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[Order as a task: the construction of nursing diagnoses]
Maria Henriqueta Luce Kruse1, Karen Schein da Silva, Rúbia Guimarães Ribeiro
1Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Porto Alegre, RS.
Revista Brasileira De Enfermagem
|June 25, 2008
Summary
Nursing Diagnoses (ND) serve as an archive for organizing patient information. Analysis of nursing journals reveals five distinct classifications for ND, strengthening nursing knowledge through publication.
Area of Science:
- Nursing
- Information Science
- Knowledge Management
Context:
- Nursing Diagnoses (ND) are crucial for organizing patient information.
- Understanding the evolution and classification of ND is vital for nursing practice.
- The Revista Brasileira de Enfermagem is a key journal for nursing research in Brazil.
Purpose:
- To analyze how nurses have constructed the documentary device of Nursing Diagnoses.
- To identify and categorize the different meanings attributed to ND in nursing literature.
- To examine the role of classification in strengthening nursing knowledge.
Summary:
- This study analyzed articles from the Revista Brasileira de Enfermagem to understand the construction of Nursing Diagnoses (ND).
- Five distinct classes of meaning attributed to ND were identified.
- The research observed that the discourse within the journal empowers ND classification, enhancing the visibility and strength of nursing knowledge.
Impact:
- The findings contribute to a better understanding of how nursing knowledge is structured and disseminated.
- This research can inform the development of more effective nursing documentation and classification systems.
- Highlighting the power of classification in scientific publications can encourage further research and standardization in nursing.
Related Concept Videos
01:26Formulating and Validating Nursing Diagnosis I
A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains for...
There are thirteen domains for...
01:25Formulating and Validating Nursing Diagnosis II
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
01:22Nursing Diagnosis
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
The nursing diagnosis focuses on evidence-based...
01:10Documentation of Nursing Diagnosis
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...
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01:21Planning Nursing Care I
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...