00055 Ineffective Performance Of The Role

Domain 7: role/relationships
Class 3: role performance
Diagnostic Code: 00055
Nanda label: ineffective performance of the role
Diagnostic focus: role performance
Approved 1978 • Revised 1996, 1998, 2017

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « ineffective performance of the role is defined as: pattern of behavior and its own expression that does not agree with the environmental context, norms and expectations.

Definite characteristics

  • Alteration in the responsibility pattern
  • Alteration of the perception of role by others
  • Alteration in the perception of role
  • Alteration in the resumption of the role
  • Anxiety
  • Depressive symptoms
  • Domestic violence
  • Harassment
  • Inadequate trust
  • Inadequate external support for the assumption of the role
  • Inappropriate knowledge of the role requirements
  • Inadequate motivation
  • Inappropriate opportunities for the assumption of role
  • Inadequate personal management
  • Inadequate skills
  • Inappropriate development expectations
  • Adaptation to ineffective change
  • Ineffective coping strategies
  • Ineffective execution of the role
  • Perception of social discrimination
  • Pessimism
  • Impotence
  • Informs social discrimination
  • Ambivalence of the role
  • Role denial
  • Unsatisfaction with the role
  • Conflict with the system
  • Uncertainty

Related factors

  • Body image alteration
  • Conflict
  • Fatigue
  • Inadequate health resources
  • Inadequate psychosocial support system
  • Inadequate rewards
  • Inappropriate role models
  • Preparation of the inadequate role
  • Socialization of inadequate role
  • Inappropriate linking with the health system
  • Low self -esteem
  • Pain
  • Role conflict
  • Role confusion
  • Role performance tension
  • Stressors
  • Inappropriate use of substances
  • Domestic violence not attended
  • Unrealistic role expectations

Risk population

  • People at economic disadvantage
  • People with inappropriate level of development for the expectations of the role
  • People with a very demanding workplace
  • People with low educational level

Associated problems

  • Depression
  • Neurological defect
  • Personality disorder
  • Physical condition
  • Psychosis

Suggestions of use

  • When appropriate, use more specific labels, such as parental role conflict, sexual dysfunction and interruption of family processes. All people present alteration and conflict of the role to a certain degree.
  • If the patient has difficulties with the performance of the role, the possibility of using ineffective performance of the role as etiology of another diagnosis that describes the impact that occurs on the operation (for example, deterioration of the maintenance of the home, related to ineffective performance of the role).

Suggested alternative diagnostics

  • Low situational self -esteem
  • Caregiver, risk of fatigue of the role of
  • Household maintenance, deterioration of
  • Family processes, interruption of the
  • Parental role, conflict of

NOC Results

  • coping: personal actions to manage the stressful elements that test the resources of a person
  • Psychosocial adjustment: Change of life: Psychosocial adaptive response of an individual before an important change in his life
  • Caregiver Performance: Direct care: Provision of the family of a professional health caregiver for a family member
  • Caregiver’s performance: indirect care: disposition and surveillance of the family caregiver to give appropriate attention to a family member
  • Role performance: coherence of the behavior of the role of a person regarding the expectations of the role
  • Parental role performance: parental actions to provide the child with a physical, emotional and social, constructive and education environment
  • Depression level: severity of the State of Melancholy and Loss of interest in the events of life

Evaluation objectives and criteria

  • It shows role performance, as manifested by the following indicators (specify 1-5: no, slightly, moderately, substantially or totally adequate):
    • Ability to meet the expectations of the role
    • Knowledge about the transition periods of the role
    • Role behavior performance with respect to family, community, work, intimate relationships and friends
    • Knowledge about strategies for the Role change (s)
  • Other examples

    • Recognize the effect of the situation on the performance of the role, the way of life and existing personal relationships
    • Describe the real change of functions
    • Express desire to use resources after discharge
    • Verbally express that it feels productive and useful
    • Demonstrates capacity for finance management

    NIC Interventions

    • Promotion of paternity: offer information for parents, as well as support and coordination of complete services to high -risk families
    • Anticipatory Guide: Patient preparation to face an anticipated development or situational crisis
    • Inspiration of hope: Facilitation of the development of a positive perspective with respect to a specific situation
    • mood management: offer of security, stabilization, recovery and maintenance of a patient who abnormally experiences a depressive or elevated humor
    • Improvement of self -efficacy: Strengthening of a person’s trust in their abilities to perform health behavior
    • Improvement of coping: assistance to a patient to adapt to stressful factors, changes or perceived threats that interfere with the demands and roles of their life
    • Improvement of the role: assistance to a patient, the closest person and family members, to improve relationships by clarifying and complementing the specific behavior of the role

    Nursing Activities

    Valuations

    • Value in advance the duration of the difficulties of the role
    • Assess the need for assistance by social services to plan care with the patient and family members

    Patient and family education

    • (NIC) Improvement of the role: teach the new behaviors that the patient/parent should show to perform a role

    Others

    • Help the patient identify the advantages that it has
    • Listen actively to the patient and family members, as well as recognize that their concerns are founded
    • Encourage the patient and relatives to express their feelings and show sadness
    • (NIC) Improvement of the role:
      • Help the patient identify the various vital roles
      • Help the patient identify the usual role in the family
      • Help the patient identify that the expectations of the role are not met

    At home

    • Previous nursing activities are suitable for home care
    • Assess the effect of communication on family functioning and roles
    • Promote the debate about adaptations to the roles related to the moment when the children leave home (that is, empty nest syndrome), according to proceed

    Babies and Children

    • (NIC) Improvement of the role: Promote the debate on the change in the role of the brothers when a newborn arrives, according to proceed

    Older people

    • (NIC) Improvement of the role: help an adult child to accept the dependence of an advanced father and the role changes that this implies, according to proceed
    • Monitor the health status of grandparents who deal with their grandchildren
    • Channel to the patient to support groups to facilitate adaptation to role changes
    • Assess the memory loss that could interfere with the performance of the role; channel the patient to a memory rehabilitation therapy, as appropriate