The nature and use of nursing diagnosis in hospitals.
This descriptive study examined the frequency of types of diagnoses formulated by RNs. Ten patient charts were randomly selected from each of 10 frequently occurring diagnosis-related groups (DRGs) (N = 100). Findings indicated the majority of diagnoses (N = 1,504) were made in the Exchanging (55.33%) Human Response Pattern by two groups of nurse raters--RN caregivers and CNSs. Differences in number of diagnoses made by the nurse groups were statistically significant for all Human Response Patterns. Overall, the CNSs made more diagnoses than the caregivers (944 vs. 560), and their diagnoses were of a broader nature.
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D003953:Diagnosis-Related Groups; D009720:Nurse Clinicians; D009731:Nursing Audit; D009733:Nursing Diagnosis / Q000706:statistics & numerical data*; D009737:Nursing Records; D009741:Nursing Staff, Hospital; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*