Nanda 1 List

[Kiliano Ratha]

AssessmentThe nurse collects subjective and objective data about the patient which may include their physical, emotional, and psychological health as well as lifestyle factors, socioeconomic status, and culture. Information obtained during the assessment phase may include vital signs, pain, medication use, medical history, and more.

Although there are some similarities between medical and nursing diagnoses, such as clinical judgment and shared terminology, they are distinct.2 The most apparent difference between nursing and medical diagnoses is the healthcare practitioner deciding the diagnosis. All nursing designations share nursing diagnoses, while physicians create medical diagnoses. The exception is that nurse practitioners in most states can also determine medical diagnoses and prescribe medication. Therefore, a nurse practitioner could determine both nursing and medical diagnoses.

A patient with a medical diagnosis of cerebrovascular accident (stroke) may lead to the complementary nursing diagnosis of unilateral neglect. Without the medical diagnosis, the nurse would not know what was causing unilateral neglect. The nursing diagnosis is a jumping-off point to create goals to manage the deficit and improve patient safety and quality of life.

With the medical diagnosis of dehydration, the nurse knows that the patient is experiencing deficient fluid volume (nursing diagnosis). Therefore, the nurse may implement interventions such as administering IV fluids and recording intake and output for this patient.

Formulating a nursing diagnosis is the second step of the nursing process after assessment.6 First, the nurse analyzes the assessment data they collect from the patient and through observation or diagnostic testing. The nurse will use that data and create clusters of pertinent information to form hypotheses about the appropriate nursing diagnoses. At this stage, the nurse will either write the nursing diagnosis or decide they need additional information to confirm or update their hypothesized diagnosis.

Characteristics and risk factors are the evidence behind the nursing diagnosis.4 However, they should not be used interchangeably. Defining characteristics are observable characteristics that support a problem-focused health promotion diagnosis or syndrome. Defining characteristics are the signs or symptoms of clinical pathology.

Risk factors are used primarily for risk-focused nursing diagnoses. Risk factors replace the defining characteristics of problem-focused nursing diagnoses. Similarly, they provide supporting evidence for the nursing diagnosis. Unlike defining characteristics, risk factors describe why the patient has an increased chance of acquiring the undesirable health outcome identified by the nurse. Risk factors can be biological, psychological, family, or community-related. Patients may have one or multiple risk factors supporting a risk diagnosis.

A problem-focused nursing diagnosis is a nursing diagnosis that addresses a current health challenge.4 In contrast to other nursing diagnoses that address potential problems or opportunities for health improvement, a problem-focused diagnosis deals with a current, known health challenge. To make this type of diagnosis, the defining characteristics of the diagnosis must be present at the time of evaluation. The defining characteristics include signs, symptoms, and patient health history. Defining characteristics act as clues for the nurse and, when grouped together, form patterns that allow a diagnosis to be assigned. Related factors should also be described as part of a problem-focused nursing diagnosis.

In a risk-based diagnosis, the nurse uses their clinical judgment to determine that the patient is at risk for health consequences if preventative measures are not implemented. Otherwise stated, the problem has not yet manifested for the client/family/community, but there is a vulnerability related to risk factors that the nurse identifies. Care plans will focus on preventing undesirable health outcomes.

Nursing diagnosis syndromes are created when two or more concurrent nursing diagnoses are related and can be treated using similar interventions. Nursing syndrome diagnoses also cluster problem and risk-focused nursing diagnoses that often accompany specific health processes or life events.

Standardized methods of writing nursing diagnoses allow for clear communication of their purpose and driving factors. Writing a complete nursing diagnosis helps the nurse clarify their reasoning for potential interventions and care goals.

Nurses should use a NANDA-I label whenever possible to describe the identified problem to ensure consistency in diagnoses. However, if no NANDA-I label adequately represents the problem, the nurse needs to describe the problem in a clear, concise, and useful way to the care team. It is important to avoid judgmental language in the problem statement.

The signs and symptoms used to describe a health promotion diagnosis are related to the patient, family, or community expressing readiness or desire for health improvement. This may be a verbal expression, actions, or other cues that alert the nurse to readiness for health promotion.

For a syndrome diagnosis, the etiology is described as two or more nursing diagnoses that form the evidence for the syndrome diagnosis. There should be a minimum of two diagnoses, with no maximum of nursing diagnoses to support a syndrome diagnosis. Each nursing diagnosis should be written in its complete, appropriate form, either including etiology, signs and symptoms, or risk factors.

In the 2020 to 2023 edition of NANDA-I, there are 13 domains of nursing diagnoses. Each domain has between three and six classes of nursing diagnoses that are then broken down into individual diagnoses. Here we list all 13 domains, related classes, and an example nursing diagnosis. Please see NANDA International- Nursing Diagnoses Definitions and Classification, 12th Edition, for the complete list of diagnoses.

The North American Nursing Diagnosis Association (NANDA) is a body of professionals that manages an official list of nursing diagnoses. The preliminary group was formed in 1973 after a conference was called for the purpose of classifying a list of nursing diagnoses grouped in alphabetical order. Kristine Gebbie and Mary Ann Lavin invited attendees from the United States and Canada to the meeting in St. Louis, Missouri. There the nurses created three components to begin the launch of an organized set of diagnoses. The National Clearinghouse for Nursing Diagnoses located at St. Louis University, the National Conference Group, and a Nursing Diagnosis Newsletter composed the three structures. NANDA was officially formed in 1982. The organization publishes the NANDA-I Definitions and Classification book that can be purchased by healthcare facilities and individual nurses. The association exists in order to continuously refine the terminology used and to develop and promote the lists in order to foster uniformity among professionals.

The NANDA nursing diagnosis list is an essential and useful tool that promotes patient safety by standardizing evidence-based nursing diagnoses. The process enables nurses to implement interventions with predictable outcomes. The presence of uniform and accurate documentation provided by the utilization of the diagnoses assists in obtaining reimbursement of medical bills. NANDA is comprised of goal-oriented nurses who are committed to continually increasing the quality of patient care while promoting and improving levels of patient safety. The group welcomes suggestions from nurses outside of the association on the creation of new or modification of existing nursing diagnoses. The organization conducts research which is funded by the NANDA Foundation.

NANDA has helped to increase patient safety and continuity of care by the development of its standardized list. Its use has helped to allow better efficiency and more effective patient care using nanda Nursing Diagnosis List.

Below is a partial list of data published in NaNDA. Data are available at multiple levels of spatial scale, including census tract, census block group, county, and ZIP code tabulation area (ZCTA). New measures and spatial scales are added regularly. Data are regularly updated when new source data become available.

NANDA International (formerly the North American Nursing Diagnosis Association) is a professional organization of nurses interested in standardized nursing terminology, that was officially founded in 1982 and develops, researches, disseminates and refines the nomenclature, criteria, and taxonomy of nursing diagnoses. In 2002, NANDA became NANDA International in response to the broadening scope of its membership. NANDA International published Nursing Diagnosis quarterly, which became the International Journal of Nursing Terminologies and Classifications, and then later was reconceptualized as the International Journal of Nursing Knowledge, which remains in print today. The Membership Network Groups foster collaboration among NANDA-I members in countries (Brazil, Colombia, Ecuador, Mxico, Peru, Portugal, and Nigeria-Ghana) and for languages: the German Language Group (Germany, Austria, Switzerland) and the Dutch Language Group (Netherlands and Belgium).

In 1973, Kristine Gebbie and Mary Ann Lavin called the First National Conference on the Classification of Nursing Diagnoses (Gebbie & Lavin, 1975). It was held in St. Louis, Missouri. Attendees produced a beginning classification, an alphabetized list of nursing diagnoses. The conference also created three structures: A National Clearinghouse for Nursing Diagnoses, located at Saint Louis University and led by Ann Becker; a Nursing Diagnosis Newsletter, edited by Anne Perry; and a National Conference Group to standardize nursing terminology and led by Marjory Gordon. In 1982 NANDA was formed, and included members from the United States and Canada.

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