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Learning outcomes descriptions 1.2.b

Competence description VQTS:

1.2.b Is able to develop and revise nursing diagnoses based on collected data.

Competence (EQF)SkillsKnowledge

The professional caregiver is able to autonomously and independently define and revise nursing diagnoses.











































The professional caregiver is able to:

  • involve the patient/client and relevant others in developing nursing diagnoses (e.g. through questioning),
  • apply a care diagnosis system,
  • cluster and organise gathered data to formulate nursing diagnoses,
  • identify high-risk and low-risk care problems regarding care diagnoses,
  • initiate data collection and determine which data should be collected
  • regarding carrying out the care diagnosis,
  • recognise the patient's self-care deficits (e.g. deficits in the patient’s physical condition, knowledge, skills and motivation),
  • recognise deviations from the patient’s normal physical condition and involve it in the care diagnosis (e.g. dyspnoea, oedema, tachypnoea, tachycardia, oliguria),
  • recognise deviations from the patient’s/client’s mental and psychological condition and involve it in the care diagnosis (e.g. confusion, anxiety),
  • recognise deviations from the patient’s/client’s social life and involve it in the care diagnosis (e.g. social isolation),
  • recognise complications after treatments that lead to additions and changes in the nursing diagnosis (e.g. pharmacological treatment),
  • define actual and potential nursing diagnoses related to physical status (e.g. weight of the patient/client),
  • define actual and potential nursing diagnoses related to mental and social status (e.g. poor income, living alone),
  • consider risk factors in the patient’s/client’s behaviour regarding care and therapy and the influence of the nursing diagnosis (e.g. noncompliance with pharmacological treatment, insufficient knowledge of disease),
  • consider changes in the patient/client that are caused by their disease and how this impacts the nursing diagnosis,
  • collaborate with other professions regarding the patient’s/client’s needs based on the nursing diagnosis (e.g. for extension of medical treatment),
  • define short-term and long-term objectives based on the nursing diagnosis,
  • revise nursing diagnoses regularly,
  • perform the documentation of nursing diagnoses (see also CA.A.2).


The professional caregiver is able to:

  • explain legal regulations and consequences regarding nursing diagnoses (see also CA.B.3),
  • explain their own behaviour with regard to involving patients/clients in the development of the nursing diagnosis,
  • describe concepts of nursing diagnoses (e.g. Nursing Interventions Classification, Nursing-Sensitive Outcomes Classification, ePA©),
  • name sectors of care diagnoses (e.g. excretion, liquids, social interaction),
  • list relevant data to be gathered for nursing diagnoses,
  • list self-care deficits in different bio-psycho-social health conditions and diseases (e.g. children, older people, chronic diseases),
  • describe symptomatology of chronic diseases (e.g. COPD, dementia, diabetes),
  • describe symptomatology of acute diseases (e.g. heart infarction, stroke, loss of blood after accidents, shock),
  • list side-effects and complications of pharmacotherapy (e.g. NSAIDs, anticoagulants, blood pressure-lowering agents) (see also CA.3.2),
  • name classification and forms of nursing diagnoses,
  • describe pathogenesis of frequently chronic diseases (e.g. COPD, dementia, diabetes),
  • name complications that influence nursing diagnoses (e.g. acute changes in the patient’s/client’s condition),
  • list complications of different forms of treatment (e.g. operative vs. conservative treatment for spine disorders),
  • explain the aetiology and risk factors related to nursing diagnoses,
  • name psychological and social factors influencing the client’s/patient’s ability to self-care (e.g. factors that influence health, adaptation to stress, defence mechanisms, ways of coping with stress, effect of culture on health, social
  • level, family background, social problems in relation to health, attitudes and behaviour),
  • list classifications of nursing diagnoses and types of complex nursing diagnoses (e.g. NANDA, ICNP),
  • describe theories of loss, bereavement and death (e.g. five stages according to Kübler-Ross),
  • list and describe basic emotions (e.g. fear/panic, anger/rage, joy/ecstasy).


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