The clinical use of nursing diagnosis raises questions in relation to reliability. Specifically, do nurses who assess the same patient identify similar nursing diagnoses? Student and registered nurses (N = 100) were asked to assess a “patient” and list the nursing diagnoses. Professional actors played the part of the patient and responded according to the script. The total number of correct and incorrect diagnoses listed for each assessment was recorded. Data were analyzed using MANOVA. The results revealed some discrepancy in the way in which nurses state similar patient problems and highlight areas of strengths and concerns in relation to the diagnostic concept.
AlfaroR. (1990). Applying nursing diagnosis and nursing process a step-by-step guide (2d ed.). Philadelphia: Lippincott.
2.
BennerP. (1984). From novice to expert. Menlo Park, CA: Addison-Wesley.
3.
CarlsonJ.CraftC.McGuireA.Popkess-VawterS. (1991). Nursing diagnosis: A case study approach. Sydney: Saunders.
4.
CarpenitoL. (1992). Nursing diagnosis application to clinical practice (4th ed.). Philadelphia: Lippincott.
5.
CarstensJ. (1984). The effects of an in-service pmgram on nurses' ability to identify valid nursing diagnosis. In KimM.McLaneA. (Eds.), Classification of nursing diagnoses: Proceedings of the fifth national conference (pp. 248–253). New YorkMcGraw-Hill.
6.
CastlesM. (1984). Interrater agreement in the use of nursing diagnoses. In KimM.MoritzD. (Eds.), Classification of nursing diagnoses: Proceedings of the third and fourth national conferences (pp. 153–158). New YorkMcGraw-Hill.
7.
CianfraniK. (1984). The influence of amounts and relevance of data on identifying health problems. In KimM.McLaneA. (Eds.), Classification of nursing diagnoses: Proceedings of the fifth national conference (pp. 150–161). St Louis: Mosby.
8.
DonT.FitzmaurieJ.BaerC. (1987). Organization of patient assessment data and nursing diagnoses. In McheA. (Ed.), Classification of nursing diagnoses: Proceedngs of the seventh conference (pp. 389–390). St Louis: Mosby.
9.
GordonM. (1987). Nursing diagnosis process and application (2d ed.). New YorkMcGraw Hill.
10.
GuzzettaC. (1990). Holistic nursing: Unraveling the mysteries and weaving the tapestry. Conference proceedings: Fourth National Nursing Education Conference. Melbourne: Deakin University Press.
11.
GuzzettaC.BuntonS.PrinkeyL.ShererA.SeifertP. (1989). Clinical assessment tools for use with nursing diagnoses. St Louis: Mosby.
12.
HenningM. (1991). Comparison of nursing diagnostic statements using a functional health pattern and a health/history/body systems format. In Carroll-JohnsonR. (Ed.), Classification of nursing diagnoses: Proceedings of the ninth conference (pp. 278–279). Philadelphia: Lippincott.
13.
IyerP.TaptichB.Bemocchi-LoseyD. (1991). Nursing process and nursing diagnosis (2d ed.). Philadelphia: Saunders.
14.
KimM.SuhaydaR.WatersL.YocumC. (1984). The effect of using nursing diagnosis in nursing care planning. In KimM.MoritzD. (Eds.), Classification of nursing diagnoses: Proceedings of the third and fourth national conferences (pp. 158–167). New YorkMcGraw-Hill.
15.
LunneyM. (1994). Measmment of accuracy of nursing diagnosis. In Carroll-JohnsonR. and PaquetteM. (Eds.), Classification of nursing diagnoses: Proceedings of the tenth conference (pp. 281–284). Philadelphia: Lippincott.
16.
McLaneA.LancourJ.GotchP. (1986). Nursing diagnoses in nursing practice. In HurleyM. (Ed.), Classification of nursing diagnoses: Proceedings of the sixth conference (pp. 456–464). St Louis: Mosby.
17.
MeadG.KimM. (1984). The effect of teaching on documentation of nursing diagnosis. In KimM.McLaneA. (Eds.), Classification of nursing diagnoses: Proceedings of the fifth national conference (pp. 241–247). New YorkMcGraw-Hill.
18.
MyersJ.PerryA.WesslerR.BeckerA.ReslerM.SpiesM.MethenyN. (1986). Staff nurses' identification of nursing diagnoses from a simulated patient. In HurleyM. (Ed.), Classification of nursing diagnoses: Proceedings of the sixth conference (pp. 475–483). St Louis: Mosby.
19.
Soares-O'HeamC. (1987). The relationship between a structural-functional health/illnes pattern (SHIP) tool and the generating of nursing diagnoses: A qualitative and quantitative study. In McLaneA. (Ed.), Classification of nursing diagnoses: Proceedings of the seventh conference ( St Louis: Mosby.
20.
SerrellM. (1990). Clinical nurses, ability to structure diagnostic statements. Unpublished master's thesis. Curtin University of Technology, Perth, Western Australia.
21.
SmeltzerC.McCreary-JuhaszA. (1990). Relationships of nurses' education and experience to implementing the nursing process. Journal of Nursing Quality Assurance, 4, 7–16.
22.
StauntonP.WhyburnB. (1988). Nursing and the law (2d ed). Sydney: Saunders.
23.
StreetA. (1992). Inside nursing: A critical ethnography of clinical nursing practice. New YorkState University of New York Press.
24.
ThomasS.WearingA.BennettM. (1991). Clinical decision making for nurses and health professionals. Sydney: Hamourt, Brace Jovanovich.
WeberJ. (1988). Nurses' hand/book of health assessment. Sydney: Lipphcott.
27.
WehrJ. (1994). Innovative strategy for teaching nursing diagnosis. In Carroll-JohnsonR.PaquetteM. (Eds.), Classification of nursing diagnoses: Proceedings of the tenth conference (pp. 95–101). Philadelphia: Lippincott.
28.
WoolleyN. (1990). Nursing diagnosis Exploring the factors which may influence the reasoning process. Journal of Advanced Nursing, 25, 110–117.
29.
ZieglerS. (1984). Nursing diagnosis—the state of the art as reflected in graduate students' work. In KimM.McLaneA. (Eds.), Classification of nursing diagnoses: Proceedings of the fifth conference (pp. 199–208). St. Louis: Maby.
30.
ZieglerS.Vaughan-WmbelB.ErlenJ. (1986). Nursing process nursing diagnosis nursing knowledge: Avenues to autonomy. Sydney: Prentice Hall.
