The North American Nursing Diagnosis Association International (NANDAI) (formerly NANDA) fulfills the

following roles: (1) increases the visibility of nursing’s contribution to patient care, (2) develops, refines,
and classifies information and phenomena related to professional nursing practice, (3) provides a
working organization for the development of evidence-based nursing diagnoses, and (4) supports the
improvement of quality nursing care through evidence-based practice and access to a global network of
professional nurses. In 1987, NANDA and the American Nurses Association endorsed a framework for
establishing nursing diagnoses, and in 1990 Nursing Diagnoses became the official journal of NANDA. In
2001 and 2003, NANDA modified and updated the listing of nursing diagnoses, but nursing diagnoses
continued to be submitted for consideration by the Ad Hoc Research Committee of NANDA. This period
resulted in changes such as replacement of the phrase potential for with risk for. The terms impaired,
deficient, ineffective, decreased, increased, and imbalanced replaced the outdated terms altered and
alteration, although the outdated terms may still be in use. In 2002, NANDA changed its name to
NANDA-I (“I” for international) to reflect the organization’s global reach. In 2007-2008, there were 188
nursing diagnoses (up from 172) with changes to defining characteristics and related or risk factors.
There were also some 15 newly approved nursing diagnoses. More changes occurred in the 2009-2011
version of NANDA-I’s Nursing Diagnoses: Definitions and Classifications, with 21 new, 9 revised, and 6
retired nursing diagnoses. Most current is the 2012- 2014 NANDA-I Approved Nursing Diagnoses. There
are 23 new, 33 revised, and 2 retired nursing diagnoses. Other changes are discussed in the 2012-2014
NANDA-I Nursing Diagnoses: Definitions and Classifications.