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Full Review Process

The NANDA International Diagnosis Submission Review Process involves multiple steps and approval points, culminating in the final step of membership approval to add a diagnosis to our terminology. 


NANDA International is a membership organization so a key role of members is to vote for the inclusion, or not, of new diagnoses to our terminology.


Our Diagnosis Development Committee (DDC) Chair and members are all volunteers, contributing their time to the work of the organization. Expert Clinical Advisory Panel members are also volunteers and these individuals are engaged to support DDC Reviewers when additional specialist clinical input is required. 


The Full Review Process, detailed below, is used for all new or substantially revised submissions. 

  1. Submissions can only be accepted using the online submission form, which must be fully completed.
  2. The initial part of the review is a Preliminary Review by the Chair of DDC. As a result of this review the Chair will either: a) recommend changes before full review, b) recommend expedited review, c) recommend full review without changes, or d) reject.
  3. If a submissions is determined to be "a) changes are recommended before full review," the submitter has 4 weeks to make these changes before re-submitting.
  4. During the review process the DDC Reviewer(s) may contact the submitter on several occasions to seek clarity and ask other questions. 
  5. Submitters can seek updates on their submissions by working with the DDC Chair and/or the Reviewer(s) appointed to their diagnosis submission; submitters should note that all Reviewers are volunteers and consequently it can take time for them to do their NANDA-I work.
  6. Once a Reviewer is content with the submission they will submit it to the DDC Chair and Committee for voting. If approved, the DDC Chair will seek Board approval. Once Board approval has been granted, the submission will be voted upon by the members of NANDA International. If successful, the submission will be included in the next published edition of the terminology.