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Nursing diagnosis in learning disabilities nursing

S Chambers1

  • 1Leeds Community and Mental Health Services NHS (Teaching) Trust, West Ardsley Adult Training Centre, Tingley, Nr Wakefield.

British Journal of Nursing (Mark Allen Publishing)
|December 29, 1998
PubMed
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This study explores nursing diagnoses for individuals with learning disabilities, proposing "impaired non-verbal communication" to improve care. It highlights the value of a standardized nursing classification system for effective practice.

Area of Science:

  • Nursing
  • Healthcare Management
  • Disability Studies

Background:

  • The North American Nursing Diagnosis Association (NANDA) classification system is crucial for standardized nursing practice.
  • Effective nursing diagnoses are essential for individuals with severe or profound learning disabilities.
  • Current NANDA terms may not fully capture the communication needs of this population.

Purpose of the Study:

  • To evaluate the applicability of NANDA nursing diagnoses in learning disabilities nursing.
  • To identify specific diagnostic terms relevant to clients with severe or profound learning disabilities.
  • To propose improvements to the NANDA classification for this client group.

Main Methods:

  • Implementation of the NANDA nursing diagnosis system in an adult training center.

Related Experiment Videos

  • Identification and analysis of diagnostic terms used in daily practice with learning disabled clients.
  • Development of a recording method tracking client outcomes via diagnostic modifiers over time.

    • Main Results:

    • The NANDA system was applied to a client group with severe or profound learning disabilities.
    • Existing NANDA terms were found to be inadequate, particularly 'impaired verbal communication'.
    • A new nursing diagnosis, 'impaired non-verbal communication', was proposed based on observed practice.

    Conclusions:

    • A generic nursing diagnosis classification system demonstrates value in a systematic approach to learning disabilities nursing.
    • The proposed 'impaired non-verbal communication' diagnosis addresses a gap in current NANDA terminology.
    • Refining nursing diagnoses enhances the systematic assessment and care of individuals with learning disabilities.