00057 Risk for impaired parenting

00057 Risk for impaired parenting

Definition of the NANDA label

Situation in which the main caregiver runs the risk of not being able to create, maintain or recover an environment that promotes optimal growth and development of the child.

Susceptible to primary caregiver difficulty in creating, maintaining or regaining an environment that promotes the optimum growth and development of the child, which may compromise the well-being of the child.

Risk factors


• Marital conflict, decreased satisfaction.
• Lack of problem solving skills.
• Tension or overload in the performance of the role.
• Social isolation.
• Legal difficulties.
• Devaluation of paternity or maternity.
• Inappropriate domestic environment.
• Lack of family cohesion.
• Lack or inadequacy of the parental role model.
• Low self-esteem.
• Inadequate arrangements for the care of the child.
• Maladaptive coping strategies.
• Change in family unit.
• Lack of social support networks.
• Inability to prioritize the child’s needs before your own.
• Stress.
• Transfer.
• History of having suffered abuse.
• Lack of access to resources.
• Poverty.
• History of previous abuse.
• Economic difficulties.
• Lack of involvement of the child’s father.
• Unintended or unwanted pregnancy.
• Lack of resources.
• Low socioeconomic class.
• Lack of transportation.
• Unemployment or job problems.
• Single parent family.


• Low educational or knowledge level.
• Unrealistic expectations about the child.
• Lack of knowledge about parenting skills.
• Poor communication skills.
• Preference for physical punishment.
• Inability to recognize and act on the child’s cues.
• Cognitive malfunction.
• Lack of knowledge about maintaining the child’s health.
• Lack of knowledge about the child’s development.
• Lack of cognitive availability for motherhood or fatherhood.


• Physical illness.

Of the infant or child

• Multiple births.
• Mutilating condition or developmental delay.
• Disease.
• Alteration of perceptual abilities.
• Lack of correspondence with parental expectations (temperament).
• Unintended pregnancy or unwanted child.
• Premature birth.
• Sex other than desired.
• Difficult temperament.
• Attention deficit due to hyperactivity.
• Prolonged separation from parents.
• Separation from parents at birth.


• Separation of the infant / child.
• Many children or children with little difference in age.
• Disability.
• Sleep deprivation or disturbance.
• Difficult labor or delivery.
• Youth, especially adolescence.
• Depression.
• History of mental illness.
• Lack of prenatal care or late prenatal care.
• History of substance abuse or dependence.

At risk population

Infant or Child

• Developmental delay
• Difficult temperament
• Gender other than desired
• Prematurity


• Change in family unit
• Closely spaced pregnancies
• Difficult birthing process
• Economically disadvantaged
• High number of pregnancies
• History of abuse
• History of being abusive
• History of mental illness
• History of substance misuse
• Insufficient cognitive readiness for parenting
• Legal difficulty
• Low educational level
• Multiple births
• Relocation
• Single parent
• Unemployment
• Unplanned pregnancy
• Unwanted pregnancy
• Work difficulty
• Young parental age

Associated condition

Infant or Child

• Alteration in perceptual abilities
• Behavioral disorder
• Chronic illness
• Disabling condition


• Alteration in cognitive functioning
• Disabling condition
• Physical illness


• Child development.
• Execution of the role.
• Family functions.
• Father-son emotional ties.
• Be dad.
• Social support.
• Overcoming family problems.


• Parental education.
• Stimulation of family integrity.
• Promotion of fatherhood.
• Promotion of child development: specify.
• Role empowerment.
• Maintenance in family processes.
• Child care.
• Promotion of rapprochement.
• Support in the protection against abuse.
• Promotion of development.
• Identification of risks.
• Increase in support systems.
• Increase in family involvement.
• Support group.
• Family support.
• Increase coping.

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.