Knowledge and Attitudes of Nurses toward the Use of Nursing Diagnosis in Clinical Practice

Authors

  • Fatjona Kamberi Research Center of Public Health, University of Vlore "Ismail Qemali"

DOI:

https://doi.org/10.18662/eejmhb/14

Keywords:

nursing diagnosis, practice, knowledge, difficulty, advantages, use, care

Abstract

The study is aimed at evaluating the knowledge, perceptions, difficulties, and advantages associated with the use of Nursing Diagnosis (ND) in clinical practice by nurses. A cross – sectional study was conducted in April 2017 at Vlore Regional Hospital, Albania and included 43 nurses. For the data collection, an anonymous self-administered questionnaire was used. The Likert 1-5 rating scale was used for scoring the answers, 1-not difficult/small advantage and 5-very difficult/big advantage. Values of p≤0.05 were considered statistically significant. 51.16% of participants were women, mean of age 32 years, SD±7.17. A statistical association was found between the use of ND and the practice setting, p=0.0394. Knowledge about ND is gained through work or during studies. The use of ND was requested at work (60.47%) and 53.49% of nurses refer not to use it. The perceived difficulties are higher in female nurses (2.5), while nurses who use ND reported that the difficulties are related to lack of time and an understandable language. The maximum average score (4.0) for the benefits of using in function of improving and promoting nursing care with clinical standards were higher in male nurses. Among ND cited by nurses gaps in knowledge and confusion with medical diagnosis were identified. Findings suggest that improving clinical nursing practice through increased continuing education of nursing staff and improving curricula for ND can influence the proper use of ND, with a significant impact on the quality of care provided.

References

Ahtisham, Y. (2017). The nursing process and patient teaching. Nursing Made Incredibly Easy, 15(6), 13–16. doi:10.1097/01.nme.0000525549.21786.b5

Axelsson, L., Björvell, C., Mattiasson, A. C., & Randers, I. (2006). Swedish Registered Nurses' incentives to use nursing diagnoses in clinical practice. Journal of Clinical Nursing, 15(8), 936-45. doi:10.1111/j.1365- 2702.2006.01459.x

Cárdenas-Valladolid, J, Salinero-Fort, M. A., Gómez-Campelom, P., de BurgosLunar, C., Abánades-Herranz, J. C., Arnal-Selfa, R, & López-Andrés, A. (2012). Effectiveness of standardized nursing care plans in health outcomes in patients with type 2 diabetes mellitus: A two-year prospective follow-up study. PLoS ONE, 7(8), e43870. doi:10.1371/journal.pone.0043870

Carpenito-Moyet, L. J. (2010). Invited paper: Teaching nursing diagnosis to increase utilization after graduation. International Journal of Nursing Terminologies and Classifications, 21(3), 124-133. doi:10.1111/j.1744-618x.2010.01158.x

Carpenito-Moyet, L. J. (2013). Nursing diagnosis: Application to clinical practice (14th ed.). Philadelphia, USA: Lippincott Williams & Wilkins.

Doenges, M. E., & Moorhouse, M. F. (2013). Application of nursing process and nursing diagnosis: An interactive text for diagnostic reasoning (6th ed.). Philadelphia, USA: F. A. Davis Company.

Emirjona, K., Rezarta L., Rudina Ç., Denada S. (2015). Core principles of nursing. Lecture notes (1st ed.). Vlore, Albania: Triptik.

Kamberi F. (2018). Nursing diagnosis. Lecture notes (1st ed.). Vlore Albania: Triptik.

Håkans, V. B. (2012). Nurses’ perception of nursing diagnosis. NI 2012 : 11th International Congress on Nursing Informatics, 2012, June 23-27. Montreal, Canada. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3799082/

Johnson, L., Edward, K. L., & Giandinoto, J. A. (2017), A systematic literature review of accuracy in nursing care plans and using standardised nursing language. Collegian, 25(3), 355-361. doi:10.1016/j.colegn.2017.09.006

Martin, K. (1995). Nurse practitioners' use of nursing diagnosis. International Journal of Nursing Terminologies and Classifications, 6(1), 9-15. doi:10.1111/j.1744- 618x.1995.tb00273.x

North American Nursing Diagnosis Association (NANDA). (1995). Nursing diagnosis 1995-1996: Definition & classification. St. Louis, USA: NADA.

Novotny-Dinsdale, V. (1985). Implementation of nursing diagnosis in one emergency department. Journal of Emergency Nursing, 11(3), 140-144.

Paans, W., Nieweg, R. M. B., van der Schans, C. P., & Sermeus, W. (2011). What factors influence the prevalence and accuracy of nursing diagnoses documentation in clinical practice? A systematic literature review. Journal of Clinical Nursing, 20(17), 2386-2403. doi:10.1111/j.1365-2702.2010.03573.x

Sanson, G., Vellone, E., Kangasniemi, M., Alvaro, R., & D'Agostino, F. (2017). Impact of nursing diagnoses on patient and organizational outcomes: A systematic literature review. Journal of Clinical Nursing, 26(23-24), 3764-3783. doi:10.1111/jocn.13717

Seifert, P. C., & Grandusky, R. J.(1990). Nursing diagnoses.Their use in developing care plans. AORN Journal, 51(4), 1008-1021. doi:10.1016/s0001- 2092(07)66839-2

Shifaza, F., Evans, D., & Bradley, H. (2014). Nurses’ perceptions of barriers and facilitators to implement EBP in the maldives. Advances in Nursing, 2014, 1- 7. doi:10.1155/2014/698604

Sparks Ralph, S., & Taylor, C. M. (2011). Sparks and Taylor’s nursing diagnosis pocket guide. Philadelphia, USA: Lippincott Williams & Wilkins.

Whitley, G. G., & Gulanick, M. (1996). Barriers to the use of nursing diagnosis language in clinical settings. International Journal of Nursing Terminologies and Classifications, 7(1), 25-32. doi:10.1111/j.1744-618x.1996.tb00523.x

Downloads

Published

2018-12-21

How to Cite

Kamberi, F. (2018). Knowledge and Attitudes of Nurses toward the Use of Nursing Diagnosis in Clinical Practice. Eastern-European Journal of Medical Humanities and Bioethics, 2(2), 43-55. https://doi.org/10.18662/eejmhb/14