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In Opposition to Nursing Diagnosis: A Minority Opinion |
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| Authors: | Sherry L Shamansky RN Dr PH Celeste R Yanni RN MA |
| Institution: | Program Chairperson and Associate Professor, Community Health Nursing Program, Yale University School of Nursing and Associate Professor, School of Epidemiology and Public Health, Yale University;Lecturer, Yale University School of Nursing |
| Abstract: | Does nursing diagnosis further nursing practice? This article examines the premises underlying nurses diagnoses and their impact on clinicians and the health care delivery system. The authors argue that nursing diagnoses in their current form limit nursing practice, create obstacles to clear communication, and constrain inference and intuition. Once upon a hot summer day, a community health nursing student returned from a home visit to do her charting. Unbeknown to her instructor, this student was an aficionado of nursing diagnosis. She completed her note and gave it to the instructor to read: S: "My feet hurt."'7 waked three miles today.(in 97o weather.) O: Ankles edematous bilaterally; dorsum of feet warm to touch; 1 cm. vesicle on plantar aspect, right foot. A. Alternation in comfort as a result of restless legs. P. Bathe feet in tepid water; dry well; do not rupture vesicle; elevate legs. |
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