Implementing nurse sensitive outcomes into care planning at a long-term care facility.
This article describes one long-term care facility's efforts to implement standardized language in the care planning process. Federal regulations for long-term care mandate the use of a uniform comprehensive assessment tool. Eighteen Resident Assessment Protocols (RAPs) are identified for data collection. Computer databases were revised for care planning. Appropriate North American Nursing Diagnosis Association (NANDA) diagnoses were linked to each RAP. Nursing-Sensitive Outcomes (NOCs) were linked to each NANDA as goals. Nursing Interventions Classifications (NICs) were linked to NANDA diagnosis and NOC outcomes as approaches. The databases are illustrated, and frequently used NANDAs and NOCs are identified.
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Alverno Health Care Facility, Clinton, IA, USA.
D000368:Aged; D000369:Aged, 80 and over; D016208:Databases, Factual; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D007484:Iowa; D008134:Long-Term Care / Q000592:standards*; D008297:Male; D016347:Medical Records Systems, Computerized; D008875:Middle Aged; D009730:Nursing Assessment / Q000145:classification / Q000592:standards*; D009737:Nursing Records; D017063:Outcome Assessment, Health Care / Q000379:methods*; D010347:Patient Care Planning / Q000145:classification / Q000592:standards*; D012866:Skilled Nursing Facilities; D009626:Terminology as Topic; D018875:Vocabulary, Controlled