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Accountability and nursing diagnosis

J J Warren

    The Journal of Nursing Administration
    |October 1, 1983
    PubMed

    Related Concept Videos

    Nursing Diagnosis01:22

    Nursing 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...
    Formulating and Validating Nursing Diagnosis I01:26

    Formulating 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...
    Formulating and Validating Nursing Diagnosis II01:25

    Formulating 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...
    Documentation of Nursing Diagnosis01:10

    Documentation 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...
    Accountability and Responsibility of a Nurse I01:30

    Accountability and Responsibility of a Nurse I

    Accountability in nursing is a fundamental principle that underscores the obligation of nurses to take responsibility for their actions and answer for any errors or omissions in patient care. This principle is grounded in the professional, legal, and ethical frameworks that shape nursing practice. For instance, nurses must adhere to all relevant laws, regulations, and practice standards, including guidelines set forth by nursing boards and professional bodies, to ensure their actions comply...
    Accountability and Responsibility of a Nurse II01:09

    Accountability and Responsibility of a Nurse II

    Professional accountability in nursing is a multifaceted concept that encompasses professional ethics, legal standards, and employment expectations. This framework ensures that nurses maintain and elevate the quality of care while upholding the values of their profession. It compels them to treat patients, families, and colleagues with respect, compassion, and integrity.
    For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide comfort...