Health Assessment to Quality Nursing Diagnosis: Principles, Issues and Resolutions


  • Aree Cheevakasemsook School of Nursing, Sukhothai Thammathirat Open University


Health assessment, Nursing diagnosis, Quality


Health assessment is a crucial skill for nurses to assist decision making in identifying patient health problems and developing specific care plans for individual patients. Health assessment embraces both comprehensive assessment and focused assessment, which should be done simultaneously adopting cognitive, problem-solving, psychomotor, affective/interpersonal, and ethical skills. Health assessment comprises 4 steps which lead to quality nursing diagnosis including collecting the data, validating data, organizing or clustering the data, and recoding the data in order to gain accurate and complete data. In fact, even though health assessment plays an essential role for nurses, currently there are 4 dimensions of problems that sometimes make nurses unable to efficiently perform health assessment and accomplish accurate nursing diagnoses. The areas that need further resolution are: the nurses performing health assessments; development of health assessment competencies; support and opportunity; and patients and relatives.


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Stout, Kate. Nursing Documentation Made Incredibly Easy. Philadelphia: Wolters Kluwer; 2019.

Lynn, P. Taylor’s clinical nursing skills A nursing process approach. (3rd Ed.). Philadelphia: Wolters Kluwer I Lippincott Williams & Wilkins; 2011.

Kusoom,W.Nursingprocessandnursingdiagnosis: Application to clinical practice. (2nd Edn.). Bangkok: Bapith Publisher Ltd.; 2011. (in Thai).

Weber, J. & Kelley, J.H. Health assessment in nursing. (4th ed.). Philadelphia: Wolters Kluwer I Lippincott Williams & Wilkins; 2010.

Blainey S. Consultation and clinical historytaking skills. In Clinical Examination Skills for Healthcare Professionals. H. Abbott. (Edn.). pp. 1-19. Florida: M & K Publishing; 2017.

College of Licensed Practical Nurses of Alberta. Health assessment. Alberta: College of Licensed Practical Nurses of Alberta (CLPNA); 2018.

Mohamed, A.H. Health assessment. Cairo: Ain Shams University; 2018/2019.

Herdman TH, Kamitsuru S. NANDA international nursing diagnosis: Definitions & classification 2015-2017. 10th Edn. Iowa: Wiley-Blackwell; 2014.

Khoran, M., Alhani, F., & Hajizadeh, E. Nurses challenges in health assessment skills in Iran and another country: An integrative review. Journal of Nursing and Midwifery Sciences 2018, 5, 1, 38-45.

Sirhiaongaont Thanahirunrutch. An Effect of Using a Program for Developing Nursing Diagnosis Capabilities of Professional Nurses. Master Science (Nursing Administration), 2017. (in Thai)



How to Cite

Cheevakasemsook อ. Health Assessment to Quality Nursing Diagnosis: Principles, Issues and Resolutions. J Royal Thai Army Nurses [Internet]. 2021 Apr. 24 [cited 2022 May 25];22(1):38-46. Available from:



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