Readiness for enhanced emancipated decision-making

Readiness for enhanced emancipated decision-making

Domain 10. Life principles
Class 3. Value-belief-action congruence
Diagnostic Code: 00243
Nanda label: Readiness for enhanced emancipated decision-making
Diagnostic focus: Emancipated decisionmaking

Introduction to Nursing Diagnosis: Readiness for Enhanced Emancipated Decision-Making

Nursing diagnosis is an important component of patient care that focuses on assessing and diagnosing the needs of a patient based on their clinical condition. Nursing diagnosis is linked to particular interventions and it is designed to improve outcomes for the patient. In nursing, the complex decision making required to diagnose and determine appropriate treatment plans is challenging. Readiness for enhanced emancipated decision-making is one of the most important nursing diagnoses as it allows nurses to anticipate and meet the needs of their patients in a more efficient manner.

NANDA Nursing Diagnosis Definition

The NANDA International (now known as the North American Nursing Diagnosis Association) defines readiness for enhanced emancipated decision-making as “the allowed freedom to make independent decisions from the environment in which the health conditions exist.” This diagnosis is considered a conditional diagnosis, which means that the patient must have adequate abilities or resources that allow for their decision-making. If a patient lacks these capabilities, then other diagnoses must be used.

Defining Characteristics

The defining characteristics associated with readiness for enhanced emancipated decision-making are divided into subjective and objective components. The subjective component includes verbal or written responses from the patient regarding their ability to make autonomous decisions. For example, the patient may report feeling empowered and confident in their capacity to make decisions independently.

The objective component includes observable behaviors and activities associated with demonstrating autonomy and self-efficacy. These behaviors could include asking questions about treatment options, engaging in prior research about available treatments, or consistently doing basic medical exercises without being prompted.

Suggestions for Use

When using this nursing diagnosis, it is important to make sure that the patient has been properly screened for any cognitive issues that could impair their decision-making capabilities. Additionally, nurses must make sure that they provide appropriate resources to the patient such as educational resources and decision aids. Lastly, it is also important to consider cultural, spiritual, and economic factors that might impact the patient’s decision-making ability.

Suggested Alternative NANDA Nursing Diagnoses

If the patient is not able to demonstrate autonomy or make decisions independently, then there are alternative NANDA nursing diagnoses that can be used. These include:

• Powerlessness – This nursing diagnosis is typically assigned when a person is unable to make decisions autonomously or does not have the necessary resources to make informed decisions.

• Readiness for enhanced knowledge – This diagnosis is assigned when the patient is not adequately knowledgeable about their health conditions and needs additional information to properly assess their situation.

• Risk for delayed decision-making – This diagnosis is assigned when the patient is delaying additional decision-making and requires further education or resources to help them move forward.

Usage Tips

When completing the clinical assessment for readiness for enhanced emancipated decision-making, it is important to ensure that the patient understands their diagnoses and the potential benefits of making autonomous decisions. Additionally, clinicians should validate the patient’s current decision-making capabilities and provide any needed resources or information tailored to the patient’s particular situation.

NOC Outcomes

The following are possible outcomes of a readiness for enhanced emancipated decision-making diagnosis:

• Knowledge of Health Maintenance – This outcome measures the patient’s understanding of their medical risk factors, treatments and medications, as well as any preventive measures they can take to reduce their risk of illness or exacerbation of health problems.

• Coping Ability – This outcome measures the patient’s capacity to cope with their diagnosis, lifestyle changes, and physical symptoms.

• Decision Making – This outcome is evaluated on how confident and competent the patient is to make autonomous decisions and execute them.

• Self-Esteem – This outcome is evaluated on how confident and comfortable the patient feels in their own decision-making skills.

• Self-Care Ability – This outcome evaluates how independent and proficient the patient is in performing daily activities.

Evaluation Objectives and Criteria

When evaluating readiness for enhanced emancipated decision-making, the nurse should observe and evaluate the patient’s attitudes and behaviors regarding their decision-making process. Additionally, the nurse should assess the patient’s knowledge and understanding of their health conditions and treatments. Lastly, the nurse should assess the resources available to the patient and their level of self-efficacy in using those resources.

NIC Interventions

The following are examples of interventions for readiness for enhanced emancipated decision-making:

• Education – It is essential to educate the patient about available treatments, risks, benefits, and side effects of options.

• Health Promotion – Encourage the patient to engage in healthy activities and make informed choices about their health and wellness.

• Decision Support – Provide decision aids and resources to assist the patient in making sound decisions that they can stick with.

• Self-Care Assistance – Help the patient adhere to their treatment plan and engage in activities that they otherwise would not be able to do.

• Follow Up – Ensure that the patient is following up with their provider to monitor progress and adjust treatments if needed.

Nursing Activities

When caring for a patient with a readiness for enhanced emancipated decision-making diagnosis, the nurse must assess the patient’s knowledge and understanding of their health conditions. The nurse should also assess the patient’s self-efficacy and availability of resources. After gathering this information, the nurse can then provide the patient with educational materials, decision aids, and other resources to assist them with making well-informed decisions. The nurse should also follow up with the patient to ensure they are implementing the decisions they have made.

Conclusion

Readiness for enhanced emancipated decision-making is an important nursing diagnosis that allows nurses to assess and appropriately intervene to ensure the best outcomes for the patient. Nurses must assess the patient’s knowledge and self-efficacy, provide educational materials, decision aids, and other resources, and support the patient in implementing their decisions.

5 FAQs

Q1: What is meant by readiness for enhanced emancipated decision-making?

A1: Readiness for enhanced emancipated decision-making refers to the ability of a patient to make their own decisions that are informed by their understanding of their health conditions, access to resources and decision aids, and confidence in their own ability to make autonomous decisions.

Q2: What types of interventions are associated with this diagnosis?

A2: Interventions associated with readiness for enhanced emancipated decision-making include providing educational resources, health promotion, decision support, self-care assistance, and follow-up interventions.

Q3: What are some of the NOC outcomes associated with this nursing diagnosis?

A3: NOC outcomes associated with this nursing diagnosis include knowledge of health maintenance, coping ability, decision-making, self-esteem, and self-care ability.

Q4: How should the nurse assess for readiness for enhanced emancipated decision-making?

A4: When assessing for readiness for enhanced emancipated decision-making, nurses should evaluate the patient’s attitudes and behaviors, assess the patient’s knowledge and understanding of their health condition, and ascertain the resources available to the patient and their confidence in using those resources.

Q5: What are the criteria for evaluating this diagnosis?

A5: The criteria for evaluating readiness for enhanced emancipated decision-making include observing the patient’s attitudes and behaviors regarding decision-making, assessing their knowledge and understanding of their health condition, and determining the resources available and their confidence in using those resources.