Nursing Diagnoses: Definitions and Classification 2012-14 [Paperback]
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Nursing diagnoses are seen as key to the future of evidence-based, professionally-led nursing care – and to more effectively meeting the need of patients. In an era of increasing electronic patient health records, standardized nursing terminologies such as NANDA-I, NIC and NOC provide a means of collecting nursing data that are systematically analysed within and across healthcare organizations and provide essential data for cost/benefit analysis and clinical audit.
Nursing Diagnoses: Definitions and Classification is the definitive guide to nursing diagnoses, as reviewed and approved by NANDA-I. Each nursing diagnosis undergoes a rigorous assessment process by NANDA-I's Diagnosis Development Committee, with stringent criteria used to indicate the strength of the underlying level of evidence.
Each diagnosis comprises a label or name for the diagnosis, a definition, defining characteristics, risk factors and/or related factors. Many diagnoses are further qualified by terms such as risk for, effective, ineffective, impaired, imbalanced, self-care deficit, readiness for, disturbed, decreased, etc.
The 2012-2014 edition is arranged by concept according to Taxonomy II domains, i.e. Health promotion, Nutrition, Elimination and exchange, Activity/Rest, Perception/Cognition, Self-perception, Role relationships, Sexuality, Coping/ Stress tolerance, Life principles, Safety/protection, Comfort, and Growth/development.
The 2012-2014 edition contains revised chapters on NANDA-I taxonomy, and slotting of diagnoses into NANDA & NNN taxonomies, diagnostic reasoning & conceptual clarity, and submission of new/revised diagnoses. New chapters are provided on the use of nursing diagnoses in education, clinical practice, electronic health records, nursing & health care administration, and research . A companion website hosts related resources.
Key features
- 2012-2014 edition arranged by diagnostic concepts
- Core references and level of evidence for each diagnosis
- New chapters on appropriate use of nursing diagnoses in clinical practice, education, administration and electronic health record
- 16 new diagnoses
- 11 revised diagnoses
- Aimed at students, educators, clinicians, nurse administrators and informaticians
- Companion website available, including a video on assessment, clinical reasoning and diagnosis
- Paperback: 568 pages
- Publisher: Wiley-Blackwell; 9 edition (November 14, 2011)
- Language: English
- ISBN-10: 0470654821
- ISBN-13: 978-0470654828
- Product Dimensions: 9.5 x 6.6 x 0.9 inches
- Shipping Weight: 2.1 pounds (View shipping rates and policies)
- Amazon Best Sellers Rank: #38,552 in Books (See Top 100 in Books)
- #47 in Books > Medical Books > Nursing > Diagnosis
- #51 in Books > Textbooks > Medicine & Health Sciences > Nursing > Clinical > Assessment & Diagnosis
- #61 in Books > Medical Books > Nursing > Assessment & Diagnosis
NANDA International Guidelines for Copyright Permission xvii
Preface xix
Introduction xxii
How to Use This Book xxii
Frequently Asked Questions xxiii
Acknowledgments xxv
Chapter Authors xxv
Chapter Reviewers xxv
New Nursing Diagnoses, 2012–2014 xxvi
Revised Nursing Diagnoses, 2012–2014 xxvii
Retired Nursing Diagnosis, 2012–2014 xxviii
Changes to Slotting of Current Diagnoses within the NANDA International Taxonomy II, 2012–2014 xxviii
Changes to Slotting of Current Diagnoses within the NANDA-I/NIC/NOC Taxonomy xxx
Revisions to Diagnoses within the NANDA International Taxonomy 2009–2011 xxx
PART 1 THE NANDA INTERNATIONAL TAXONOMY 1
Introduction 3
T. Heather Herdman
Contributors to the NANDA-I Nursing Diagnosis Taxonomy 3
Chapter 1 The NANDA International Taxonomy II 2012–2014 49
T. Heather Herdman, Gunn von Krogh
History of the Development of Taxonomy II 49
Structure of Taxonomy II 50
A Multiaxial System for Constructing Diagnostic Concepts 53
Definitions of the Axes 55
Axis 1: The Diagnostic Focus 55
Axis 2: Subject of the Diagnosis 59
Axis 3: Judgment 59
Axis 4: Location 60
Axis 5: Age 61
Axis 6: Time 61
Axis 7: Status of the Diagnosis 61
Construction of a Nursing Diagnostic Concept 62
The NNN Taxonomy of Nursing Practice 63
Further Development of the NANDA-I Taxonomy 64
PART 2 EDUCATION AND IMPLEMENTATION OF NANDA INTERNATIONAL NURSING DIAGNOSES WITHIN PRACTICE, ADMINISTRATION, RESEARCH, INFORMATICS AND EDUCATION 67
Chapter 2 Nursing Assessment, Clinical Judgment, and Nursing Diagnoses: How to Determine Accurate Diagnoses 71
Margaret Lunney
Nurses Are Diagnosticians 72
Intellectual, Interpersonal, and Technical Competencies 73
Intellectual Competencies 73
Interpersonal Competencies 74
Technical Competencies 74
Personal Strengths: Tolerance for Ambiguity and Reflective Practice 75
Tolerance for Ambiguity 75
Reflective Practice 76
Assessment and Nursing Diagnosis 76
Assessment Framework 76
Diagnostic Reasoning Associated with Nursing Assessment 77
Recognizing the Existence of Cues 77
Mentally Generating Possible Diagnoses 77
Comparing Cues to Possible Diagnoses 78
Conducting a Focused Data Collection 78
Validating Diagnoses 79
Case Study Example 79
Analysis of Health Data: Nursing Diagnoses 81
Nursing Outcomes Classification 82
Nursing Interventions Classification 82
Appendix: Functional Health Pattern Assessment Framework 84
Directions 84
Health Perception–Health Management Pattern 85
Nutrition–Metabolic Pattern 85
Elimination Pattern 86
Activity–Exercise Pattern 86
Sleep–Rest Pattern 86
Cognitive–Perceptual Pattern 87
Self-Perception–Self-Concept Pattern 87
Role–Relationship Pattern 87
Sexuality–Reproductive Pattern 88
Coping–Stress Tolerance Pattern 88
Value–Belief Pattern 88
Analysis of Data, Nursing Diagnoses, Outcomes, and Interventions 89
Chapter 3 Nursing Diagnosis in Education 90
Barbara Krainovich-Miller, Fritz Frauenfelder, Maria Müller-Staub
Significance for Nursing Education 90
Teaching the Nursing Process Framework 91
Teaching the Assessment Phase of the Nursing Process 91
Teaching Nursing Diagnoses as a Component of the Nursing Process 93
The Nursing Process. Exemplar – Nursing History/Physical Assessment: Identifying Defining Characteristics and Related Factors 94
The Nursing Process. Exemplar – Accuracy of the Nursing Diagnosis Label 95
Risk Diagnoses 96
Health-Promotion Diagnoses 96
Prioritizing Diagnoses 96
Linking Nursing Diagnoses to Outcomes and Interventions 97
Chapter 4 The Value of Nursing Diagnoses in Electronic Health Records 99
Jane M. Brokel, Kay C. Avant, Matthias Odenbreit
Student Use of the Electronic Health Record (EHR) 99
Electronic Health Record 99
Longitudinal Use 100
Importance of Nursing Diagnoses in EHRs 100
Documenting Nursing Diagnoses in the EHR 101
Differences Between EHRs 102
Documenting Defi ning Characteristics, Related Factors, and Risk Factors in the EHR 103
Relationship of Nursing Diagnoses to Assessments 104
Linking Nursing Diagnoses to Other Documentation 104
An Organizing Framework for Nursing Assessments 105
Link Between Assessment and a Short List of Nursing Diagnoses 105
Link Between Nursing Diagnosis and Patient Outcome, Current State, and Mutual Goal for an Outcome 105
Link Between Nursing Diagnoses and Interventions in the Plan of Care 106
Nursing Informatics Specialist/Graduate Student – Guiding Clinical Decision Support (CDS) within the EHR 106
Role of Nursing Informatics 107
Faculty Guide for Students in the Use of Nursing Diagnoses in the EHR 108
Documentation 109
Using the EHR 109
Guiding Student Learning 109
Learning the EHR, CDS and Health Information Exchange (HIE) 110
Assessment Framework 110
Knowledge Resources (Library) 110
Problem List 111
Interdisciplinary Care Planning 111
Clinical Decision Support 111
Health Information Exchange 111
Personal Health Records 111
Chapter 5 Nursing Diagnosis and Research 114
Margaret Lunney, Maria Müller-Staub
Concept Analyses 114
Content Validation 114
Construct- and Criterion-Related Validity 116
Consensus Validation 116
Sensitivity, Specifi city, and Predictive Value of Clinical Indicators 117
Studies of Accuracy of Nurses’ Diagnoses 117
Implementation Studies 117
Prevalence Studies 118
Summary 118
Chapter 6 Clinical Judgment and Nursing Diagnoses in Nursing Administration 122
T. Heather Herdman, Marcelo Chanes
Nursing Research Priorities of Importance to Nurse Administrators 122
Nursing’s Role in Patient Safety 123
Triple Model for Nursing Administrators 125
Conclusion 130
Chapter 7 Nursing Classifications: Criteria and Evaluation 133
Matthias Odenbreit, Maria Müller-Staub, Jane M. Brokel, Kay C. Avant, Gail Keenan
Characteristics of Classifications 134
Classification Criteria 135
Discussion 136
Conclusion 141
PART 3 NANDA-I NURSING DIAGNOSES 2012–2014 145
International Considerations on the Use of the NANDA-I Taxonomy of Nursing Diagnoses 147
T. Heather Herdman
Domain 1: Health Promotion 149
Class 1: Health Awareness 151
Deficient Diversional Activity (00097) 151
Sedentary Lifestyle (00168) 152
Class 2: Health Management 153
Deficient Community Health (00215) 153
Risk-Prone Health Behavior (00188) 155
Ineffective Health Maintenance (00099) 157
Readiness for Enhanced Immunization Status (00186) 158
Ineffective Protection (00043) 160
Ineffective Self-Health Management (00078) 161
Readiness for Enhanced Self-Health Management (00162) 164
Ineffective Family Therapeutic Regimen Management (00080) 167
Domain 2: Nutrition 169
Class 1: Ingestion 171
Insufficient Breast Milk (00216) 171
Ineffective Infant Feeding Pattern (00107) 173
Imbalanced Nutrition: Less Than Body Requirements (00002) 174
Imbalanced Nutrition: More Than Body Requirements (00001) 175
Readiness for Enhanced Nutrition (00163) 176
Risk for Imbalanced Nutrition: More Than Body Requirements (00003) 177
Impaired Swallowing (00103) 178
Class 2: Digestion
Class 3: Absorption
Class 4: Metabolism 180
Risk for Unstable Blood Glucose Level (00179) 180
Neonatal Jaundice (00194) 181
Risk for Neonatal Jaundice (00230) 182
Risk for Impaired Liver Function (00178) 183
Class 5: Hydration 184
Risk for Electrolyte Imbalance (00195) 184
Readiness for Enhanced Fluid Balance (00160) 185
Deficient Fluid Volume (00027) 186
Excess Fluid Volume (00026) 187
Risk for Deficient Fluid Volume (00028) 188
Risk for Imbalanced Fluid Volume (00025) 189
Domain 3: Elimination and Exchange 191
Class 1: Urinary Function 193
Functional Urinary Incontinence (00020) 193
Overflow Urinary Incontinence (00176) 194
Reflex Urinary Incontinence (00018) 195
Stress Urinary Incontinence (00017) 196
Urge Urinary Incontinence (00019) 198
Risk for Urge Urinary Incontinence (00022) 199
Impaired Urinary Elimination (00016) 200
Readiness for Enhanced Urinary Elimination (00166) 201
Urinary Retention (00023) 202
Class 2: Gastrointestinal Function 203
Constipation (00011) 203
Perceived Constipation (00012) 205
Risk for Constipation (00015) 206
Diarrhea (00013) 208
Dysfunctional Gastrointestinal Motility (00196) 209
Risk For Dysfunctional Gastrointestinal Motility (00197) 211
Bowel Incontinence (00014) 213
Class 3: Integumentary Function
Class 4: Respiratory Function 214
Impaired Gas Exchange (00030) 214
Domain 4: Activity/Rest 215
Class 1: Sleep/Rest 217
Insomnia (00095) 217
Sleep Deprivation (00096) 219
Readiness for Enhanced Sleep (00165) 220
Disturbed Sleep Pattern (00198) 221
Class 2: Activity/Exercise 222
Risk for Disuse Syndrome (00040) 222
Impaired Bed Mobility (00091) 223
Impaired Physical Mobility (00085) 224
Impaired Wheelchair Mobility (00089) 225
Impaired Transfer Ability (00090) 226
Impaired Walking (00088) 227
Class 3: Energy Balance 228
Disturbed Energy Field (00050) 228
Fatigue (00093) 229
Wandering (00154) 230
Class 4: Cardiovascular/Pulmonary Responses 231
Activity Intolerance (00092) 231
Risk for Activity Intolerance (00094) 232
Ineffective Breathing Pattern (00032) 233
Decreased Cardiac Output (00029) 235
Risk for Ineffective Gastrointestinal Perfusion (00202) 237
Risk for Ineffective Renal Perfusion (00203) 238
Impaired Spontaneous Ventilation (00033) 239
Ineffective Peripheral Tissue Perfusion (00204) 240
Risk for Decreased Cardiac Tissue Perfusion (00200) 242
Risk for Ineffective Cerebral Tissue Perfusion (00201) 243
Risk for Ineffective Peripheral Tissue Perfusion (00228) 244
Dysfunctional Ventilatory Weaning Response (00034) 246
Class 5: Self-Care 248
Impaired Home Maintenance (00098) 248
Readiness for Enhanced Self-Care (00182) 249
Bathing Self-Care Deficit (00108) 250
Dressing Self-Care Deficit (00109) 251
Feeding Self-Care Deficit (00102) 252
Toileting Self-Care Deficit (00110) 253
Self-Neglect (00193) 254
Domain 5: Perception/Cognition 257
Class 1: Attention 259
Unilateral Neglect (00123) 259
Class 2: Orientation 261
Impaired Environmental Interpretation Syndrome (00127) 261
Class 3: Sensation/Perception
Class 4: Cognition 262
Acute Confusion (00128) 262
Chronic Confusion (00129) 265
Risk for Acute Confusion (00173) 266
Ineffective Impulse Control (00222) 269
Deficient Knowledge (00126) 271
Readiness for Enhanced Knowledge (00161) 272
Impaired Memory (00131) 273
Class 5: Communication 274
Readiness for Enhanced Communication (00157) 274
Impaired Verbal Communication (00051) 275
Domain 6: Self-Perception 277
Class 1: Self-Concept 279
Hopelessness (00124) 279
Risk for Compromised Human Dignity (00174) 280
Risk for Loneliness (00054) 281
Disturbed Personal Identity (00121) 282
Risk for Disturbed Personal Identity (00225) 283
Readiness for Enhanced Self-Concept (00167) 284
Class 2: Self-Esteem 285
Chronic Low Self-Esteem (00119) 285
Situational Low Self-Esteem (00120) 287
Risk for Chronic Low Self-Esteem (00224) 288
Risk for Situational Low Self-Esteem (00153) 290
Class 3: Body Image 291
Disturbed Body Image (00118) 291
Domain 7: Role Relationships 293
Class 1: Caregiving Roles 295
Ineffective Breastfeeding (00104) 295
Interrupted Breastfeeding (00105) 296
Readiness for Enhanced Breastfeeding (00106) 297
Caregiver Role Strain (00061) 298
Risk for Caregiver Role Strain (00062) 301
Impaired Parenting (00056) 302
Readiness for Enhanced Parenting (00164) 304
Risk for Impaired Parenting (00057) 305
Class 2: Family Relationships 307
Risk for Impaired Attachment (00058) 307
Dysfunctional Family Processes (00063) 308
Interrupted Family Processes (00060) 311
Readiness for Enhanced Family Processes (00159) 312
Class 3: Role Performance 313
Ineffective Relationship (00223) 313
Readiness for Enhanced Relationship (00207) 315
Risk for Ineffective Relationship (00229) 316
Parental Role Confl ict (00064) 317
Ineffective Role Performance (00055) 318
Impaired Social Interaction (00052) 320
Domain 8: Sexuality 321
Class 1: Sexual Identity
Class 2: Sexual Function 323
Sexual Dysfunction (00059) 323
Ineffective Sexuality Pattern (00065) 325
Class 3: Reproduction 326
Ineffective Childbearing Process (00221) 326
Readiness for Enhanced Childbearing Process (00208) 328
Risk for Ineffective Childbearing Process (00227) 330
Risk for Disturbed Maternal–Fetal Dyad (00209) 331
Domain 9: Coping/Stress Tolerance 333
Class 1: Post-Trauma Responses 335
Post-Trauma Syndrome (00141) 335
Risk for Post-Trauma Syndrome (00145) 336
Rape-Trauma Syndrome (00142) 337
Relocation Stress Syndrome (00114) 338
Risk for Relocation Stress Syndrome (00149) 339
Class 2: Coping Responses 340
Ineffective Activity Planning (00199) 340
Risk for Ineffective Activity Planning (00226) 342
Anxiety (00146) 344
Defensive Coping (00071) 346
Ineffective Coping (00069) 348
Readiness for Enhanced Coping (00158) 349
Ineffective Community Coping (00077) 350
Readiness for Enhanced Community Coping (00076) 351
Compromised Family Coping (00074) 352
Disabled Family Coping (00073) 354
Readiness for Enhanced Family Coping (00075) 355
Death Anxiety (00147) 356
Ineffective Denial (00072) 358
Adult Failure to Thrive (00101) 360
Fear (00148) 361
Grieving (00136) 363
Complicated Grieving (00135) 365
Risk for Complicated Grieving (00172) 367
Readiness for Enhanced Power (00187) 368
Powerlessness (00125) 370
Risk for Powerlessness (00152) 372
Impaired Individual Resilience (00210) 374
Readiness for Enhanced Resilience (00212) 376
Risk for Compromised Resilience (00211) 378
Chronic Sorrow (00137) 379
Stress Overload (00177) 380
Class 3: Neurobehavioral Stress 383
Autonomic Dysreflexia (00009) 383
Risk for Autonomic Dysreflexia (00010) 384
Disorganized Infant Behavior (00116) 386
Readiness for Enhanced Organized Infant Behavior (00117) 388
Risk for Disorganized Infant Behavior (00115) 389
Decreased Intracranial Adaptive Capacity (00049) 390
Domain 10: Life Principles 391
Class 1: Values 393
Readiness for Enhanced Hope (00185) 393
Class 2: Beliefs 394
Readiness for Enhanced Spiritual Well-Being (00068) 394
Class 3: Value/Belief/Action Congruence 395
Readiness for Enhanced Decision-Making (00184) 395
Decisional Conflict (00083) 396
Moral Distress (00175) 398
Noncompliance (00079) 400
Impaired Religiosity (00169) 402
Readiness for Enhanced Religiosity (00171) 405
Risk for Impaired Religiosity (00170) 407
Spiritual Distress (00066) 410
Risk for Spiritual Distress (00067) 412
Domain 11: Safety/Protection 415
Class 1: Infection 417
Risk for Infection (00004) 417
Class 2: Physical Injury 421
Ineffective Airway Clearance (00031) 421
Risk for Aspiration (00039) 422
Risk for Bleeding (00206) 423
Impaired Dentition (00048) 425
Risk for Dry Eye (00219) 426
Risk for Falls (00155) 428
Risk for Injury (00035) 430
Impaired Oral Mucous Membrane (00045) 431
Risk for Perioperative Positioning Injury (00087) 433
Risk for Peripheral Neurovascular Dysfunction (00086) 434
Risk for Shock (00205) 435
Impaired Skin Integrity (00046) 436
Risk for Impaired Skin Integrity (00047) 437
Risk for Sudden Infant Death Syndrome (00156) 438
Risk for Suffocation (00036) 439
Delayed Surgical Recovery (00100) 440
Risk for Thermal Injury (00220) 442
Impaired Tissue Integrity (00044) 443
Risk for Trauma (00038) 444
Risk for Vascular Trauma (00213) 446
Class 3: Violence 447
Risk for Other-Directed Violence (00138) 447
Risk for Self-Directed Violence (00140) 448
Self-Mutilation (00151) 449
Risk for Self-Mutilation (00139) 451
Risk for Suicide (00150) 452
Class 4: Environmental Hazards 454
Contamination (00181) 454
Risk for Contamination (00180) 458
Risk for Poisoning (00037) 460
Class 5: Defensive Processes 461
Risk for Adverse Reaction to Iodinated Contrast Media (000218) 461
Latex Allergy Response (00041) 463
Risk for Allergy Response (00217) 465
Risk for Latex Allergy Response (00042) 466
Class 6: Thermoregulation 467
Risk for Imbalanced Body Temperature (00005) 467
Hyperthermia (00007) 468
Hypothermia (00006) 469
Ineffective Thermoregulation (00008) 470
Domain 12: Comfort 471
Class 1: Physical Comfort 473
Class 2: Environmental Comfort 473
Class 3: Social Comfort 473
Impaired Comfort (00214) 473
Readiness for Enhanced Comfort (00183) 475
Nausea (00134) 476
Acute Pain (00132) 478
Chronic Pain (00133) 479
Social Isolation (00053) 480
Domain 13: Growth/Development 481
Class 1: Growth 483
Risk for Disproportionate Growth (00113) 483
Class 2: Development 484
Delayed Growth and Development (00111) 484
Risk for Delayed Development (00112) 485
Nursing Diagnoses Retired from the NANDA-I Taxonomy 2009–2014 487
Health-seeking Behaviors (00084) – Retired 2009–2011 489
Disturbed Sensory Perception (Specify: Visual, Auditory, Kinesthetic, Gustatory, Tactile, Olfactory) (00122) – Retired 2012–2014 490
PART 4 NANDA INTERNATIONAL 2012–2014 493
NANDA International Think Tank Meeting 495
Issues related to the DDC 495
Globalization of the Taxonomy 496
Issues for Future Discussion and Research 497
NANDA International Position Statements 498
NANDA-I Position Statement 1: The Use of Taxonomy II as an Assessment Framework 498
NANDA-I Position Statement 2: The Structure of the Nursing Diagnosis Statement when Included in a Care Plan 498
Chapter 8 The Process for Development of an Approved NANDA International Nursing Diagnosis 499
Leann M. Scroggins
Axis 1: The Diagnostic Focus 499
Axis 2: Subject of the Diagnosis 500
Axis 3: Judgment 500
Axis 4: Location 500
Axis 5: Age 501
Axis 6: Time 501
Axis 7: Status of the Diagnosis 501
Label and Definition 503
Defining Characteristics versus Risk Factors 503
Taxonomy Rules 504
Related Factors 505
Identify Related Factors 505
NANDA International Processes and Procedures 508
Full Review Process 508
Expedited Review Process 509
Submission Process for New Diagnoses 509
Submission Process for Revising a Current Nursing Diagnosis 511
Procedure to Appeal a DDC Decision on Diagnosis Review 512
NANDA-I Diagnosis Submission: Level of Evidence Criteria 513
1. Received for Development (Consultation from DDC) 513
1.1 Label Only 513
1.2 Label and Defi nition 513
2. Accepted for Publication and Inclusion in the NANDA-I Taxonomy 513
2.1 Label, Definition, Defining Characteristics or Risk Factors, Related Factors, and References 513
2.2 Concept Analysis 513
2.3 Consensus Studies Related to Diagnosis Using Experts 513
3. Clinically Supported (Validation and Testing) 514
3.1 Literature Synthesis 514
3.2 Clinical Studies Related to Diagnosis, but Not Generalizable to the Population 514
3.3 Well-designed Clinical Studies with Small Sample Sizes 514
3.4 Well-designed Clinical Studies with Random Sample of Suffi cient Size to Allow for Generalizability to the Overall Population 514
Glossary of Terms 515
Nursing Diagnosis 515
Actual Nursing Diagnosis 515
Health-promotion Nursing Diagnosis 515
Risk Nursing Diagnosis 515
Syndrome 515
Wellness Nursing Diagnosis 516
Components of a Nursing Diagnosis 516
Diagnosis Label 516
Definition 516
Defining Characteristics 516
Risk Factors 516
Related Factors 516
Definitions for Classification of Nursing Diagnoses 517
Classification 517
Level of Abstraction 517
Nomenclature 517
Taxonomy 517
NANDA International 2010–2012 518
NANDA International Board of Directors 518
NANDA International Diagnosis Development Committee 518
NANDA International Education & Research Committee 518
NANDA International Informatics Committee 519
NANDA International Taxonomy Committee 519
An Invitation to Join NANDA International 520
NANDA International: A Member-driven Organization 520
Our Vision 520
Our Mission 520
Our Purpose 520
Our History 520
NANDA International’s Commitment 521
Involvement Opportunities 522
Why Join NANDA-I? 522
Professional Networking 522
Resources 522
Member Benefi ts 522
How to Join 523
Who is Using the NANDA International Taxonomy? 523
Index 525
Visit the supporting companion website for this book: www.wiley.com/go/ nursingdiagnoses
This book is not ebook, which I found very annoying because there is no table of contents or anyway to bookmark pages (that I've discovered). When purchased it can only be accessed through Amazon Cloud Reader (PC) or Amazon Kindle Reader App (smartphone) , which would be fine if it was as easy to navigate as Kobe Reader. I am not sure if its just how this book is set-up or if it is the application that is used to read it; in either case there is no table of contents icon with the Kindle app. So, I have to scroll a bar on the bottom of the page to roughly the beginning and then go page-to-page to find the section I want to be in. This is painful due to the nature of this book: finding nursing diagnoses. When you want to find a diagnosis, you must scroll to the beginning of the book and then search page-to-page to find the diagnosis you are looking for. And there is no back button to the previous page, so if you hit the wrong diagnosis, you must start the process over by scrolling back to the beginning of the book.By Fireflycross
As for the content, it is very helpful and informative to any nursing student including definition, defining characteristics and related/risk factors of most diagnoses. The navigation system makes it difficult to browse through the book to find this very useful information.
If you are willing to put up with the crappy navigation and the limited accessibility (for those without smartphones) then this would be a smart purchase for any nursing student.
The definitive book on nursing knowledge - what nurses KNOW versus just what they DO - explains the problems that nurses identify, diagnose and use in practice. The provision of the underlying knowledge (not just the diagnosis label, but also the definition, defining characteristics or risk factors (things we identify in assessments) and the related factors (those things we try to intervene upon) is critical for ensuring documentation in electronic health records that supports nursing's view of the patient. Without this, the EHRs will only show medical care - and we all know that the medical diagnosis may be the primary reason the patient ends up seeking care, but it is their nursing needs that keep them in the hospital - if we do not clearly identify them, nurses will end up losing their profession to technicians who implement medical interventions....and ultimately, patients will lose!By Tracy M
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