Implementation

1. Implementation

2. Implementation
• Implementation is setting plans in
motion and delegating responsibilities
for each step.

3. Implementation
• Educate staff and other disciplines
• Case review to improve diagnostic ability
• Reflect diagnostic ability and usage in staff evaluations
• Keep it practical – address diagnoses that can actually be
treated in your setting
– Refer to nurses in other settings for other diagnoses, as needed
• Home health care
• Hospice
• School Nursing

4. Implementation
• Teach managers / administrators how to track data to
demonstrate what nurses do and how they impact
patient outcomes
• Routinely share data with staff nurses and other
disciplines that demonstrates impact of nursing care on
clinical outcomes, through the use of standardized
nursing language

5. Implementation
• Identify gaps in the NANDA-I taxonomy
– Revise / develop diagnoses that are needed in your
practice
– Submit them to NANDA-I electronically for
acceptance (www.nanda.org)

6. Standardized Nursing Language
and Evidence-Based Practice
• Provide nurses with researched concepts
(diagnoses), outcomes for which nurses are
accountable and interventions that have been
proven to be effective
• Why would we use anything else?

7. What do we need?
• Emphasis on development, testing and
validation of new diagnostic concepts
• Revision of current diagnoses that lack
sufficient evidence-based defining
characteristics, risk factors or related
factors

8. The Future of Nursing Diagnoses
• NANDA-International’s aim is to link with
organizations across the world that have
as their purpose nursing language
development
– Increase diagnosis submission
– Increase clinical testing of diagnoses
– Ensure cultural sensitivity of diagnoses