1Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010

Always look on the bright sideAlways look on the bright side

Resource-based nursing diagnostics

Mag. Kurt SCHALEK

International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010

2Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010

The mission of nursingThe mission of nursing

Definition of Nursing by the International Council of Nurses (ICN):

“Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people.

Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles.”(http://www.icn.ch/definition.htm)

Nurses have to deal with both, health and illness!

3Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010

What is health?What is health? Health can be defined as process of being alive

(Pelikan 2009)

Ideas about „health“ „either/or“: healthy OR sick Single continuum: health ------x--------------- sickness Multidimensional continuum: physical, mental, social

dimension Conclusions:

Health has different dimensions Positive health and ill health exist simultaneously Positive health and ill health can develop differently Health has to be re-produced permanently (e.g. by

daily nutrition, sleeping, socialising …)

4Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010

What means health in nursing?What means health in nursing? Nursing deals with a specific part of health Focus on health-related ability of coping with every-

day life (Bartholomeyczik 2006), e.g.: coping with acute/chronic disease coping with personal circumstances: e.g. old age,

impairments, living conditions, social networks Nurses have to cover physical, mental and social

dimensions of health Prerequisite for health can be called resources Resources = abilities and possibilities for

maintaining and/or developing health or coping with impairments

New Nursing Classification ‘POP’ in German language is based on these assumptions

5Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010

Resources and healthResources and health

Describing resources means describing aspects of health.

e.g. walking

mobility muscularity motivation environment

and more …

Resources can be found in all dimensions of health: physical, mental and social prerequisites

6Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010

Resources „Thought Process“Resources „Thought Process“

Thought Process

nerves being awake interest stimulus

and more …

oxygen securityfluid balance information

physical mental social

7Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010

Diagnosing deficits by resourcesDiagnosing deficits by resources

8Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010

Conditions of resourcesConditions of resources

Resources can be in different conditions:

Intact resources – health nursing diagnoses Health Nursing Diagnoses: developing, strengthening

and maintaining positive health resources

Potentially impaired resources – risk nursing diagnoses Risk Nursing Diagnoses: prevent intact resources from

impairment

Impaired/missing resources – actual nursing diagnoses Actual Nursing Diagnoses: recovery or stabilisation of

impaired resources

(Stefan/Allmer/Eberl et al. 2009)

9Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010

Diagnosing “Walking, impaired”Diagnosing “Walking, impaired”

Walking

mobility muscularity motivation environment

Nursing diagnosis Walking, impaired

10Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010

ConclusionsConclusions

Effects of a resource-oriented approach on nursing diagnoses:

Describing etiology, risk-factors and supportive resources with a high practical relevance

Simplify planning of care: ease definition of aims (desired outcomes) and interventions

Clear criteria for evaluation Implementing a comprehensive understanding of health

and of the field of nursing

11Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010

Thank you for your attention!

12Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010

13Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010

Some argumentsSome arguments

Why should health professionals deal with health? Focus on deficits/diseases/impairments is a very

narrow approach Positive potentials are relevant for health

interventions (e.g. coping/adherence, rehabilitation) Increasing number of people with chronic diseases

who need to implement and re-organise their daily lives

Perspectives of prevention and health promotion Starting interventions before problems become

evident Implement interventions that focuses on healthy

resources of patients/clients