Nursing diagnosis

Abstract: Offers a complete discussion of the concept of nursing diagnosis. The book develops the skills needed for the diagnostic process, and aims to help the reader understand what a nursing diagnosis is, and how they are made and used, both in the nursing process and in care delivery.

Abstract: SECTION 1 Nursing Diagnosis in the Nursing Process Introduction Development of Nursing Diagnosis Types and Components of Nursing Diagnosis Nursing Diagnosis:What it is, What it is not Nursing Diagnoses:Assessment and Diagnosis Planning Care with Nursing Diagnosis Nursing Diagnoses:Issues and Controversies SECTION 2 Manual of Nursing Diagnoses SECTION 3 Manual of Collaborative Problems Introduction Potential Complication:Cardiac/Vascular Potential Complication:Respiratory Potential Complication:Metabolic/Immune/Hematopoietic Potential Complication:Renal/Urinary Potential Complication:Neurologic/Sensory Potential Complication:Gastrointestinal/Hepatic/Billiary Potential Complication:Muscular/Skeletal Potential Complication:Reproductive Potential Complication:Medication Therapy Adverse Effects SECTION 4 Diagnostic Clusters Medical Conditions Cardiovascular/Hematologic/Peripheral Vascular Disorders Cardiac Conditions Hematologic Conditions Peripheral vazcular Conditions Respiratory Disorders Metabolic/Endocrine Disorders Gastrointestinal Disorders Renal/Urinary Tract Disorders Neurologic Disorders Sensory Disorders Integumentary Disorders Musculoskeletal/Connective Tissue Disorders Infectious/Immunodeficient Disorders Neoplastic Disorders Surgical Procedures Obstetric/Gynecologic Conditions Gynecologic Conditions Neonatal Conditions Pediatric/Adolescent Disorders Mental Health Disorders Diagnostic and Therapeutic Procedures Appendix Index

Abstract: PURPOSE: To describe the methodological stages in determining the accuracy of clinical indicators in identifying nursing diagnoses. DATA SOURCES: Literature review of diagnostic tests. DATA SYNTHESIS: The methodological stages described include concept analysis, content analysis by experts, and accuracy analysis of clinical indicators. CONCLUSIONS: The theory underlying the development of diagnostic tests can be used to evaluate the accuracy of clinical indicators in identifying nursing diagnoses. IMPLICATIONS FOR NURSING PRACTICE: Knowledge of the accuracy characteristics of clinical indicators allows the identification and discrimination of the most suitable nursing diagnoses. PROPOSITO: Descrever as etapas metodologicas da teoria de testes diagnosticos para avaliacao de indicadores clinicos de diagnosticos de enfermagem. ORIGEM DOS DADOS: Revisao da literatura sobre testes diagnosticos. SINTESE DOS DADOS: As etapas metodologicas descritas incluem a analise de conceito, a analise de conteudo por especialistas, e a analise da acuracia dos indicadores clinicos. CONCLUSOES: A teoria de testes diagnosticos pode ser utilizada para a avaliacao das caracteristicas de acuracia de indicadores clinicos de diagnosticos de enfermagem. IMPLICACOES PARA A PRATICA DE ENFERMAGEM: O conhecimento das caracteristicas de acuracia de indicadores clinicos permite a identificacao e discriminacao mais adequada de diagnosticos de enfermagem. PALAVRAS CHAVE: Diagnostico de enfermagem; teste diagnostico; avaliacao de enfermagem.

Abstract: This study described and compared the cognitive strategies of diagnostic reasoning used by junior nursing students (n = 15), senior nursing students (n = 13), and practicing nurses (n = 15). Verbal responses to three videotaped vignettes provided the data. Findings suggested that diagnostic reasoning processes of both nurses and nursing students can be described by a general model developed from studies of physicians. Subjects activated diagnostic hypotheses early in the encounter and used systematic information gathering to rule in and rule out hypotheses. With increased levels of knowledge and experience, there was a trend toward more systematic data acquisition and greater accuracy in diagnosis. The number of hypotheses activated, the earliness with which they were activated, and their diagnostic accuracy were task-specific components of the process, but selection of data-acquisition strategies appeared to be more generalizable across cases.