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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.
Objective:
To identify the problems nurses encounter in a Neonatal Unit and adapt them to the corresponding NANDA (North American Nursing Diagnosis Association) diagnostic categories for their validation in our environment.
Design:
A Nominal Group Technique (NGT) was developed to identify the problems that nurses detect and solve. Identified problems were catalogued with their corresponding diagnostic label using the NANDA diagnostic taxonomy. A concordance study was carried out between two observers, using the Kappa coefficient.
Results:
During the study period, 36 different NANDA diagnostic categories were identified for use. From these, 5 have been validated with an excellent or good concordance (K > 0.70) and 2 with an average concordance (0.70 > K > 0.40). The remaining categories did not occur with enough frequency during the study period to apply statistical treatment.
Conclusions:
The diagnostic categories validated in our Unit occur frequently, are easily identified by the nurses, and can be used in patient care plans. Non-validated categories may become valid in subsequent studies.