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Related Concept Videos

Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

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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.
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Nursing Diagnosis01:22

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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.
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Sensitivity, Specificity, and Predicted Value01:13

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In healthcare diagnostics, laboratory tests play a crucial role in identifying and diagnosing a wide range of medical conditions. However, interpreting test results is not always straightforward. An abnormal test result does not always confirm the presence of a disease, just as a normal result does not guarantee its absence. To assess the reliability of these diagnostic tools, healthcare practitioners rely on two key statistical indicators: sensitivity and specificity.
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Formulating and Validating Nursing Diagnosis II01:25

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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.
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Related Experiment Video

Updated: Apr 19, 2026

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems
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"Appropriate" diagnostic testing: supporting diagnostics with evidence-based medicine and shared decision making.

Julian J Z Polaris1, Jeffrey N Katz

  • 1Yale Law School, 127 Wall St,, New Haven, CT, USA. julian.polaris@yale.edu.

BMC Research Notes
|December 18, 2014
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Summary

Evidence-based medicine should incorporate shared decision-making to ensure diagnostic tests align with patient values. This approach considers medical appropriateness alongside individual patient preferences for optimal care.

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Area of Science:

  • Medical Decision Making
  • Health Services Research

Background:

  • Evidence-based medicine (EBM) is crucial for avoiding ineffective treatments and diagnostics.
  • Medical evidence alone is insufficient for optimal patient care decisions.
  • Integrating patient values with diagnostic test risks and benefits enhances patient-centered care.

Purpose of the Study:

  • To propose a patient-centered framework for diagnostic testing decisions.
  • To emphasize the importance of shared decision-making alongside evidence-based medicine.

Main Methods:

  • A two-step inquiry for patient-centered decision-making in diagnostic testing.
  • Evaluating medical appropriateness based on evidence, patient characteristics, and symptoms.
  • Assessing individual patient appropriateness by discussing tradeoffs aligned with patient values and preferences.

Main Results:

  • Diagnostic testing involves physiological, psychological, and financial considerations.
  • Potential harms include false positives and incidental findings, necessitating further decisions.
  • Patient-centered decision-making requires a comprehensive discussion of risks and benefits.

Conclusions:

  • Patient-centered decision-making for diagnostic tests involves two key inquiries: medical appropriateness and individual patient appropriateness.
  • The process necessitates a thorough discussion of potential physiological, psychological, and financial tradeoffs.
  • Shared decision-making ensures diagnostic test choices reflect the patient's unique values and preferences.