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Using the change process to implement nursing diagnoses.

M Sauter, F Nodine

Journal of Nursing Staff Development : JNSD

|September 1, 1989

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Implementing nursing diagnosis significantly improved care plan quality in a community hospital. After training, 82% of care plans met North American Nursing Diagnosis Association (NANDA) standards, boosting staff commitment to patient care.

Area of Science:

Nursing
Healthcare Management
Quality Improvement

Background:

Limited use of individualized care plans in medical-surgical units.
Low adherence to standardized nursing diagnoses (North American Nursing Diagnosis Association - NANDA) prior to the study.
Staff perceived time constraints as a barrier to care plan completion.

Purpose of the Study:

To evaluate the effect of implementing nursing diagnosis on care plan development.
To assess changes in nursing staff's commitment to and perception of care plans.

Main Methods:

Mandatory continuing education series on nursing process and diagnosis.
Pre- and post-intervention assessment of care plan quality and staff attitudes.
Follow-up survey at six months.

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Main Results:

Care plan completion according to NANDA standards increased from 13% to 82%.
Nursing staff reported increased commitment and appreciation for the nursing process.
Improved adherence to standardized nursing diagnoses.

Conclusions:

Implementation of nursing diagnosis, supported by education, significantly enhances care plan quality.
Addressing staff barriers and providing training can improve adoption of standardized nursing practices.
Nursing diagnosis positively impacts patient care and staff engagement.