Nursing diagnosis is a statement which describes the human response (health status or risk of change in the pattern) from individuals or groups which are accountability nurses could identify and provide for certain interventions to maintain health status decrease, limit, prevent, and change (a Carpenito, 2000) . Gordon (1976) defines the nursing diagnosis is “actual health problems and potential, where according to education and experience, he is able and has the authority to provide nursing actions.
NANDA nursing diagnoses stated that the “clinical decisions about the response of individuals, families and communities about health issues actual or potential, as the basis for selection of nursing interventions to achieve nursing care in accordance with the authority of nurses”. All nursing diagnoses must be supported by the data, which is defined by NANDA as “the definition of characteristics”. The definition of these characteristics are called “signs and symptoms”. A sign is something that can observation and symptoms is something that is felt by the client.
Objectives of nursing diagnosis
The purpose of nursing diagnosis to identify:
1. Problems where the response to the client’s health status or disease;
2. The factors that support or cause a problem (etiologies); and
3. Client’s ability to prevent or solve problems.
Determining steps of nursing diagnosis and treatment
The steps in nursing diagnoses can be differentiated into:
1. Classification and Data Analysis
2. Data Interpretation
3. Validation Data
4. Formulation of Nursing Diagnosis
After the data are collected, then the task of nurses is to identify nursing problems of the client, then arranged in a nursing diagnosis.
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