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Procedure to Appeal a DDC Decision on Diagnosis Review

If a diagnosis/revision is reviewed by the DDC and returned to the submitter(s) either for revision or because it is judged not to meet one or more criteria for staging a diagnosis, the submitter(s) may appeal the decision.

If the DDC chooses not to accept a diagnosis/revision, notification of non-acceptance is provided to the submitter(s) with detailed rationale. One or more of the following reasons will be explained to the submitter(s):

  • Reject diagnosis (e.g. does not meet criteria for the definition of a nursing diagnosis or does not meet diagnosis level of evidence criteria
  • Return with substantial revision (e.g. need to make major content changes)
  • Insufficient/old literature support (e.g. failure to reference meta analyses, concept papers, current research, or lack of research articles)
  • Return with editorial changes (e.g. solicit submitter response to DDC rationale and/or revision to submission)

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If submitter(s) chooses to appeal the DDC decision, the proposed diagnosis/revision will be placed on the NANDA-I Web Site and will be announced in the journal. A period of 90 days will be provided for members to submit evidence supporting, modifying, or rejecting the diagnosis/revision. After 90 days, DDC will review feedback and submit a second decision to the submitter(s).

If the DDC chooses not to accept a diagnosis following the second review, the submitter(s) will have an opportunity at the biennial conference to present the diagnosis/revision and the rationale for disagreement with the DDC decision. The presentation will occur in an open session and require evidence-based argument from the submitter(s) and the DDC regarding the decision. Conference attendees will also have the opportunity to present evidence-based argument supporting, modifying, or rejecting the diagnosis/revision. Following the open session, the DDC will review all information and forward a decision to the submitter(s) and the Board of Directors.

The NANDA International Board of Directors will have opportunity to provide evidence-based argument supporting, modifying, or rejecting the submission at two points:

  1. During the open forum at the biennial conference
  2. After the conference, the Board of Directors will provide a final review of the DDC recommendation for approval. A decision by the Board of Directors to modify or reject the DDC's recommendation must be evidence-based and at the same LOE or higher as the evidence presented by the submitter(s) and/or by the DDC.

NANDA-I Diagnosis Submission Guidelines

NEW Diagnosis Submission Process
These are the initial steps to take in submitting a NEW diagnosis for consideration by the DDC.

REVISED Diagnosis Submission Process
These are the initial steps to take in submitting a REVISED diagnosis for consideration by the DDC.

Expedited Review Process
An expedited review process (ERP) is appropriate only for proposed revisions of current diagnoses.

Diagnosis Submission: Level of Evidence Criteria

Submit Online! NANDA-I Diagnosis Submission Form

NANDA-I Diagnosis Submission Form (Word.doc - 94K)

Complete Submission Guidelines (Word.doc - 95K)

For additional information contact the National Office at 800-647-9002.

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