Kerr M E, Hoskins L M, Fitzpatrick J J, Warren J J, Avant K C, Carpenito L J, Hurley M E, Jakob D, Lunney M, Mills W C
Nurs Diagn. 1992 Apr-Jun;3(2):65-71. doi: 10.1111/j.1744-618x.1992.tb00205.x.
In the process of placing diagnoses into Taxonomy I, certain inconsistencies became apparent. Inadequate definition of both diagnoses and human response patterns, lack of defining characteristics, and inconsistency in the levels of abstraction within the taxonomic hierarchy made the task of assigning a diagnosis to a taxonomic pattern difficult. Ambiguity in the definitions of the nine patterns resulted in ambiguity in the basic foundation, which affected the entire structure. The Taxonomy Committee, before evaluating the current structure, had to make the following decisions regarding the current human response patterns: (1) Should the nine human response patterns be retained for further taxonomic work? and (2) If they are retained, what should be the first step in examining Taxonomy I-Revised? This second article in a series of four will familiarize the readers with the process and decisions by which Taxonomy II of the North American Nursing Diagnosis Association (NANDA) is evolving through the work of the Taxonomy Committee. This article also will identify the specific problems encountered in the development of Taxonomy I and Taxonomy I-Revised, and describe the steps establishing the validity of the process of formation of the nine human response patterns.
在将诊断归入分类法I的过程中,某些不一致之处变得明显起来。诊断和人类反应模式的定义不充分、缺乏明确特征以及分类层次结构中抽象水平的不一致,使得将诊断归入分类模式的任务变得困难。九种模式定义中的模糊性导致了基础层面的模糊性,进而影响了整个结构。分类法委员会在评估当前结构之前,必须就当前的人类反应模式做出以下决定:(1) 九种人类反应模式是否应保留用于进一步的分类工作?(2) 如果保留,审查《分类法I修订版》的第一步应该是什么?这篇系列文章中的第二篇将使读者熟悉北美护理诊断协会(NANDA)的《分类法II》通过分类法委员会的工作而不断演变的过程和决定。本文还将识别在《分类法I》和《分类法I修订版》制定过程中遇到的具体问题,并描述确立九种人类反应模式形成过程有效性的步骤。