Using a comprehensive taxonomy of diagnoses to describe the practice of pediatric nurse practitioners: findings of a field study.
The goal of this study was to develop and field test a classification of diagnoses for use by pediatric nurse practitioners. A secondary goal was to describe the clinical practice of pediatric nurse practitioners in a way using a classification that integrates medical, nursing, and developmental diagnoses. Six pediatric nurse practitioners were oriented to the system, established interrater reliability, and then used the system to record their diagnoses for 240 consecutive patients each. The pediatric nurse practitioners used more than 3000 diagnoses with 1450 cases. Their scope of practice included 1% developmental problems, 72% pediatric diseases, which included 51% illnesses and 21% disease prevention and screening, and 27% daily living problems. Pediatric nurse practitioner coders evaluated the system in positive terms. Issues related to the use of a taxonomy such as this one for practicing clinicians were discussed.
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D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009722:Nurse Practitioners; D009733:Nursing Diagnosis; D015588:Observer Variation; D010361:Patients / Q000145:classification; D010371:Pediatric Nursing