Read about the following study, and then answer the
questions at the end of the box.
Müller-Stauber, M., Lavin, M. A., Ian, N., et al. (2006).
Nursing diagnoses, interventions and outcomes—application and impact on nursing
practice: Systematic review. Journal of Advanced Nursing, 56(5), 514–531.
Researchers analyzed the content of 36 published studies to
examine the outcomes of using nursing diagnosis. Specifically, they looked at
effects on quality of patient assessments, accuracy, and completeness of
nursing diagnoses, and on coherence among nursing diagnoses, interventions, and
outcomes documented. They found the following:
The use of nursing diagnoses improved the quality of documented patient
The completeness of nursing diagnoses in practice is problematic; signs and
symptoms or etiology were often lacking or incompletely described.
There was some evidence for coherent use of documented nursing diagnoses,
interventions, and outcomes.
There was some evidence that nursing diagnoses improved the quality of
There was no evidence that use of nursing diagnoses improved outcomes in patients.
Please answer the following questions:
1. What do you think “coherence between nursing diagnoses,
interventions, and outcomes” means?
2. From this study, could you reasonably infer that using
nursing diagnoses would improve the quality of your nursing assessments? Why or
3. From this study, could you reasonably infer that using
nursing diagnoses led to nurses’ documenting patient interventions better? Why
or why not?