00055 Ineffective role performance

00055 Ineffective role performance

Definition of the NANDA label

State in which the behavior patterns and expressions of the person do not agree with expectations, norms and the context in which they find themselves.

A pattern of behavior and self-expression that does not match the environmental context, norms, and expectations.

Defining characteristics

• Change in self-perception of the role.
• Denial of the role.
• Inadequate adaptation to change or transition.
• Conflict with the system.
• Change in patterns of responsibility.
• Discrimination.
• Domestic violence.
• Harassment.
• Uncertainty.
• Alteration of role perceptions.
• Tension in the performance of the role.
• Inadequate self-government.
• Ambivalence in the role.
• Pessimism.
• Inadequate motivation.
• Lack of trust.
• Inadequacy of skills and abilities to perform the role.
• Inadequate knowledge.
• Inappropriate developmental expectations.
• Role conflict.
• Role confusion.
• Impotence.
• Inadequate coping.
• Anxiety or depression.
• Overload in the performance of the role.
• Change in the perceptions that others have of the role.
• Change in ability to resume role performance.
• Dissatisfaction with the role.
• Inadequate external support for the performance of the role.
• Lack of opportunities to perform the role.

Related factors


• Inadequate or inappropriate linkage with the health care system.
• Lack of rewards.
• Family conflict.
• Inadequate support system.
• Inadequate socialization of the role (eg, role model, expectations, responsibilities).
• Stress and conflicts.
• Domestic violence.
• Demands for working hours.
• Youth, level of development.
• Poverty.
• Low socioeconomic status.
• Lack of resources.

Of knowledge

• Inadequate preparation for the role (eg, transition, skills, repetition, role validation).
• Lack of knowledge about the role.
• Role transition.
• Lack of opportunities for role rehearsal.
• Developmental transitions.
• Unrealistic expectations about the role.
• Level of education.
• Lack or inappropriate role model.


• Substance abuse.
• Alteration of body image.
• Cognitive deficits.
• Health disorders (eg, physical health, body image, self-esteem, mental health, psychosocial health, cognition, learning style, neurological health).
• Depression.
• Low self-esteem.
• Pain.
• Fatigue.
• Mental illness.
• Physical illness.
• Inadequate or inappropriate linkage with the health care system.


There is a typology of roles: sociopersonal (friends, family, marital, parental, community), household management, intimacy (sexuality, establishment of relationships), free time, exercise, recreational activities, self-government, socialization (developmental transitions), member community and religious.

At risk population

• Developmental level inappropriate for role expectation – Economically disadvantaged
• High demands of job schedule
• Low educational level
• Young age

Associated condition

• Neurological defect
• Personality disorder
• Physical illness
• Psychosis


• Psychosocial adaptation: life change.
• Alteration of the caregiver’s lifestyle.
• Execution of the role.
• Psychomotor energy.
• Overcoming problems.


• Increase coping.
• Advance guides.
• Role empowerment.
• Control of mood.
• Give hope.

This diagnosis will retire from the NANDA-I Taxonomy in the 2021-2023 edition unless additional work is
completed to bring it up to a level of evidence 2.1 or higher.