Nursing Assessment Using Indonesian, Gordon, and NANDA-I Diagnosis Standards in Determining Nursing Problems: A Quasi-Experimental Study
DOI:
https://doi.org/10.31674/mjn.2025.v17i02.016Abstract
Background: Nursing assessment is a crucial initial step, and several formats are commonly used. Currently, the Indonesian National Nurses Association has directed all educational institutions to use SDKI, SLKI, and SIKI for nursing process. Objectives: This research aimed to compare nursing assessment using SDKI, Gordon, and NANDA-I (North American Nursing Diagnosis Association International) categorisation in determining nursing problems by nursing students. Methods: A Quasi-experimental non-equivalent control group post-test-only design was used. A total of 88 nursing students divided into three groups using simple random sampling. The instruments used were the ability to analyse nursing problems with content validity index analysis by five experts, and nursing problem analysis with Fleiss' Kappa. Results: The results showed the ability to analyse problems had a mean value of 3.15, while SDKI, Gordon, and NANDA-I had values of 3.13, 3.13, and 3.17 respectively. The mean rank value obtained was 47.53, 44.82, 41.14 (p-value: 0.632). Furthermore, the post-hoc test using pairwise comparison Kruskal Wallis test showed that the mean difference was as follows SDKI - Gordon group was 62.64 (SD: 8.96, p-value: 0.710), SDKI – NANDA-I was 62.95 (SD: 11.31, p-value: 0.322), and Gordon – NANDA-I was 62.97 (SD: 12.53, p-value: 0.606). Conclusion: Nursing assessment using the SDKI, NANDA-I, and Gordon 11 Functional Health Patterns did not have a significant difference. However, the observation results showed that SDKI had accuracy, precision, and ease in determining nursing problems. Recommendation: This nursing assessment might use for education and hospitals in using assessments based on the SDKI format to provide work efficiency in enforcing nursing problems.
Keywords:
Nursing Assessment, Nursing Diagnosis, Nursing Problems, SDKIDownloads
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