Nursing diagnosis – READINESS FOR ENHANCED KNOWLEDGE

READINESS  FOR  ENHANCED  KNOWLEDGE

DEFINITION

The presence or acquisition of cognitive information related to a

specific topic that is sufficient for meeting health-related goals and

can be strengthened

DEFINING CHARACTERISTICS

• Expresses an interest in

• Behaves congruent with

learning

expressed knowledge

• Explains knowledge of

• Describes previous experience

topic

related to other topics

ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.)

• Communication

• Risk management

• Knowledge

• Values and beliefs

EXPECTED OUTCOMES

The patient will

• Identify new sources for enhancing knowledge in the topic of

interest.

• Make use of all relevant resources to enhance knowledge.

• Ask questions where new information needs clarification.

• Begin practicing new behaviors gleaned from enhanced knowledge.

SUGGESTED NOC OUTCOMES

Knowledge: Health Promotion

INTERVENTIONS AND RATIONALES

Determine:  Assess current health status; problems, restrictions, limita-

tions; personal habits, such as the use of tobacco, drugs, alcohol con-

sumption, level of knowledge about disease process; communication

skills (verbal and written), degree of motivation to maintain health;

familiarity with technology as a source of learning. Assessment infor-

mation will help identify appropriate interventions.

Perform:  Plan a health maintenance program for the patient and

family members addressing current problems. Developing a plan

with the family will increase the probability of compliance by giving

them information to review each day. Provide the family and patient

with a written copy. A written copy can be posted in the patient’s

home where it is always available for review.

Inform:  Provide books and videos that will help the patient’s quest

for enhanced knowledge. Supplying some materials directly may be

a motivation for the patient to search further.

Direct patient and family to use other sources such as libraries,

the Internet, or professional organizations. An independent search

results in the patient developing confidence in his or her ability to

go much deeper into the area of interest.

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Attend: Encourage patient and family to verbalize feelings and con-

cerns related to the knowledge and skills that patient needs. This

promotes greater ease in managing challenging situations.

Demonstrate willingness to repeat instruction and demonstrations

of skills needed by the patient. Repetition will reinforce learning and

give the patient added confidence in his or her ability to comply.

Be available to answer questions and correct misconceptions for

the patient/family to enhance the effectiveness of learning.

Introduce the patient and/or family to individuals who may have

had experience with the health problems in question if that is advis-

able. In many cases, having the opportunity to talk to another per-

son that has coped well with the same problem will provide support

and encouragement to the patient.

Manage:  Refer to social worker/case manager early in the patient’s

hospitalization. This person will begin identifying the types of sup-

port and resources the family and patient will need to prepare for

follow on care.

Refer to social and community resources, such a stroke support

group, and Alzheimer’s family support group, American Cancer

Society. The patient can contact these sources for additional

information as needed.

SUGGESTED NIC INTERVENTIONS

Discharge Planning; Individual; Learning Enhancement; Learning

Facilitation; Referral; Teaching

Reference

Eldh, A. C., et al. (2006, September). Conditions for patient participation and

non-participation in health care. Nursing Ethics, 13(5), 503–514.

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