One of the major aspects of Nursing Process used in nursing graduation courses is Nursing Diagnosis according to North American Nursing Diagnosis Association (NANDA). We've experienced the implementation of systematic nursing care in a school hospital at Campinas, Brazil since nearly one decade. During this time we could evaluate the teaching process as well as searched for data concerning nursing care provided there. We notice that nursing students state the importance of nursing diagnosis and its practical application. Among nursing staft, the classification of nursing practice and diagnosis taxonomy are worth wile, although they find difficulties in stablishing an accurated diagnosis, and evaluation/assessment of nursing care provided. We consider that there is an increasing motivation in using diagnosis; nevertheless, several challenges are tobe overcome toward a betler clinical reasoning, diagnosis accuracy and refinement of the diagnosis already used in a common basis.
nursing diagnosis; teachin; nursing assistance