00164 Willingness To Improve Parenting

Domain 7: role/relationships
Class 1: caretaker roles (a)
Diagnostic Code: 00164
Nanda label: disposition to improve breeding
Diagnostic focus: breeding
Approved 2002 • Revised 2013, 2020 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda’s nursing diagnosis « willingness to improve breed empathic and proper behavior in response to the needs of the child, which can be reinforced.

Definite characteristics

  • Express desire to improve the acceptance of the child
  • Express desire to improve the quality of care
  • Express desire to improve the maintenance of child’s health
  • Express desire to improve preparations for child care
  • Express desire to improve involvement with the child
  • Express desire to improve the safety of the environment at home
  • Express desire to improve the stability of mood
  • Express desire to improve parents-child relationships
  • Express desire to improve patience
  • Expresses desire to improve positive communication
  • Express desire to improve parenting behaviors
  • Express desire to improve positive temperament
  • Expresses desire to improve the response to the behavioral keys of the infant

Suggestions of use

In general, adjustment to paternity is a normal maturation process in which nursing interventions focus on the prevention of possible problems and health promotion. If the interventions are not limited to paternity, the possibility of using any of the suggested alternative diagnoses should be considered.

Suggested alternative diagnostics

  • Family coping, disposition to improve the
  • Family processes, disposition to improve the

NOC Results

  • Knowledge: Care of the infant: degree of understanding expressed about the care of a baby from birth to its first year of life
  • Knowledge: paternity: scope of knowledge transmitted about the provision of a constructive and positive environment to a child between one and 17 years of age
  • Knowledge: Child Physical Security: Scope of the knowledge transmitted on the care provided safely to a child between one and 17 years of age
  • Family operation: Family system capacity to meet the needs of its members during development transitions
  • Paternity: Physical Security of the adolescent: parents’ actions to prevent physical injuries in a teenager between 12 and 17 years of age
  • Paternity: Physical security in early and intermediate childhood: parents’ actions to avoid physical injuries in a child between three and 11 years of age
  • Paternity: Physical security in the first two years of life: parents’ actions to avoid physical injuries in a child from birth to two years of age
  • Paternity: Psychosocial security: parents’ actions to protect a child from social contacts that could damage or injure it
  • Parental role: Actions of parents aimed at providing the child with a physical, emotional and social and positive social environment

Evaluation objectives and criteria

  • Also see the objectives and criteria for the diagnosis of paternity deterioration.

  • Demonstrates parental role, as manifested by the following indicators (specify from 1 to 5: never, sometimes, sometimes, often or usually):
    • Use disciplinary measures appropriate to age
    • Express realistic expectations of parental role
    • Verbally express the positive characteristics of the child
  • Demonstrate knowledge: fatherhood, as evidenced by the following indicators (specify from 1 to 5: no, limited, moderate, substantial or broad knowledge):
    • Normal growth and development
    • Physical care needs
    • Psychological and socialization needs
    • Effective communication strategies
  • Other examples

    • One or the two parents will be able to:
    • Identify personal risk factors that may cause ineffective paternity
    • Identify high -risk situations that may cause ineffective paternity
    • Recognize and compensate for your physical, cognitive or psychological limitations to provide care
    • Verbally express a sense of control over one’s behavior and the life situation
    • Indicate the existence of positive interpersonal relationships
    • Demonstrate a constructive discipline
    • Identify and use community support resources for home care
    • Identify people who can offer emotional information and support if necessary
    • Show disposition to ask for help from others
      • The child will be able to:
      • Reach physical, cognitive and psychological milestones, at expected moments (consult the corresponding age group to obtain specific development standards)

    NIC Interventions

    • Parent Education: Adolescent: Assistance to parents to understand and help their teenage children
    • Parent Education: Family and parenting: Assistance to parents to understand and promote growth and physical, psychological and social development, their young children in preschool or school age
    • Parent education: infant: instruction on food and the necessary physical care during the first year of life
    • Teaching: Nutrition of the infant: instruction on nutrition and food practices during the first year of life
    • Teaching: infant security: Security instruction during the first year of life
    • Teaching: infant security: Security Instruction during the second and third years of life
    • Promotion of family integrity: promotion of cohesion and family unit
    • Promotion of family integrity: family and parenting: facilitation of the growth of individuals or families that add a child to the family unit
    • Promotion of paternity: Provision of information, support and coordination of all services to high -risk families
    • Development promotion: Adolescent: Facilitation of optimal physical, cognitive, social and emotional growth, of individuals during the transition from childhood to adulthood
    • Development Promotion: Child: Teaching parents and caregivers to facilitate optimal cognitive, social, emotional development, thick and fine motor skills, and the language of preschool and school age children

    Nursing Activities


    • Determine if parents have realistic expectations regarding the child’s behavior
    • Evaluate parents’ knowledge about the needs of the basic care of the baby or child
    • (NIC) Promotion of family integrity.
      • Determine the usual family relationships
      • Monitor current family relationships
      • Patient education and parents
    • Provide information on children’s care, as required
    • Teach problem solving techniques, decision making and child parenting, as required
    • Instruct on non -physical punishment methods to discipline children
    • Teach parents adequate ways of stimulating babies, especially premature
    • Instruct about the right toys for the child’s age
    • In the case of infants in incubators, indicate ways to touch them
    • (NIC) Development promotion: Child: Instruct about caregivers about the stages of normal development and related behaviors

    Collaboration activities

    • (NIC) Development promotion: Child: Facilitate the contact of caregivers with community resources, as required


    • Promote attachment between parents and son during pregnancy and after childbirth; for instance:
      • Encourage the father or the couple to be present during birth
      • Offer privacy and allow parents to see, load and examine the newborn immediately after childbirth
      • When making the initial assessment of the newborn, indicate to the parents the characteristics and skills of the newborn
      • Recognize and reinforce the positive behaviors of the parents
    • (NIC) Promotion of family integrity.
      • Listen to family members
      • Promote an environment of unity within the family
      • Promote open communication among relatives

    At home

    • above interventions can be applied to home care

    Older people

    • Explain the importance of grandparents in the child’s development