Domain 10. Life principles
Class 3. Value-belief-action congruence
Diagnostic Code: 00184
Nanda label: Readiness for enhanced decision-making
Diagnostic focus: Decision-making
- Introduction to Nursing Diagnosis: Readiness for Enhanced Decision-Making
- NANDA Nursing Diagnosis Definition
- Defining Characteristics: Subjectives and Objectives
- Suggested Use
- Suggested Alternative Nursing Diagnoses
- Usage Tips
- NOC Outcomes
- Evaluation Objectives and Criteria
- NIC Interventions
- Nursing Activities
- Conclusion
- 5 FAQs
Introduction to Nursing Diagnosis: Readiness for Enhanced Decision-Making
Nursing diagnosis (ND) is a term widely used in nursing, and plays a significant role in the medical field. ND provides clinicians with a tool to evaluate their patient’s health levels and deliver a specialized plan of care based upon individual needs. Within the context of the healthcare setting, ND has been described as a professional nursing responsibility guiding practice, allowing nurses to use their clinical and interpersonal skills to examine and recognize how a change in an individual’s health status directly affects their care plan.
When it comes to delivering appropriate care, ND is typically centred around the NANDA International (NANDA-I) Taxonomy. This tool provides an up-to-date list of insurance-covered diagnoses, arranged in such a way to enable nurses to accurately diagnose patient conditions and tailor their care plans. As such, NANDA-I contains more than 200 diagnoses, all broken into categories such as activity intolerance, psychological functioning, adaptation, etc. One of these categories is ‘Readiness for Enhanced Decision-Making’, or RMED.
NANDA Nursing Diagnosis Definition
NANDA’s definition of RMED is rather straightforward and encapsulates it nicely: “Readiness for enhanced decision-making is an individual’s attitude and commitment to identify options, explore their effects, and select an intervention that is suited to his/her own particular situation and preference.” In simpler terms, RMED involves evaluating the resources available to an individual and choosing an effective intervention to address their specific needs.
Defining Characteristics: Subjectives and Objectives
As mentioned above, NANDA outlines certain characteristics associated with RMED. The defining characteristics are outlined in two categories, namely subjective and objective statements.
Subjectives
• Expression of confidence in making decisions
• Expression of satisfaction with the outcome of previous decisions
• Expression of a commitment to the choice made
Objectives
• Planning is evoked to initiate decision-making processes
• Representational thought is developed for decision-making options
• Allocation of resources maximizing potential for enhanced decision-making outcomes
Suggested Use
The primary goal of using sound RMED-based strategies is to allow a patient the freedom to make their own health-related decisions. This means offering them the necessary resources, support, and information required to understand the range of options available, evaluate the best ones for their circumstances, and ultimately make an informed decision. This is a process that is not only empowering for the patient in question but also leads to better health outcomes overall.
Suggested Alternative Nursing Diagnoses
• Risk for dysfunctional family processes
• Knowledge Deficit Related to Disease Process
• Ineffective Coping
• Readiness for Enhanced Activity
Usage Tips
When identifying RMED-related care needs in the healthcare setting, it is important to remember certain points. First off, the patient must be fully aware of both the risks and benefits of each decision they make. They should also be given enough time to think through their choices, offer feedback, and ultimately perform their desired course of action. Moreover, if opting for a course based on risk mitigation, tight support should be provided throughout the entire process.
NOC Outcomes
Depending on the requirements of each individual case, the following NOC outcomes may be applied to assess successful implementation of RMED-based interventions:
• Decision-Making Ability
• Planning and Action Creation
• Self-Care Abilities
• Coping and Stress Tolerance
Explanation of Each
Decision-Making Ability is crucial to any RMED-based strategy, as the patient must remain confident in their ability to make the right decision. On the other hand, Planning and Action Creation involves creating a specific plan that takes into account the particular situation of any given patient. As for Self-Care Abilities and Coping and Stress Tolerance, these have implications for the patient’s overall well being and quality of life.
Evaluation Objectives and Criteria
When conducting evaluations to assess the in effectiveness of any RMED-related interventions, there are certain objective indicators that can be used alongside the aforementioned NOC outcomes. For example, patient self-reports can be requested to ascertain their satisfaction levels with the outcomes of their decisions. Additionally, family involvement can be assessed when possible - this will determine how much external support was providing during the process.
NIC Interventions
To achieve positive outcomes within any RMED-based scenario, various interventions should be implemented as soon as possible. These can range from psychosocial strategies to education-focused initiatives. The following NIC interventions are specifically designed for cases related to RMED:
• Risk Identification and Reduction Strategies
• Decision Making Support
• Propensity Assessment and Development
• Resource Utilization Management
Explanation of Each
Risk Identification and Reduction Strategies involve assessing simple and complex risks related to decision-making, as well as eliminating any potential risk before deciding on a course of action. On the other hand, Decision-Making Support ensures that the patient is well informed about their potential choices and that they receive advice on which path to take. Propensity Assessment and Development concerns evaluating the prevailing attitudes that a patient may display when dealing with challenging situations, while Resource Utilization Management is all about ensuring that the patient is able to make the most of the available resources.
Nursing Activities
Nurses engaging in RMED-oriented activities must be sure to prioritize patient autonomy and autonomy-supportive behavior. When it comes to making decisions, patients should be allowed to speak up and share their opinion. Clinical staff should also engage with cultural influences that may affect the patient’s decision. Finally, it is important that nurses ensure that the patient has sufficient resources and offers them professional guidance when necessary.
Conclusion
The role of nurses in implementing RMED-based strategies cannot be emphasized enough. Nursing interventions are necessary for individuals to make the correct decisions that will lead to improved outcomes and improved quality of life. Taking into consideration the NANDA definition of RMED, as well as its associated outcomes, interventions, and activities, nurses can ensure that their care plans are tailored to suit the particular needs of every individual patient.
5 FAQs
1. What is RMED?
RMED stands for Readiness for Enhanced Decision Making. It is an attitude and commitment to provide an individual with the resources to identify various options surrounding an issue, determine the effects of these choices and make decisions that fit the individual's particular situation and preferences.
2. What is the NANDA definition of RMED?
The NANDA International Taxonomy defines RMED as “an individual’s attitude and commitment to identify options, explore their effects, and select an intervention that is suited to his/her own particular situation and preference.”
3. What are some of the defining characteristics associated with RMED?
The defining characteristics associated with RMED can be broken down into two categories: subjectives and objectives. Subjective statements include expressions of confidence in making decisions, satisfaction with the outcome of previous decisions and commitment to the choice made. The objective statements include evoking planning to initiate decision-making processes, development of representational thought for decision-making options and allocation of resources maximizing potential for enhanced decision-making outcomes.
4. What are some of the NOC outcomes for RMED?
The most commonly associated NOC outcomes for RMED include Decision-Making Ability, Planning and Action Creation, Self-Care Abilities and Coping and Stress Tolerance.
5. What types of interventions should be implemented when engaging in RMED?
Risk Identification and Reduction Strategies, Decision-Making Support, Propensity Assessment and Development and Resource Utilization Management are the most commonly used NIC interventions.
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