Exploring NANDA's Definition of Nursing Diagnosis: Linking Diagnostic Judgments with the Selection of Outcomes and Interventions |
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| Authors: | Connie L. Pinkley ND RN |
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| Affiliation: | Dr. Pinkley is a member of the first graduating class awarded the Doctor of Nursing degree, introduced at Frances Payne Bolton School of Nursing, Case Western Reserve University. In 1986, she moved from the practice of critical care nursing into informatics as the Coordinator for Nursing Information System Development at University Hospitals of Cleveland. In 1988, the developing system, inclusive of an extensive nursing diagnostic data base for patient management and research was awarded the Region 4 Sigma Theta Tau Information Resources Technology Award. Dr. Pinkley's work in information system design lead to intense interest in the structure and content of nursing knowledge and the processes used in clinical decision making. |
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| Abstract: | Nursing diagnoses are described by definition as the basis for selection of interventions to achieve health outcomes. Processes used to link diagnostic judgments with desired outcomes and interventions can be holistic or reductionistic. A model of clinical inference is presented to illustrate the interrelated nature of judgments about diagnoses, desired outcomes, and interventions. Implications for development of diagnostic and taxonomic tools to guide holistic judgments are explored. |
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| Keywords: | nursing diagnosi outcome assessment judgment |
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