nursing Diagnosis and Nursing Theory: Exploration of Factors Inhibiting and Supporting Simultaneous Use

Abstract

PURPOSE. To explore the values and philosophies of nursing theories that inhibit the simultaneous use of nursing diagnosis and nursing theory. SOURCES. Published articles, books, book chapters.DATA SYNTHESIS. Four factors in the literature and reflected in practice may have had a negative influence on the use of nursing diagnoses: (a) commitment to the uniqueness of each person, (b) an abandonment of the nursing process, (c) a perspective that nursing care is an evolving interaction, and ( d ) a belief that theory-derived language is more articulate and precise than standard classifications.

Can Mental Health Nurses diagnose in Australia?

“…Frisch and Kelly (2002) highlighted that the use of a standard classification system is of little use to nurse practitioners as it is not directly linked to reimbursement. Knowledge of a standard classification system is also not a requirement for regulatory purposes and is, therefore, in addition to skills in diagnostic reasoning, unlikely to have been routinely taught in detail to pre-registration nursing students (Frisch & Kelley, 2002;Higuchi, Dulberg and Duff, 1999).…”

“…However, a number of authors have criticised the use of a diagnosis classification system within nursing. For example, the use of a standard classification system has been argued to not reflect nursing philosophical bases, such as individualised, nonjudgemental, and holistic care provision (Frisch & Kelley, 2002;Mitchell, 1991). Mitchell (1991) suggested that diagnosing requires an objective, reductionist stance, which is inconsistent with nursing values and consistent with a problem-orientated model of medical science.…”

Professional Nursing Duties in the Central Services: Hospital Pharmacy Nurses

“…This, in turn, hastens decision making and unifies nursing criteria for the drawing-up of an effective dynamic care plan [30]. The process of nursing care entails a holistic view of a person, considering their physical, psychic, social, and environmental health in five stages: assessment, diagnosis, planning, activities, and evaluation of the process.…”

Dilemmas, Tetralemmas, Reimagining the Electronic Health Record

“…Obviously, questions concerning the types of nursing data that will be included in the EHR and the terminologies used to convey these data are important for nursing. 10,11,17 It is emphasized that in the EHR, data needs to be recorded and stored in a standardized form. 13,18 The use of existing nursing terminologies may be a "way to ensure standardization so patient care data can be stored in an unambiguous way."…”

“…The standardized nursing languages that are most frequently mentioned as suitable for coding nursing-specific data in the EHR include the North American Nursing Diagnosis Association (NANDA) taxonomy of nursing diagnoses, Nursing Intervention Classification, and Nursing Outcome Classification. 13,14,19 Some nurses propose that the inclusion of standardized nursing languages in the EHR offers the following benefits for nursing: increasing the visibility of the nursing profession so as to influence reimbursement and policy decisions, [10][11][12][13]17 enhancing communication between nurses and members of the multidisciplinary healthcare team, [11][12][13] and most prominently, facilitating the achievement of the organizational, systemic, and governmental goals of costefficiency in the delivery of healthcare. [12][13][14]19 …”