Nursing diagnoses (NANDA-I) in hematology-oncology: a Delphi-study

Abstract

Purpose. To study the relevance of nursing diagnoses (NANDA-I) and health problems in hematology-oncology nursing. Methods. In a two round, electronic, quantitative Delphi-study, 28 experts from 10 European countries assessed the relevance of nursing diagnoses (NANDA-I) and health problems. Findings. This study identified 64 relevant nursing diagnoses and three additional health problems. All experts list 11 diagnoses relevant: ‘Imbalanced Nutrition: Less than body requirements’, ‘Diarrhea’, ‘Fatigue’, ‘Risk for Bleeding’, ‘Risk for Infection’, ‘Impaired Oral mucous membrane’, ‘Risk for impaired skin integrity’, ‘Impaired skin integrity’, ‘Hyperthermia’, ’Nausea’, ‘Acute pain’, and the health problem ‘Pruritis’. Conclusions and implications for practice. The NANDA-I classification 2009-2011 describes nursing diagnoses to the adult patient with a hematologial malignancy in almost all disease- and treatment-related problems. NANDA-I nursing diagnoses are therefore recommended tot hematology-oncology nursing.