Integrating nursing diagnoses, interventions, and outcomes in public health nursing practice

Análise da produção científica sobre a Classificação das Intervenções de Enfermagem (NIC) de 1980 a 2004

Este estudo objetivou revisar o conhecimento produzido sobre a Classificação das Intervenções de Enfermagem (NIC), disponível na literatura científica, no período de janeiro de 1980 a janeiro de 2004. A NIC é uma taxonomia que inclui atividades realizadas pelos enfermeiros. Foram consultadas as bases de dados Lilacs, Medline e realizado levantamento manual no Centro de Classificação em Enfermagem da Universidade de Iowa - College of Nursing, além da inclusão de uma tese obtida em acervo particular. Os trabalhos analisados referiam-se à aplicação da NIC na prática, comparação de linguagens em sistemas informatizados e uso da NIC nesses sistemas, apresentação, construção e desenvolvimento da taxonomia, validação, entre outros. Concluiu-se que várias são as possibilidades relativas à produção do conhecimento sobre a NIC no Brasil e que são necessários estudos sobre essa taxonomia que levantem questionamentos, gerem novos conhecimentos e que contribuam em mais esse aspecto relativo ao avanço da enfermagem brasileira.

Nursing diagnosis with the ICNPR in the teaching context

BACKGROUND

The premise for the research study was the authors' conviction that the use of nursing diagnostic taxonomies allows the nurse to formulate a thorough and valid diagnosis.

AIM

To verify the International Classification for Nursing Practice (ICNP) in the context of a Polish academic nursing programme.

RESEARCH QUESTIONS

Do nursing diagnoses made traditionally and those made with the ICNP reflect the patient's/client's condition? Is the range and type of the two kinds of diagnoses similar or different? Is the level of detail in both types of diagnoses compatible?

METHODS

Quasi-experiment in which the experimental group diagnosed patients by means of the ICNP and the control group formulated nursing diagnoses by means of an intellectual decision-making process.

STUDY GROUPS

44 students in a MNurs. Programme, Faculty of Nursing and Health Sciences, Medical University in Lublin, Poland.

CONCLUSIONS

The range and type of nursing diagnoses do not depend on the method used in their formulation. The ICNP diagnoses are compatible with the traditionally formulated ones. The unbalanced size of the experimental and the study groups negatively influenced the validity of conclusions.

Validity and community-health-nursing sensitivity of six outcomes for community health nursing with older clients

A survey research design was used to assess the importance, sensitivity to nursing interventions, and content validity of six client outcomes from the Nursing Outcomes Classification (NOC)). Outcomes relevant for elderly community residents and caregivers were included in a questionnaire mailed to American Nurses Credentialing Center-certified expert community health nurses. Two hundred thirty-nine experts rated specific indicators of the six outcomes for their importance in determining the outcomes and the contribution of nursing to their achievement. Outcomes also were rated for their importance for community health nursing clients and responsiveness to community health nursing intervention. Results strongly support the content validity and nursing sensitivity of outcomes and specific indicators. Experts judged all six outcomes to be important and 90% of indicators as important in determining the outcome. All outcomes and 78% of indicators were judged to be responsive to community health nursing intervention. Recommendations include the testing of NOC outcomes in community health nursing clinical practice and inclusion in community health nursing curricula. Areas for further research include development and validation of community-level outcomes, validation of outcomes with rural and home health nursing experts, and exploration of the community health nursing-sensitivity of one study outcome.

Application of nursing diagnoses, interventions, and outcomes to patients undergoing abdominal surgery in Korea

PURPOSE

To identify nursing diagnoses, interventions, and outcomes used with patients undergoing abdominal surgery, and the links among them.

METHODS

A review of the nursing records of 60 patients undergoing abdominal surgery. Three checklists developed by the researchers were used to document nursing diagnoses made, interventions specified, and outcomes selected.

FINDINGS

Pain was the most frequent diagnosis, "pain management" the most frequent intervention, and Pain Level the most frequent outcome. Further study is needed with various samples and settings.

CONCLUSIONS

Most of the suggested NIC-NANDA interventions and NOC-NANDA outcomes listed in NANDA Nursing Diagnoses: Definitions and Classification, 1999-2000, were used in this study, but some additional interventions and outcomes should be considered for inclusion.

PRACTICE IMPLICATIONS

This study provides a framework for documenting nurses' work; the results of the study can promote more rapid computerization of nursing records.

Use of nursing diagnoses and interventions in public health nursing practice

PURPOSE

To determine the frequency of use of NANDA diagnoses and the Nursing Interventions Classification in care plans written by public health nurses (PHNs) in Orange County, CA.

METHODS

Retrospective chart review.

FINDINGS

The frequency pattern of nursing diagnoses and nursing interventions used in care plans is consistent with the scope of practice of the PHN, whose emphasis is on health promotion and disease prevention.

CONCLUSIONS

The most commonly used diagnoses and interventions provide evidence of a core set of interventions useful for PHN practice.

IMPLICATIONS FOR PRACTICE

Linking diagnoses and interventions allow PHNs to build a body of knowledge based on patient care and improve clinical decision-making process.