Paper
Thursday, 20 July 2006
This presentation is part of : Evaluating the Attitudes and Perceptions of Student Nurses
Nursing Diagnosis and Perception of Clinical Power: Attitudes of Baccalaureate Students
Dina de Almeida Lopes Monteiro Cruz, RN, PhD1, Cibele Andrucioli de Mattos Pimenta, RN, PhD1, and Angela Bugui2. (1) School of Nursing, University of Sao Paulo, Sao Paulo, Brazil, (2) Enfermagem, Hospital Beneficência Portuguesa, São Paulo, Brazil
Learning Objective #1: Describe theoretical assumptions on attitudes and behavior;
Learning Objective #2: Describe possible associations betwen nursing students' perception of clinical power and attitudes towards nursing diagnoses.
Implementation of standardized nursing language (SNL) to state nursing diagnosis (ND) is a challenge for nursing development. Implementing SNL involves behavioral changes that depend on the attitudes of nurses toward the concept of ND. The basic assumption of this study is that the use of SNL to state ND leads nurses to expose the clinical focus on which the nursing contribution can be relevant. This exposition amplifies the nurses’ perception of the power of their own clinical role. The objectives of this study were: to describe the attitudes of nursing students toward ND, and their perception about the power of their clinical role; to verify the associations between the variables of gender, age, semester of the baccalaureate program, satisfaction with the career option, previous contact with ND; and to test association between attitudes on ND and perception of the clinical role power. The sample was 141 students of the Universidade de São Paulo Nursing School (49 were attending the 2nd semester; 22 were in the 4th; 36 in the 6th; and 34 in the 8th semester). Out of the total, 131 (92.9%) were female, the mean age was 22.2(±2.7), and 49 (34.8%) had had previous contact with ND. The “Positions on Nursing Diagnosis” tool (PND) and “Power as Knowing Participation Change Tool” (PKPCT) were applied. The mean of the PND total scores was 104.8 (±18.9); there were statistical associations between PND scores and the variables: semester of the program (p<.05), previous contact with ND (p<.05), and satisfaction with career option (p=.007). The mean of the PKPCT total scores was 259.2(±36.5); there were association between the scores on PKPCT and the variables: semester of the program (p<.05), and satisfaction with career option (p<.001). Students attitudes on ND and their perception about the power of their own clinical role were associated (p<.001).

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