Respiratory Nursing Diagnoses: Practicing Nurses' Selection of Defining Characteristics

Abstract

One-hundred medical/surgical nurses from two hospitals participated in a study designed to determine which defining characteristics professional nurses working in acute-care settings associated with each of the three respiratory nursing diagnoses identified by the North American Nursing Diagnosis Association (NANDA). All NANDA defining characteristics for impaired gas exchange and ineffective airway clearance were selected by at least 63% and 67% of the study participants, respectively. Thirteen of the 15 NANDA defining characteristics for ineffective breathing pattern were selected by at least 68% of the study participants. Two characteristics of ineffective breathing pattern identified by NANDA, cough and fremitus, were selected by only 47% and 45% of respondents. This study was the first in a series of studies intended to validate the respiratory nursing diagnoses.

Keywords

nursing diagnosis impaired gas exchange ineffective airway clearance ineffective breathing pattern respiration disorders

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References

Carpenito

(1987). Nursing diagnosis: Application to clinical practice. Philadelphia: Lippincott.

Gordon

Sweeney

M.A.

(1979). Methodological problems and issues in identifying and standardizing nursing diagnosis. Advances in Nursing Science, 2, 1–15.

Kim

M.J.

Amoroso-Seritella

Gulanick

Moyer

Parsons

Scherbel

Stafford

M.J.

Suhayda

Yocom

(1984). Clinical validation of cardiovascular nursing diagnoses. In Kim

M.J.

McFarland

G.K.

, and McLane

A. M.

(Eds.), Classification of nursing diagnoses: Proceedings of the fifth national conference (pp. 128–137). St. Louis, MO: Mosby.

Luckmann

Sorenson

K.C.

(1987). Medical-surgical nursing: A psychophysiologic approach. Philadelphia: Saunders.

McDonald

(1985). Validation of three respiratory nursing diagnoses. Nursing Clinics of North America, 20, 697–709.

NANDA . (1989) Taxonomy I Revised 1989. St. Louis, MO: Author.

York

(1985). Clinical validation of two respiratory nursing diagnoses and their defining characteristics. Nursing Clinics of North America, 20, 657–667.

York

Martin

(1986). Clinical validation of respiratory nursing diagnosis: A model. In Hurley

M. E.

(Ed.), Classification of nursing diagnoses: Proceedings of sixth conference (pp. 497–509). St. Louis, MO: Mosby.