NANDA International Protocol for Submission or Revision of Nursing Diagnoses

Protocol for Submission or Revision of Diagnoses

Proposed diagnoses and revisions of diagnoses undergo systematic review to determine consistency with the established criteria for a nursing diagnosis. All submissions are subsequently staged according to evidence supporting either the level of development or validation.

Diagnoses may be submitted at various levels of development (e.g., label and definition; label, definition, defining characteristics or risk factors, and related factors). All submissions must include supporting references. Indicate if no nursing literature is available. Related research from other disciplines is also appropriate to include. Articles used for the submission are to be catalogued in the reference section of the submission form.

Review Process Type
Your diagnosis submission will progress through either Full Review Process or Expedited Review Process, depending upon the type and scope of submission.

New Nursing Diagnoses: Full Review Process
The Full Review process applies to all submissions for new nursing diagnoses.
Revised Nursing Diagnoses: Full Review Process
The Full Review Process may apply to certain submissions for nursing diagnosis revisions, depending upon the extent of proposed changes. This is a determination made by the Diagnosis Development Committee (DDC).
Revised Nursing Diagnoses: Expedited Review Process
The Expedited Review Process (ERP) is appropriate only for proposed revisions of current diagnoses. The ERP is a streamlined process intended to facilitate rapid review of proposed revisions of diagnoses when the proposed revisions are considered by the Diagnosis Development Committee (DDC) to be minor in nature and do not alter the original intent of the diagnoses. Examples of such revisions may include editing and clarification of definition or limited addition of defining characteristics or related factors.

Review Process Overview
When a nursing diagnosis submission is received, the DDC takes two initial steps: you receive notice via email that your submission has been received, and you are assigned a DDC reviewer / mentor. Your DDC reviewer / mentor will keep you advised of the status of your nursing diagnosis submission throughout the review process, and will assist you with any needed refinements or questions.

Following is a summary of the steps involved in both the Full and Expedited Review Processes. For detailed outlines of these review processes, please see the Resources links at the bottom of this page:

Full Review Process

Expedited Review Process (ERP)

1. Initial Review by DDC Reviewer / Mentor

1. Initial Review by DDC Reviewer / Mentor

2. Refinements As Necessary for Full DDC Review

2. Refinements As Necessary for Full DDC Review

3. DDC Review

3. DDC Review

4. DDC Recommendations to Submitter(s)

4. DDC Recommendations to Submitter(s)

5. Refinements as Necessary for NANDA-I Membership Review

5. Refinements as Necessary for DDC Approval

6. NANDA-I Membership Online Review and Voting

6. Not Applicable to ERP

7. NANDA-I Membership Feedback to Submitter
7. DDC Recommendations to NANDA-I Board of Directors

8. Refinements as Necessary for NANDA-I Board of Directors Approval

8.NANDA-I Board of Directors Approval

9. DDC Recommendations to NANDA-I Board of Directors

9.Post on NANDA-I Website as Approved

10. NANDA-I Board of Directors Approval

10. Incorporation into NANDA-I Taxonomy II and NNN Taxonomy of Nursing Practice

11. Post on NANDA-I Website as Approved
11. Publication in NANDA-I Nursing Diagnoses: Definitions and Classification

12. Incorporation into NANDA-I Taxonomy II and NNN Taxonomy of Nursing Practice

13. Publication in NANDA-I Nursing Diagnoses: Definitions and Classification

Diagnosis Submission Quick Links
Preparing Your Submission
Submissions Pending
Taxonomy Updates
Taxonomy Updates – Members Only

Resource Quick Links
Diagnosis Submission Form
Full Review Process
Expedited Review Process
Nursing Diagnosis Glossary of Terms
Nursing Diagnosis Level of Evidence Criteria