Kreitzer’s Well-Being Model Through Clinical Care Classification System: A Concept Mapping Study

IntroductionNursing diagnoses are conventionally considered as functional, emotional, or behavioral deficiency, but they could also determine the level and quality of patients' well-being if properly formulated.ObjectiveThe goal of this study was to integrate the standardized nursing language (SNL) of the Clinical Care Classification (CCC) system with Kreitzer's model of well-being.MethodsA concept mapping process was carried out, by a multidisciplinary team, between the 60 major diagnoses of the CCC system and the six dimensions of Kreitzer's well-being model. Diagnoses were independently evaluated, and consensus was reached through discussion. Agreement was measured using Fleiss' Kappa, and each diagnosis was scored as fully or partially aligned to quantify conceptual correspondence.FindingsThe mapping process reached an initial agreement above 50%. Some diagnoses were mapped to more than one dimension. All six dimensions of Kreitzer's model were represented, with 60 nursing diagnoses fully and 24 partially included. All well-being dimensions included at least one related nursing diagnosis. Most of the nursing diagnoses, through the mapping process, were included in the health dimension (85%) or in the security dimension (20%) of well-being.ConclusionsNursing diagnoses of the CCC system are a possible indicator of the patient's current and potential well-being, paving the way for the creation of a structured tool to be included in the initial assessment of the nursing process and for the identification of specific outcomes and interventions to work on the well-being of patients with different health problems.