Student Ability to Write of Nursing Diagnosis


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Lecture at Nursing Department

Poltekkes Kemenkes Malang



Background: Nursing students of third semester began a nursing clinical practice for four weeks were required to provide care to two patients and writing nursing care.
Aim:The study goal was describe the ability of student to write a nursing diagnosis.
Methods: Design was descriptive used documentary study. Material study were all student writing about nursing diagnosis in practical report of the 3rdbasic human needs on the third semester of the academic year 2015/2016 at study program of Blitar third diploma of Malang Health Polytechnic as much as 180 nursing diagnoses writing. Sampled used total nursing diagnosis. Analysis used descriptive.
Result: NANDA domain that the focus of nursing students were nutrition, elimination and exchange, activity and rest, safety, and comfort. Congruence of writing of problem toward domain nursing diagnosis was as much as 75.6% was matching and as much as 24.4% was mismatching.Congruence of etiology toward problem of nursing diagnosis was as much as 48.9% was mismatching and as much as 7.8% was not written.
Analysis: Incongruity writing of nursing problem toward domain and etiology toward nursing problem of nursing diagnosis by 3rd semester nursing students cause they confused for analizing and synthesing, limitation of assessment data, and inability critical thinking.
Discuss: Effort to reduce of incongruity can be done by intensive guidance, consultations every writing, correction after consultation, guidance practice by bed side teaching,and preceptorship training.


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