Introduction for Nursing Diagnosis
Nursing diagnosis is a professional clinical judgement about an individual, a family, a group, a community or a population by a registered nurse in order to identify a health state, as well as the human response to that health state. NANDA- International (formerly North American Nursing Diagnosis Association), is the official organization for nursing diagnosis. The following post focuses on the NANDA Nursing Diagnosis, “Willingness to Improve Home Maintenance Behaviors.”
NANDA Nursing Diagnosis Definition
The NANDA-I nursing diagnosis “Willingness to Improve Home Maintenance Behaviors” is classified as a Readiness for Enhanced Strenght of Home Maintenance Behaviors. It is defined as the readiness of an individual to increase or improve behaviors contributing to home maintenance.
- Expresses willingness to improve behaviors
- Able to demonstrate desired behavior
- Able to list ways to improve home maintenance
- Expresses feelings and thoughts about need for improved home maintenance
- Engages in discussion about increasing home maintenance behaviors
- Engages in trial behavior changes around home maintenance
- Performs task related to home maintenance with minimal assistance
- Maintains safe environment by adhering to rules
- Lack of Knowledge: Absence of experience or research in home maintenance concepts leading to inability to feel confident when performing specific tasks.
- Inadequate Support System: Presences emotional, physical, or financial hurdles from family/ significant other members which contributes to decreased confidence in home maintenance activities.
Those individuals at risk for a reduced willingness to improve home maintenance behaviors include those who have:
- Insufficient prior knowledge of home maintenance skills
- Limited support system
- Limited financial resources
- Cognitive deficits
- Insufficient Home Maintenance Management: Existing difficulty in managing the environment due to insufficient proper skills.
- Environmental Hazards: Possible presence of environmental hazards or vulnerabilities due to absence of safe procedures or practices.
Suggestions for Use:
- Provide Education: Assess learner’s understanding of home maintenance skills, provide accurate information regarding these skills, and mentor learners in the topic.
- Encourage Participation: Guide and encourage the expressed participation by the learner in home maintenance activities through careful observations of surrounding environment.
Suggested Alternative NANDA Diagnoses
- Powerlessness: Perceived inability to perform or control tasks associated with home maintenance.
- Social Isolation: Limited presence of social contact or relationship leading to difficulty in developing coping strategies.
Since this diagnosis courses through both nursing assessment and intervention, keep nursing process in mind while utilizing it. Its application can be made across multiple settings including home care, acute care, mental health care and more. “Willingness to Improve Home Maintenance” is not a standalone diagnosis. It should be used in collaborative multitrajectory interventions along with related diagnoses.
The NOC (Nursing Outcomes Classification) suggested results for this diagnosis are:
- Home Maintenance management: Implement Improvement tasks & procedures in home maintenance
- Safety Management: Proper use of safety measures in home maintenance
- Environmental Skills: Ability to utilize creative techniques for problem solving related to home maintenance
The NIC (Nursing Interventions Classification) suggested interventions for this diagnosis are:
- Home maintenance Instruction: Provide guidelines and demonstrations of how to initiate and maintain home maintenance behaviors
- Chance Cognition: Assist participants to identify options to change self-defeating behaviors in order to reach desired goals
- Environmental Management: Design and implement methods of environmental safety throughout home maintenance
Conclusion and FAQ
The NANDA nursing diagnosis “Willingness to Improve Home Maintenance Behaviors” presents an outlook into the health state of individuals, families, groups, communities, and populations. It focuses on creating awareness about the factors influencing home maintenance and encourages healthy behaviors by advocating safe practices. The diagnosis is used as an entry for assessment and intervention.
It is important to note that usage of this diagnosis requires appropriate client education and monitoring of progress. The diagnosis also requires collaboration with other professionals and taking into account the client’s opinion and engagement. Additionally, this diagnosis should be used in conjunction with other related diagnoses to ensure comprehensive care.