00184 Willingness To Improve Decision Making

Domain 10: vital principles
class 3: congruence between values/beliefs/actions
Diagnostic Code: 00184
Nanda label: willingness to improve decision making
Diagnostic focus: decision making
Approved 2006 • Revised 2013 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

The Nanda nursing diagnosis « willingness to improve decision -making is defined as: pattern of choice of the course of actions to achieve the objectives related to short and long term health, that can be reinforced.

Definite characteristics

  • Expresses desire to improve the congruence of the decision with the sociocultural objective
  • Expresses desire to improve the congruence of the decision with sociocultural values ??
  • Expresses desire to improve the congruence of the decision with the objective
  • Expresses desire to improve the congruence of the decision with the values ??
  • Express desire to improve decision making
  • Expresses desire to improve the risk-benefit analysis of decisions
  • Express desire to improve the understanding of options
  • Express desire to improve the understanding of the meaning of options
  • Expresses desire to improve the use of reliable evidence for decision making

Suggestions of use

  • (a) The function of the nursing professional is to help patients make informed and logical decisions providing information and support. You should not try to influence the patient to make a specific decision, (b) should not be assumed that patients who face important decisions, even life or death, are in a conflict.
  • In some cases it may be very easy to make such decisions.

Suggested alternative diagnostics

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

NOC Results

  • Personal autonomy: personal actions of a competent individual to make decisions about his life
  • Compliance behavior: personal actions aimed at achieving levels
  • Optimal well -being, recovery and rehabilitation
  • Beliefs on health: personal convictions that influence health behaviors
  • Decision making: ability to judge and choose between two or more alternatives

Evaluation objectives and criteria

  • • Demonstrates decision making, which is manifested by the following indicators (specify from 1 to 5: severely, substantially, moderately, slightly or not affected):
    • Identify relevant information
    • Recognize possible conflicts with the wishes of others
    • Know the relevant legal implications
    • Evaluate and choose between several alternatives
    • Identify the necessary resources to support each alternative
    • Take into account the social context of the situation
  • Other examples

    The patient will be able to:

    • • Manifest your satisfaction with decision making
    • • Manifest greater congruence between their decisions and personal and sociocultural values ??and objectives
    • • Manifest greater capacity to analyze the risks and benefits of decisions
    • • To express a greater understanding of the available alternatives and their implications
    • • Manifest the use of reliable information to make decisions

    NIC Interventions

    • Clarification of values: help another person clarify their own values ??in order to facilitate good decision making
    • Support in decision making: provide information and support to a patient who is making a decision regarding their health care
    • Assertive training: helping the effective expression of feelings, ideas and needs, at the same time respecting the rights of others
    • Health Education: Develop and offer instruction and learning experiences to facilitate voluntary adaptation of behavior leading to improve the health of individuals, families, groups or communities
    • Improvement of self -awareness: helping a patient to explore and understand their thoughts, feelings, motivations and behaviors

    Nursing Activities


    • • Evaluate patient support systems
    • • Assess the skills and the usual way of making decisions

    Patient and family education

    • • Teach problems solving and decision -making
    • • Teach assertiveness techniques
    • • (NIC) Support in decision making: give the patient the information requested

    Collaboration activities

    • • (NIC) support in decision making:
      • Act as a link between the patient and other health care professionals
      • Facilitate joint decision making


    • • Facilitate recognition and expression of thoughts and feelings
    • • Help the patient identify their learning style
    • • Help the patient identify their strengths and capacities
    • • Create opportunities to practice assertive behaviors
    • • (NIC) Clarification of values:
      • Create an impartial and acceptance climate
      • Raise explanatory and reflective questions that force the patient to think
      • Encourage the patient to make a list of things that are important in life and those that are not, and the time dedicated to each of them
      • Help the patient determine whether their values ??agree or if they are in conflict with those of their family and other people relatives
      • Help the patient define the alternatives, as well as their advantages and disadvantages
    • • (NIC) support in decision making:
      • Establish communication with the patient from their income
      • Facilitate the expression of care objectives
      • Help the patient identify the advantages and disadvantages of each alternative
      • Help the patient explain their decision to others, if necessary
      • Serve as a link between the patient and the family
    • • Encourage the problems and consequences of behavior
    • • Help the patient prioritize the objectives
    • • Help the patient identify a course of action and adapt it, if necessary

    At home

    • • Previous interventions can also be applied at home

    Older people

    • • Evaluate the current capacity of the patient to make decisions and solve problems
    • • Assess the presence of dementia, depression, hearing loss and communication problems that may interfere with the disposition to improve decision making
    • • Comment with family members how they can support the patient’s decisions, even if they do not agree