The nursing diagnosis is the statement of a clinical trial on reaction to health problems or potential presence of a person, group or community. It is complementary to medical diagnosis and not a substitute for it. Broadly speaking, it focuses on the needs of the person and not directly on the pathologie.

Definitions and background

In promoting health, nursing diagnosis also responds well to a problem or a potential problem. (Often focusing on the diagnosis of potential problems start with “risk …”).

In practice, the infirmary uses the approach of care and clinical reasoning to describe and argue one or more diagnostic (s) put (s), whether related approach worked in the nursing (ie the general goal of personal care) or as a target (ie in response to a specific problem) in the targeted transfers.

The diagnosis describes a procedure for nursing and presents and writes in three areas, commonly called D / A / R (data / actions / results). The process evolves in time according to the signs presented by the Diagnostic and assumptions made.

As a general rule, nursing research, led by nurses including clinical specialists, has helped to refine and promote the passage of time clarifying and adaptability diagnosis practice nurse daily. In France, Belgium and Switzerland, the classification of ANAD is used.

Fast Facts

The advent of nursing diagnosis is directly linked to the history of the profession. As a corollary milestones such as the release of women, homogéinisation of training, and validation of knowledge and skills by a State diploma, professionals at the time, thus recognized, have both gained freedom and credibility with their peers to establish some theories of reasoning about clinical nursing, including the formatting of the concept of nursing diagnosis.

It was originally based on observation of the recurrence of certain health problems which people treated suffered reflection induced allowed gradually to prioritize, classify and standardize these problems in the form of diagnostics to provide thoughtful responses, structured and standardized way to the medical diagnosis (is understood by “standard answers”, a common vocabulary, concepts easily recognizable by all). Conceptual models, such as Abraham Maslow greatly inspired the research, including exploring the concept of motivation.

Culturally, the principle of diagnosctic nurse in the form of Data / Actions / Results draws heavily on the economic model of North America where it is produced, depending on the model of social economy: a patient is also a client, to whom the process nursing plan and nursing (nursing care plan) is “sold” as consumer product. The achievement of the result is evaluated as a customer-satisfaction of the product sold.

Throughout the history of the profession, the consideration of nursing care has been a strong movement and diagnosis nurse responds, inter alia, a need in the nursing profession to gain more autonomy, recognition and quality care for the patient. The nursing diagnosis is the words (and concepts) of nursing clinical reasoning.

Critics of the model

Critics of the diagnosis nursing him often to refer to a theory too far, inapplicable to a practice quotidienne3, often for lack of time. Some point to the evidence of multiple diagnoses (such as inability to use the toilet) that appears absurd or even ridiculous. The word diagnosis, disagreed (sometimes disputed), finds its meaning in the fact that the statement of nursing diagnosis based on the principle of DAR (Data, Actions, Results):
description of data equivalent to the symptoms;
the argument of shares equivalent to the means and procedures;
evaluation of results;

The word diagnosis means strict sense the intellectual implementation.

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