Menu
Back to Systems Implementation
08/17/26

Nurses in the diagnostic process: reclaiming language, responsibility and role clarity in a time of declining clinical judgement.

Gleason, Kelly T; Jefferies, Cara; Tran, Alberta; Owens, Alanna; Harkless, Gene E. J Clin Nurs.

Collection Topics
Culture, Work System, and Implementation
Share

Most recent

Diagnostic Excellence.

Agency for Healthcare Quality and Research.
10/01/26 Culture, Work System, and Implementation Measurement, Monitoring, and Event Analysis

Diagnostic Safety and Quality.

Agency for Healthcare Quality and Research.
10/01/26 Foundations of Diagnostic Excellence Culture, Work System, and Implementation

Primary care signals and diagnostic pathways before incident heart failure: a systematic scoping review.

Jerjes, El-Osta, Jhass, et al., J Prim Care Community Health.
09/09/26 Big Three Conditions Culture, Work System, and Implementation Epidemiology

Summary

Diagnosis is increasingly recognized as a team activity, yet nursing contributions remain poorly defined. This commentary argues that nurses contribute to diagnosis through assessment, surveillance, escalation, communication, and clinical judgment, but ambiguous language and role boundaries can limit participation. The authors call for clearer professional expectations, stronger diagnostic education, and organizational cultures that recognize nurses as essential members of the diagnostic team.

Read the paper
Gleason KT, Jefferies C, Tran A, et al. Nurses in the diagnostic process: reclaiming language, responsibility and role clarity in a time of declining clinical judgement. J Clin Nurs. Epub 2026 Aug 17.