Omvårdnadsdiagnostik—inveckling eller utveckling av omvårdnaden

Abstract

The concept of nursing diagnosis has been discussed in Sweden for real since 1987 and so far the general trend has been that the diagnosis is expressed in a free form ad modum Carnevali. A common way is to use the PES format where the diagnosis is expressed as the problem (P) and the causes of it, the aetiology (E) and what it leads to, its consequences (S). This paper examines how the concept nursing diagnosis has emerged in Sweden, its use of today and delineates a way forward. There is a growing need to redefine our view of the concept nursing diagnosis and look more closely on the work already done in North America with a taxonomical structure of diagnoses. It is important to increase the validity and reliability of the diagnoses and our ability to communicate them. The diagnostic statement should normally consist of only two parts, the problem and it's causes when known, the consequences should be left out.

Both parts of the statement should be possible to influence by nursing care. If so, the expected outcomes could be deduced mainly from the part that describes the problem and when possible the interventions directed mainly towards the aetiology of the problem. If these changes were to take place the power of the concept nursing diagnosis in patient care planning could be utilized at full range.