Domain 9. Coping-stress tolerance
Class 2. Coping responses
Diagnostic Code: 00212
Nanda label: Readiness for enhanced resilience
Diagnostic focus: Resilience
Introduction
Nursing diagnosis: readiness for enhanced resilience is a nursing diagnoses commonly used by nurses to identify and address potential health issues in individuals. Resilience can be defined as the ability of an individual to cope with the stress and challenges of life, as well as to prevent potential health risks that may arise. Enhanced resilience allows individuals to stay in control of their well-being, both mentally and physically. To have good resilience doesn’t mean to completely miss out on life’s challenges, but rather to use them as learning experiences. Through developing and maintaining a certain level of emotional and mental resources, one can enjoy meaningful benefits while increasing their overall well-being.
NANDA Nursing Diagnosis Definition
NANDA Nursing Diagnoses (NNDC) is an internationally accepted system of nursing diagnosis that assists nurses and healthcare professionals in the evaluation and management of clinical situations. NANDA Nursing Diagnoses defines readiness for enhanced resilience as “an internal or external state that enables the individual to cope effectively with environmental demands and unresolved issues.” This means it prepares the individual in dealing with complex, unpredictable and stressful situations more efficiently.
Defining Characteristics
Subjective Components
The subjective components of readiness for enhanced resilience include positive attitudes toward life, self-confidence, willingness to take risks, self-efficacy and optimism. These characteristics indicate the individual’s internal sense of control over their environment, and can be measured by evidence-based indicators such as self-report questionnaires, interviews and tests.
Objective Components
The objective components of readiness for enhanced resilience include an ability to make effective decisions, to solve problems in different ways, to set realistic goals and to manage feelings. It also includes the capacity to recognize and draw upon the support and resources available to help enhance the individual’s functioning. These components can be assessed by observing the individual’s behavior and taking into account their performance in tasks related to resilience.
Suggestions of Use
Readiness for enhanced resilience is useful to identify and address potential health issues in individuals and assist them with coping strategies. Nurses can use this diagnosis to assess the patient’s overall level of resilience, which includes physical, psychological and social factors. The NANDA Nursing Diagnoses defines readiness for enhanced resilience as an internal or external state, which means it can be used to evaluate not only an individual’s current capabilities, but also the environment’s role in affecting and influencing their behavior. Nurses can also use this diagnosis to identify interventions that may improve the individual’s functioning and to monitor the effects of these changes over time.
Suggested Alternative NANDA Nursing Diagnoses
The following NANDA Nursing Diagnoses alternative may offer additional information and assessment options for nurses when evaluating readiness for enhanced resilience:
- Mobility: Mobility is an important component of enhanced resilience. The diagnosis of mobility is used to assess an individual’s ability to move freely, walk, climb and run.
- Nutrition: Nutrition is vital for maintaining physical and mental health. This diagnosis assesses an individual’s food intake, dietary restrictions and potential risk for malnutrition.
- Physical Activity: Physical activity enables an individual to stay healthy and fit. This diagnosis assesses an individual’s level of physical activity, frequency and intensity of exercise, and related behaviors.
Usage Tips
When evaluating readiness for enhanced resilience, nurses should first perform a general assessment to identify signs of distress and causes of distress. This may include medical history, mental status and physical examination. Nurses should also consider the individual’s coping resources, support structure and environmental influences. Evaluating environmental influences requires the nurse to observe the family dynamics, access to resources and culture in the individual’s everyday life. Finally, nurses should focus on factors that are most pertinent to the individual, such as work and education, health behaviors, mental and physical health, and lifestyle choices.
NOC Outcomes
The Nursing Outcomes Classification (NOC) describes a list of specific outcomes that nurses should aim for when dealing with patient care. The following are the NOC outcomes related to readiness for enhanced resilience:
- Resilience: This outcome measures the patient’s ability to adapt to new ideas, living conditions and environment.
- Self-Efficacy: This outcome measures the patient’s capacity to enact behaviors, decisions and plans necessary to meet his/her own personal needs.
- Social Support: This outcome measure the patient’s capacity to develop and maintain meaningful social relationships.
- Stress Management: This outcome measure the patient’s capacity to cope with stressors from the environment.
Evaluation Objectives and Criteria
When evaluating readiness for enhanced resilience, nurses should first use the NANDA Nursing Diagnoses and the NOC Outcomes. This will help nurses identify the specific objectives and criteria necessary for evaluating and assessing the individual’s overall level of resilience. The nurse should also look for physical, cognitive and social developments which may influence the individual’s capability to cope. Finally, nurses should assess the individual’s current levels of confidence, self-efficacy and optimism, as well as the effectiveness of the patient’s resources and support structure.
NIC Interventions
The Nursing Interventions Classification (NIC) outlines specific sets of interventions for nurses to appropriately manage and treat a variety of different health conditions. The following sets of NIC interventions relate to readiness for enhanced resilience:
- Pain Management: This intervention seeks to reduce the patient’s level of distress in order to increase their comfort and peace of mind.
- Psychosocial Support: This intervention strives to help the patient to manage their feelings and emotions in times of difficulty.
- Family Education: This intervention provides instruction and guidance to the patient’s family and caregivers to better understand and meet the patient’s needs.
- Resource Identification: This intervention helps the patient to identify and access the necessary resources to maintain their health and well-being.
Nursing Activities
Nurses can perform a variety of activities to help patients enhance their resilience. These activities include providing emotional support and assistance, facilitating family education and resource identification, helping the patient to identify potential stressors and implementing coping strategies, providing educational materials and resources, encouraging physical activity and nutrition, and monitoring the patient’s progress. By taking these steps, nurses are able to enhance the patient’s resilience while helping them to overcome any health risks.
Conclusion
Nursing diagnosis: readiness for enhanced resilience is an essential diagnosis for nursing practice as it enables nurses to assess the patient’s overall level of resilience, identify potential health risks, implement interventions, and measure the effects these interventions have on their overall health. By evaluating the individual’s physical, psychological and social functioning and offering assistance where needed, nurses can help to ensure that the patient remains in full control of their well-being.
FAQs
- What is Readiness for Enhanced Resilience? Readiness for enhanced resilience is an internal or external state that enables an individual to cope effectively with environmental demands and unresolved issues.
- What is NANDA Nursing Diagnoses (NNDC)? NANDA Nursing Diagnoses (NNDC) is an internationally accepted system of nursing diagnosis that assists nurses and healthcare professionals in the evaluation and management of clinical situations.
- What type of information is provided by the NOC Outcomes? The Nursing Outcomes Classification (NOC) provides specific outcomes that nurses should aim for when dealing with patient care.
- What actions should a nurse take to help enhance an individual’s resilience? A nurse can provide emotional support and assistance, facilitate family education and resource identification, help the patient identify potential stressors, provide educational materials and resources, encourage physical activity and nutrition, and monitor the patient’s progress.
- What types of NIC interventions are related to readiness for enhanced resilience? The related NIC interventions include pain management, psychosocial support, family education, and resource identification.
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