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Decreased cardiac output: case for a collaborative diagnosis
Insights
This study addresses challenges with the nursing diagnosis of Decreased Cardiac Output (COAD). It proposes a new framework and refinements for COAD to improve its use as a collaborative diagnosis.
Area of Science:
- Nursing Diagnosis
- Physiology
- Healthcare Classification
Background:
- The nursing diagnosis Decreased Cardiac Output (COAD) faces ongoing challenges regarding its appropriateness.
- Concerns include the interdependent nature of interventions and potential misuse due to incomplete refinement.
Purpose of the Study:
- To address the challenges and refine the nursing diagnosis of Decreased Cardiac Output (COAD).
- To propose a new conceptual framework for physiologic diagnostic categories.
- To discuss refinements for the definition, etiologies, and defining characteristics of COAD.
Main Methods:
- Conceptual analysis of the nursing diagnosis COAD.
- Literature review on physiologic diagnostic categories.
- Development of a new conceptual framework.
Main Results:
- Identified concerns regarding interdependent interventions and misuse of COAD.
- Proposed a new conceptual framework for physiologic diagnoses.
- Outlined strategies for refining COAD's definition, etiologies, and characteristics.
Conclusions:
- Refining COAD as a collaborative diagnosis is essential.
- A new conceptual framework can guide the development of physiologic nursing diagnoses.
- Further refinement will enhance the clinical utility and accuracy of COAD.
Abstract:
The nursing diagnosis Cardiac Output, Alteration in: Decreased (COAD) continues to be challenged as an appropriate nursing diagnostic category. Two areas of concern are the interdependent interventions associated with this physiologic diagnosis and the potential misuse of the diagnosis due to incomplete refinement of the diagnostic category. A new conceptual framework is suggested for dealing with physiologic diagnostic categories and ways to refine the definition, the etiologies, and the defining characteristics of COAD for use as a collaborative diagnosis are discussed.