Nursing diagnosis emphasis of National League for Nursing accredited Master's community health nursing programs

Date

1987-05

Authors

Shephard, Doreen

Journal Title

Journal ISSN

Volume Title

Publisher

Abstract

The problem of the study was to identify: (a) the extent nursing diagnosis is taught, (b) the program emphasis, (c) the nature of nursing diagnoses used, and (d) the program's conceptual or theoretical framework in National League for Nursing accredited master's programs that offer specialization in community health nursing. The conceptual framework was researcher developed and combined the concept of the nursing process with the concepts of health concern, client focus, and levels of prevention.

Thirty-two National League for Nursing accredited master's community health nursing programs in the United States constituted the sample. Data were collected with a mailed questionnaire.

Findings disclosed: (1) A majority of National League for Nursing accredited master's programs that offer community health nursing specialization teach or use nursing diagnosis. (2) A large percentage of the programs emphasize community in their programs. (3) Within the nursing diagnoses reported, no one health concern was predominant. (4) Community constituted the client in the majority of the nursing diagnoses while family as client ranked second. (5) All nursing diagnoses were categorized into level of prevention. (6) Eight theories were reported as frameworks for eight programs. (7) Twenty-three theories, frameworks, or models were taught or analyzed in the programs. (8) Some community health nursing educators look to literature to provide nursing diagnoses rather than using the process to fit their situation.

Conclusions for nursing practice and nursing education were: (1) The researcher-developed conceptual framework including nursing process, health concern, client focus, and levels of prevention is appropriate for community health nursing. (2) Nursing diagnoses were valuable indicators of the concepts of the framework. (3) The concept of client focus can help those in community health nursing to choose the proper theory to direct goal setting. (4) The concept of levels of prevention is appropriate to community health nursing. (5) The framework can be used as a tool to determine program emphasis of community health nursing programs.

Description

Keywords

Nursing diagnosis use, Nursing diagnosis programs, Community health nursing

Citation