Cent Eur J Nurs Midw 2013, 4(3):601-608

Incentives and barriers in the use of nursing diagnoses

Katarína Žiaková^1,*, Elena Gurková^2,3, Radka Šerfelová¹, Juraj Čáp^4,1

¹ Institute of Nursing, Jessenius Faculty of Medicine, Comenius University in Bratislava, Slovakia

² Department of Nursing, Faculty of Health Care, University of Presov, Slovakia

³ Faculty of Health Sciences, University of Technology and Humanities in Bielsko-Biala, Poland

⁴ Faculty of Health Sciences, Palacky University of Olomouc, Olomouc, Czech Republic

Aim: Regarding four factors - the competence and experience of nurses, opportunities and quality of education, complexity of a patient's situation, and organizational factors - describe the experience with the use of nursing diagnosis in nursing education and practice.

Methods: To collect empirical data, we used a questionnaire of our own design with open questions, focused on the reflection of incentives and barriers by using nursing diagnoses in the areas of education, clinical practice and research. For the processing and evaluation of the data, we used qualitative data analysis. Four respondents, former PhD students were included in the research file.

Results: To identify incentives as well as barriers by using nursing diagnoses factors of education, competence and organization of nursing care dominated in our study. When identifying the incentives and barriers to the use of nursing diagnoses in our study were dominated by. In addition to this respondents focused more on the technical and administrative working aspects with diagnoses as to their practical utilization and real benefits to the patient.

Conclusion: Nursing diagnosis in clinical practice are perceived primarily as a theoretical definition of the problem and not as the basis for intervention, as it is in the case of the diagnosis in other fields (in medicine, psychology, etc.). Specific examples of benefits of good and negative consequences of the incorrect diagnosis could contribute to more effective interconnection o f the theory and practice in education.

Keywords: incentives, barriers, nursing diagnosis, clinical practice, education

Published: September 30, 2013  Show citation