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Nursing diagnosis and nursing theory: exploration of factors inhibiting and supporting simultaneous use
Noreen C Frisch1, Jane H Kelley
1Department of Nursing, Cleveland State University, Cleveland, OH, USA. n.frisch@csuohio.edu
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.
Practice Implications:
Strategies for combining theory and diagnoses include emphasizing the diagnostic terms as professional shorthand and permitting flexibility in modifying diagnoses as needed; widely disseminating the concept that classification can be used effectively with newer iterations of the nursing process reflecting circular, simultaneous, and intuitive processes; developing classification language based on concepts of hypothesis and perception; and including diagnostic categories associated with theoretical perspectives.
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