Miers L J
Nurs Diagn. 1991 Jan-Mar;2(1):9-18. doi: 10.1111/j.1744-618x.1991.tb00325.x.
A working definition of nursing diagnosis was adopted by the North American Nursing Diagnosis Association (NANDA) Biennial Business Meeting in March 1990. Because of the working nature of the definition, members and nonmembers of the Association were invited to judge the merits and faults of the definition and to recommend areas needing further debate, analysis, or modification. The purpose of this article is to apply principles and rules of definition to an analysis of the working definition of nursing diagnosis as adopted by the NANDA General Assembly. In presenting this analysis, concerns and questions regarding the conceptual, logical, and grammatical clarity of essential elements (e.g., clinical judgment; individual, family, or community responses; actual or potential health problems; and actual or potential life processes) in the definition are posed; and, where appropriate, suggestions for clarification are offered. Further debate, research, and clinical testing is requested in an attempt to improve NANDA's very important contribution to the development of nursing practice theory.
1990年3月，北美护理诊断协会（NANDA）两年一度的业务会议采用了护理诊断的实用定义。鉴于该定义的实用性，协会成员和非成员都受邀评判该定义的优缺点，并推荐需要进一步辩论、分析或修改的领域。本文旨在运用定义的原则和规则，分析NANDA大会采用的护理诊断实用定义。在进行此分析时，提出了有关该定义中基本要素（如临床判断；个体、家庭或社区反应；实际或潜在的健康问题；以及实际或潜在的生命过程）在概念、逻辑和语法清晰度方面的关注点和问题；并在适当的地方提供了澄清建议。为了改进NANDA对护理实践理论发展的非常重要的贡献，本文呼吁进行进一步的辩论、研究和临床测试。
