01 international taxonomy
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healthTRANSCRIPT
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The NANDA International
Taxonomy
Taxonomy of Nursing Diagnoses
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Focus of Nursing“Health” of “human beings”
Health-related phenomena are complex because they involve human experiences
Nursing’s goal is to identify people’s experiences or responses in order to support them.
Significant overlap of cues to diagnoses Contextual factors such as culture can change the
perspective of “what is the diagnosis?” Many studies have verified that interpretations of
clinical cases have the potential to be less accurate than indicated by the data
(Lunney, 2007).
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Nursing Diagnosis: NANDA-I DefinitionAdapted from a national, Delphi study by Dr. Joyce Shoemaker (1984)A clinical judgment about individual, family, or
community responses to actual or potential health problems/life processes. Nursing diagnoses provide the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable (1997).
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The Diagnoses206 NANDA-approved nursing diagnoses
as of 2008Level of Evidence (LOE) Criteria
Established for All New and Revised DiagnosesEntry into the Taxonomy requires various levels of clinical evidence
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TaxonomyOxford English Dictionary American Nurses Association/taksonnmi/ • noun chiefly Biology
1 the branch of science concerned with classification.
2 a scheme of classification. ORIGIN from Greek
taxis ‘arrangement’ + -nomia ‘distribution’
Classification according to presumed natural relationships among types and their subtypes
ANA, 1999
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Definitions for Classification of Nursing Diagnoses
ClassificationSystematic arrangement of related phenomena in
groups or classes based on characteristics that objects have in common
NomenclatureA system of designations (terms) elaborated
according to pre-established rules(ANA, 1999)
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Definitions for Classification of Nursing Diagnoses
DomainA sphere of activity, concern, or function; a
field: the domain of historyClass
A set, collection, group, or configuration containing members regarded as having certain attributes or traits in common; a kind or category.
o (http://www.thefreedictionary.com/domain)
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History of NANDA-I Taxonomy II
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History of NANDA-I Taxonomy II
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Structure of Taxonomy II
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Code StructureNANDA-I uses a 32-bit integer (or a 5-digit
code) to enable growth & development of the taxonomy without having to change codes repeatedly to accommodate those changes
Code structure is compliant with the National Library of Medicine’s (USA) Unified Medical Language System (UMLS) concerning healthcare terminology codes
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Structure of Taxonomy IIRegistered with Health Level 7 (HL7)Modeled into SNOMED-CTCompliant with ISO terminology model for a nursing diagnosisWorking collaboratively with ICNP
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Multiaxial System7 axes within NANDA-I TaxonomyAxis
A dimension of the human response that is considered in the diagnostic process
Allows for flexibility of the nomenclatureAllows for easy additions and modifications
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NANDA-I Axes
Required Optional
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The NANDA-I Model of a Nursing Diagnosis
Diagnostic concept(Axis 1)
Judgment(Axis 3)
Location(Axis 4)
Subject of Diagnosis(Axis 2)
Time(Axis 6)
Status ofDiagnosis
(Axis 7)
Age(Axis 5)
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A NANDA-I Nursing Diagnosis Model:
(Individual) Ineffective Coping
Coping(Axis 1)
Ineffective(Axis 3)
N/A(Axis 4)
[Individual](Axis 2)
N/A(Axis 6)[Actual]
(Axis 7)
N/A(Axis 5)
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A NANDA-I Nursing Diagnosis Model:Compromised Family Coping
Coping(Axis I)
Compromised(Axis 3)
N/A(Axis 4)
Risk for(Axis 7)
N/A(Axis 6)
Family(Axis 2)
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A NANDA-I Nursing Diagnosis Model: Readiness for Enhanced Family CopingCoping
(Axis 1)Enhanced
(Axis 3)
N/A(Axis 4)
Family(Axis 2)
N/A(Axis 6)Readiness for
(Axis 7)
N/A(Axis 5)
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NANDA-I Taxonomy II: 2008
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Taxonomy: OpportunitiesThe Diagnosis Development, Taxonomy, and
Informatics Committees have identified the following priorities for diagnosis developmentDomain 2: Nutrition
Class 2: Digestion Domain 1: Health Promotion
Class 1: Health Awareness Domain 2: Nutrition
Class 3: Absorption
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Future DevelopmentClinicians can easily identify opportunities for
new diagnoses by reviewing the domains/classes with few – or no – diagnoses present
Construction of new diagnoses, along with submission to NANDA-I, enables the taxonomy to continue to be strengthened
NANDA-I’s Diagnosis Development Committee is eager to partner with you to develop new diagnoses, and revise current diagnoses