Nursing diagnoses (NANDA-I) in hematology-oncology: a Delphi-study.

PURPOSE

To identify NANDA-I diagnoses that are most relevant to hematology-oncology nursing in Europe.

METHODS

In a two-round, electronic, quantitative Delphi study, 28 experts from nine European countries assessed the relevance of NANDA-I diagnoses and health problems.

FINDINGS

This study identified 64 relevant diagnoses and three health problems. All experts listed 11 diagnoses: "imbalanced nutrition: less than body requirements,""diarrhea,""fatigue,""risk for bleeding,""risk for infection,""impaired oral mucous membrane,""risk for impaired skin integrity,""impaired skin integrity,""hyperthermia,""nausea,""acute pain," and the health problem "pruritis."

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

The "NANDA-I classification 2009-2011" describes, in almost all disease- and treatment-related problems, nursing diagnoses as relevant to the adult patient with hematological malignancy. These diagnoses are therefore recommended.