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护理诊断:作为护理程序的一部分

[Nursing diagnosis: as a part of the nursing care process].

作者信息

Espinosa Ramos O, Bello Fernández N

出版信息

Rev Cubana Enferm. 1990 Jan-Apr;6(1):5-18.

PMID:2377792
Abstract

This paper introduces some current criteria on Webster's (1974) Nursing Diagnosis (Dx) and that of Waechter-Blake which describe what the process of identifying the particular problems and needs of the patient are and assess the resources for helping decision-making. The differences between Medical Dx and Nursing Dx as different and at the same time similar elements that overlap and supplement each other are established. The usefulness of nursing diagnosis is pointed out since it identifies the needs and problems, achieves a shortened connection of information, as a future basis for research. The paper shows the process by which the nursing diagnosis is made, lists the nurse's skill when making the Nursing Dx and finally describes the difficulties in formulating the Nursing Dx.

摘要

本文介绍了一些当前关于韦伯斯特(1974年)护理诊断以及韦克特-布莱克护理诊断的标准,这些标准描述了确定患者特定问题和需求的过程,并评估有助于决策的资源。明确了医疗诊断与护理诊断之间的差异,它们既有不同之处,又有相互重叠和补充的相似要素。指出了护理诊断的有用性,因为它能识别需求和问题,实现信息的简短关联,作为未来研究的基础。本文展示了做出护理诊断的过程,列出了护士在进行护理诊断时的技能,最后描述了制定护理诊断的困难。

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