论确定我国护理诊断范围应掌握的原则

Creating Knowledge Structures in Nursing Diagnosis

目前,我国实施整体护理的重点,主要在县级以上的大、中型医院。文章在分析讨论北美护理诊断协会(NANDA)护理诊断内容结构的基础上,认为NANDA的护理诊断内容,并不完全符合我国临床护理实践的需要,我国临床护理诊断范围的确定,应充分体现出整体护理的层次功能、护理诊断实践的主要内容,应重点放在满足住院病人的疾病诊断、治疗保障、促进康复等基本的护理需求上。

Advances in scientific techniques and procedures bring costly problems and debate about assessment, priorities, and choices. Certain types of nursing professionals may be disposed in a planned way to make corresponding contributions owing to: description and record of disease variations provide essential information for interpretation of physical signs and laboratory findings; the interaction of co - existence of other diseases, nutritional and other factors may modify clinical manifestations, natural history and response to therapy; the adaptation of clinical protocols to concrete needs takes into account the notes of diagnostic and therapeutic resources available at a given time and palce, and the relative costs and effectiveness of various interventions; information flow facilitates hospital to become engaged in analysing all aspects of operations, examining needs and opportunities, inputs, performance as well as the outputs and benefits.