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A Problem Well-Named is a Problem Half-Solved: Usefulness of Nursing Diagnosis as a Way to Teach Emergency Nursing

Published:November 26, 2022DOI:https://doi.org/10.1016/j.jen.2022.11.002
      Patients presenting to the emergency department are generally unknown and potentially acutely ill; there is not the same understanding of the patient problem as in inpatient nursing, where the patient has been evaluated and assigned a medical diagnosis. Teaching nurses new to the emergency department how to quickly identify life-threatening problems is challenging, as it requires a mental shift from the diagnosis-based care of inpatient nursing to a symptomatic presentation orientation. In this article, I will present the case for nursing diagnosis as a way to orient nurses new to the emergency department in thinking about patient problems and immediate interventions.

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      References

        • Van Horn E.R.
        • Kautz D.D.
        NNN language and evidence-based practice guidelines for acute cardiac care: retaining the essence of nursing.
        Dimens Crit Care Nurs. 2010; 29: 69-72https://doi.org/10.1097/dcc.0b013e3181c92fea
        • Johnson M.
        • Bulechek G.M.
        • McCloskey Dochterman J.M.
        • et al.
        NOC and NIC Linkages to NANDA-I and Clinical Conditions: Supporting Critical Reasoning and Quality Care.
        3rd ed. Elsevier, 2011
        • Hoyt K.S.
        • Cajon E.
        Validating nursing with “NANDA, NIC, and NOC”.
        J Emerg Nurs. 1997; 23: 507-509https://doi.org/10.1016/s0099-1767(97)90242-7
        • Paganin A.
        • Moraes M.A.
        • Pokorski S.
        • Rabelo E.R.
        Factors that inhibit the use of nursing language.
        Int J Nurs Terminol Classif. 2008; 19: 150-157https://doi.org/10.1111/j.1744-618x.2008.00103.x
        • Castner J.
        Emergency nursing decisions: a proposed system of nursing diagnosis.
        J Emerg Nurs. 2008; 34: 33-36https://doi.org/10.1016/j.jen.2006.12.020
        • Gordon M.
        Manual of Nursing Diagnosis.
        13th ed. Jones and Bartlett Publishers, 2014
        • Kim Y.A.
        • Choi S.H.
        Analysis of nursing diagnoses applied to emergency room patients-using the NANDA nursing diagnosis classification.
        J Korean Acad Fundam Nurs. 2015; 22: 16-24https://doi.org/10.7739/jkafn.2015.22.1.16
        • Sallum A.M.C.
        • de Sousa R.M.C.
        Nursing diagnoses in trauma victims in the first six hours after the event..
        Acta Paul Enferm. 2012; 25 (http://dx.doi.org/10.1590/S0103-21002012000200016): 256-262
        • Sánchez-Almagro C.P.
        • Romero-Sánchez J.M.
        • White-Ríos M.
        • González Del Pino C.A.
        • Paloma-Castro O.
        NANDA International nursing diagnoses in the coping/stress tolerance domain and their linkages to nursing outcomes classification outcomes and nursing interventions classification interventions in the pre-hospital emergency care.
        J Adv Nurs. 2022; 78: 3273-3289https://doi.org/10.1111/jan.15280
        • Pizzolato A.C.
        • Mansano Sarquis L.M.
        Nursing diagnoses in the care process in mobile pre-hospital care.
        Rev Eletrônica Enferm. 2019; 2154634https://doi.org/10.5216/ree.v21.54634
        • Okuno M.F.P.
        • da Costa N.
        • Lopes M.C.B.T.
        • Campanharo C.R.V.
        • Batista R.E.A.
        The most used nursing diagnoses at an emergency service.
        Cogitare Enferm. 2015; 20: 383-388
        • de Souza Carneiro C.
        • Takao Lopes C.
        • de Lima Lopes J.
        • Batista Santos V.
        • Bachion M.M.
        • de Barros A.L.
        Conceptual and operational definitions of the defining characteristics and related factors of the diagnosis ineffective health management in people with heart failure.
        Int J Nurs Knowl. 2017; 28: 76-87https://doi.org/10.1111/2047-3095.12124

      Biography

      Lisa Adams Wolf, Member, Pioneer Valley Chapter, is a Director, Emergency Nursing Research, Emergency Nurses Association, Schaumburg, IL; and an Associate Professor, Elaine Marieb College of Nursing, University of Massachusetts, Amherst, MA. Twitter: @LisaWol97737411. ORCID identifier: http://orcid.org/0000-0002-7065-470X.