title: [Identification of Nursing Diagnosis "Non compliance (00079)" and "Ineffective Self-Health Management (00078)": Pilot study].
abstract: OBJECTIVE
  Survey on a sample of second and third years nursing students, data concerning skills in identifying nursing diagnosis "Ineffective Self-Health management (00078)" and "Non compliance (00079)". The main objectives were to determine differences and similarities between the two diagnosis detected by students, to recognize which elements taken into account to identify them and to determine possible causes of misidentification.
  
  
  METHODS
  Semi structured interview with analisys of a clinical case.
  
  
  RESULTS
  Lacking knowledge was found regarding both diagnosis. Students stated to have some difficulties to understand and identify diagnosis; most of the them interviewed tend to confuse these two diagnosis precisely because they do not discern the differences. Despite that, most of them succeded in identifying the correct diagnosis in reference to the proposed clinical case, and were able to justify properly the choices made.
  
  
  CONCLUSIONS
  The study highlights the need to develop students' skills for the identification of the two diagnoses. There is a overall confusion in describing patient's health conditions, this leads to an innapropriate identification of nursing goals and interventions and to an not efficient delivery of care. Improving actions should be addressed to the causes of a difficult differential identification. Educator therefore should be focus on learning development in order to change knowledge, attitudes and beliefs, perception of self-efficacy, but also in clinical practice in order to improve cognitive skills on nursing diagnosis.
authors.affiliation: Governo clinico, qualità e formazione; Corso di laurea in Infermieristica. Coordinatore didattico, Professore a contratto Infermieristica Preventiva e di Comunità,Azienda ospedaliera di Bologna. Corrispondenza: sandra.scalorbi@unibo.it.
authors.forename: Sandra
authors.initials: S
authors.lastname: Scalorbi
authors.affiliation: Staff nurse, MAU, Maidstone and Tumbridge Wells NHS Trust.
authors.forename: Melanconia F
authors.initials: MF
authors.lastname: Duval Pazzaglia
authors.affiliation: Dottore in Infermieristica, Azienda ospedaliera di Bologna Governo clinico, qualità e formazione; Corso di laurea in Infermieristica. Coordinatore didattico, Professore a contratto infermieristica area chirurgica. Azienda ospedaliera di Bologna.
authors.forename: Maria Pompea
authors.initials: MP
authors.lastname: Sarli
mesh_terms: D006801:Humans; D009733:Nursing Diagnosis / Q000379:methods*; D010865:Pilot Projects; D012648:Self Care