PURPOSE.To determine nursing diagnoses utilization in the Iowa Child Health Specialty Clinics (CHSC).
METHODS.A review of charts of 631 children seen in CHSC's Integrated Evaluation and Planning Clinic (IEPC) and of 108 children served in the CHSC Home and Community Care (HCC) programs.
FINDINGS.For the 21 patients in the HCC group, 12 (57%) had at least one documented nursing diagnosis. Forty-six different nursing diagnoses were documented, with a range of 2 to 8 nursing diagnoses (average 3.75) per patient. Of the 46 nursing diagnoses, 12 (26%) were exact matches, 25 (54%) were close matches, and 9 (20%) were no matches to NANDA. For the IEPC group, 126 children (46%) had at least one documented nursing diagnosis. Ninety different nursing diagnoses were used 157 times, with a range of 1 to 8 diagnoses (average 2.6) per patient. Nineteen (21%) different nursing diagnoses used 27 times were considered to be exact matches to NANDA diagnoses. Fifteen (17%) different diagnoses used 28 times were considered to be close NANDA matches. Fifty-six (62%) different nursing diagnoses used 102 times were considered to be no matches.
CONCLUSIONS.The documentation of nursing diagnoses for select groups of CHSC patients has provided information about the patient phenomena of concern addressed by CHSC nurses.
American Nurses Association (1991). Standards of clinical nursing practice. Kansas City, MO: Author.
2.
AvantK. (1990). The art and science in nursing diagnosis development. Nursing Diagnosis, 1, 51–56.
3.
Child Health Specialty Clinics (1996). Mobile and regional child health specialty clinics [ Iowa City, IA: Author.
4.
DelaneyC.HuberD. (1997). Capturing the context of health care delivery for intraorganizational data sharing [Abstract]. Proceedings of the 1997 Spring Congress of the American Medical Information's Association, p. 119.
5.
MartinK. (1995). Nurse practitioner's use of nursing diagnosis. Nursing Diagnosis6(1), 9–15.
6.
North American Nursing Diagnosis Association (1996). NANDA nursing diagnoses: Definitions and classification 1997–1998. Philadelphia: Author.
7.
RosenbergM.C.DelaneyC. (1997). Nursing diagnosis for information technology in community health [Abstract]. Proceedings of the 1997 Spring Congress of the American Medical Informatics Association. p. 43.
8.
SigsbyL.M.CampbellD.W. (1995). Nursing intervention classifications: A content analysis of nursing activities in public schools. Journal of Community Health Nursing, 12, 229–237.
9.
WarrenJ.J.HoskinsL.M. (1990). The development of NANDA's nursing diagnosis taxonomy. Nursing Diagnosis, 1, 162–168.
10.
ZielstorffR.HudgingsC.GrobeS. (1993). Next-generation nursing information systems: Essential characteristics for professional practice Washington, DC: American Nurses Association.
