Nursing Diagnoses (NANDA-I) in Hematology–Oncology: A Delphi-Study

PURPOSE: To identify NANDA-I diagnoses that are most relevant to hematology–oncology nursing in Europe. METHODS: In a two-round, electronic, quantitative Delphi study, 28 experts from nine European countries assessed the relevance of NANDA-I diagnoses and health problems. FINDINGS: This study identified 64 relevant diagnoses and three health problems. All experts listed 11 diagnoses: “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, in almost all disease- and treatment-related problems, nursing diagnoses as relevant to the adult patient with hematological malignancy. These diagnoses are therefore recommended.

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