Date of Award

6-1986

Degree Type

Thesis

Degree Name

Nursing (M.S.N.)

Department

College of Nursing

First Advisor

Mary Horan

Second Advisor

Jitendra M. Mishra

Third Advisor

Patricia A. Cornell

Abstract

Although 64% of the 32 registered nurses who comprised the staff of a pediatric unit had been formally educated in the use of nursing diagnosis, only 27.4% of individualized additions to the nursing care plans were accepted nursing diagnoses. An intervention based on Change Theory as incorporated in an Organization Development framework was initiated to increase the addition of accepted nursing diagnoses to the standard nursing care plans. The effect of the process was followed through the audit of 229 nursing care plans over a thirteen month period using a time series design. Following the intervention, 74.4% of individualized entries to the standard nursing care plans were accepted nursing diagnoses, representing a 171.5% increase. The findings objectively demonstrate that an intervention based on Change Theory as incorporated in an Organization Development framework was an effective method of increasing the use of nursing diagnosis in the study population.

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