Pocket guide to nursing diagnoses

Pocket guide to nursing diagnoses

315 BOOK REVIEWS since it is descriptive and does not foster a research-based, nursing. analytical perspective on mental health BLAIRCOLLISTER,MSc...

154KB Sizes 2 Downloads 259 Views

315

BOOK REVIEWS

since it is descriptive and does not foster a research-based, nursing.

analytical perspective on mental health

BLAIRCOLLISTER,MSc., R.M.N., R.G.N., R.N.T., Lecturer in Nursing, University of Manchester, Manchester, U.K.

The Origins and Rise of Associate Degree Nursing Education. Patricia T. Haase. Duke University

Press (1990). Price $49.50. This book presents an historical account of the development of Associate Degree Nursing (ADN) courses in the U.S.A. It covers the time period 1942-1948, and explores a range of issues pertinent to ADN courses. The 2 year ADN course is one of three routes to registration in the U.S.A.; the other two are a 3-year Diploma programme and a 4-year Baccalaureate (Degree) course. Early ADN courses were largely funded by the Kellogg Foundation, who underwrote this research project. The intention was to identify the origins and distinctive characteristics of the ADN programme. This account is very readable, and the various issues are organized in a cogent and logical fashion. The narrative examines, amongst other aspects, the beginnings of the ADN idea as a response to the shortage of nurses, the impact on nursing education, the role of the U.S. Government in supporting the initiative, and the preparation of nurse educators. If these issues seem familiar to U.K. readers, the sense of deja vu which develops as the narrative unfolds is a welcome and reassuring reminder that problems associated with the inception of Project 2000 in the U.K. are not unique. This is further reflected in the authors’ assertion that there has been little differentiation between the roles of nurses who have undertaken different educational preparation. The tensions and difficulties which this situation has produced are placed in context, and thus the value of historical research is demonstrated. At $49.5@urrently about E31.00 in proper money-this is not a purchase to be undertaken lightly in order to satisfy idle curiosity. However, there are significant lessons to be learned from the account and its methodological approach, and it would be a useful reference work in larger nursing libraries in the U.K. and elsewhere. BLAIRECOLLISTER,M.Sc., R.M.N.,R.G.N., Manchester, Manchester, U.K.

R.N.T., Lecturer in Nursing, University of

Pocket Guide to Nursing Diagnoses (4th Edn). M. J. Kim, G. K. McFarland (Eds). Wolfe Publishing, London (1991). Price &12.00.

and A. M. McLane

In publishing this book the editors have achieved their stated purpose in providing an easy-to-use guide for practitioners, faculty and students. This pocket-sized edition distills validated nursing knowledge which reflects the state of the art of nursing practice and puts theory and research-based nursing interventions into a care plan format that is clear and succinct. The book is divided into two main sections and includes three useful appendices. Section One presents the current 1990 NANDA approved nursing diagnoses with their definitions, related and risk factors, and defining characteristics. Section Two sets out proto-type referenced care plans for all of the approved diagnoses. The care plans include related/risk factors, patient goals, nursing interventions and expected

376

BOOK REVIEWS

outcomes. The nursing interventions and expected outcomes are stated generically and are meant to be individualized by the students and practitioners in planning patient care. This edition includes a section that describes a model designed by the editors which categorizes nursing diagnoses into areas of (a) psychosocial, (b) human functioning, and (c) physiological regulation. This model is presented by the Editors to be used as a guide for students and practitioners to facilitate nursing assessment in their daily practice. The model (Appendix A) has all the components to make it functional for assessment of the health problems of adolescents, adults and the family, and the elderly. It is called ABC’ PRN REST For Health. Included also in this edition (Appendix B) is a classification of nursing diagnosis under the headings 1990. Appendix C of Human Response Patterns. This is the current NANDA Taxonomy I&Revised lists the nursing diagnoses classified under Gordon’s Functional Health Patterns. These two models are designed to facilitate nursing assessment, and are being used successfully and extensively in the U.S. and Canada. This new edition will be welcomed by those already familiar with the previous editions, and who utilize nursing diagnoses in nursing education and professional nursing practice. The extensive reference list is timely and includes several enduring classic practice and research articles. Over the past 20 years in the U.S. and Canada, nursing diagnoses have evolved and been integrated into the education and practice of nursing. However, the utilization of ‘nursing diagnoses’ to describe individual/family health problems is eschewed by many educators and practitioners in the U.K. because they find some of the wording to be unwieldy and, further, they perceive the problems to be stated in an impersonal manner. Many are also uncomfortable with the term ‘diagnosis’ being used in the context of nursing practice. Nevertheless, students and practitioners in the U.K. will find this guide a valuable resource to aid in clinical decision-making because of its problem-oriented, well-referenced, nursing interventions and expected outcomes. Stating patient problems in terms of a nursing diagnoses, or in other terms, is the choice of the nurse. For those who are objectively evaluating ‘nursing diagnoses’ as a way of conceptualizing application of the nursing process this edition will be very useful because of its brevity, clarity and completeness. M. M. JOHNSON, M.S.N., R.N., Lecturer in Nursing, Department qj’llrursing, University of Manchester, Manchester, U.K.