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NANDA nursing diagnoses identification and validation in a neonatal unit
P González Carrión1, R Sánchez García, J de Dios Luna de Castillo
1University Nursing School (E.U.E.), Virgen de las Nieves, Granada, Spain.
Pediatric Nursing
|July 1, 1997
Summary
Nurses identified 36 North American Nursing Diagnosis Association (NANDA) diagnostic categories in a neonatal unit. Five categories were validated for frequent use in patient care plans.
Area of Science:
- Nursing
- Healthcare Management
Background:
- Neonatal units present unique challenges for nursing care.
- Standardized nursing diagnoses are crucial for effective patient care planning and communication.
Purpose of the Study:
- To identify common nursing problems in a neonatal unit.
- To map these problems to North American Nursing Diagnosis Association (NANDA) diagnostic categories.
- To validate the applicability of NANDA diagnoses in the local neonatal care setting.
Main Methods:
- Nominal Group Technique (NGT) was employed to gather nursing-identified problems.
- Problems were classified using the NANDA diagnostic taxonomy.
- A concordance study with Kappa coefficient was performed to assess inter-observer reliability.
Main Results:
- A total of 36 NANDA diagnostic categories were identified.
- Five categories achieved excellent/good concordance (K > 0.70).
- Two categories showed average concordance (0.70 > K > 0.40).
- Other categories lacked sufficient frequency for statistical validation.
Conclusions:
- Validated NANDA diagnostic categories are frequently encountered and easily identified by nurses.
- These validated categories are suitable for integration into neonatal patient care plans.
- Further studies may validate currently unconfirmed categories.