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Altered thought processes and sensory/perceptual alterations: a critique

C K Hancock, B Munjas, K Berry

    Nursing Diagnosis : ND : the Official Journal of the North American Nursing Diagnosis Association
    |January 1, 1994
    PubMed
    Summary

    Expert nurses find differentiating between altered thought processes and sensory/perceptual alterations challenging due to overlapping characteristics. This difficulty impacts the clinical usefulness and application of these nursing diagnoses.

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    Area of Science:

    • Nursing
    • Clinical Psychology
    • Healthcare Diagnostics

    Background:

    • Clinical usefulness of nursing diagnoses like altered thought processes and sensory/perceptual alterations is debated.
    • Avoidance of these diagnoses in practice due to perceived ambiguity has been noted.

    Purpose of the Study:

    • To investigate how expert nurses differentiate between altered thought processes and sensory/perceptual alterations.
    • To understand the practical application of these nursing diagnoses in clinical settings.

    Main Methods:

    • A questionnaire was developed to assess expert nurses' differentiation strategies.
    • The survey was distributed to 128 members of NANDA identifying as experts in these diagnoses.
    • A response rate of 52% (66 participants) was achieved.

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    Main Results:

    • Defining characteristics for altered thought processes were found to be cognitively oriented.
    • Defining characteristics for sensory/perceptual alterations were identified as perceptually oriented.
    • Significant overlap in defining characteristics, such as changes in problem-solving ability, was observed.

    Conclusions:

    • The cognitive vs. perceptual orientation aids in differentiating the diagnoses.
    • Overlapping characteristics present a significant challenge for accurate differential diagnosis.
    • Further refinement may be needed to enhance the clinical utility and distinctness of these nursing diagnoses.