Toward integrating a common nursing data set in home care to facilitate monitoring outcomes across settings.
The purpose of our research is to identify a realistic subset of North American Nursing Diagnosis Association (NANDA), Nursing Outcome Classification (NOC), and Nursing Interventions Classification (NIC) terms specific to the home care (HC) setting. A subset of 89 NOC outcomes were identified for study in HC through a baseline survey. Three research assistants then observed the care of 258 patients to whom the 89 NOC outcomes applied and recorded the associated NANDA and NIC terms. Follow-up surveys and focus groups were conducted with the nurses and research assistants. There were 81 different NANDA and 226 NIC labels used to describe study patients' care. Only 36 of the 89 NOC labels studied were deemed clinically useful for HC. We found that expert opinion about terminology usage before actual experience under practice conditions is unreliable.
University of Michigan, School of Nursing, Ann Arbor, MI 48109, USA. gkeenan@umich.edu
Gail
G
Keenan
Julia
J
Stocker
Violet
V
Barkauskas
Marcy
M
Treder
Crystal
C
Heath
D003625:Data Collection / Q000379:methods*; D005260:Female; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009656:North America; D009730:Nursing Assessment / Q000592:standards*; D009733:Nursing Diagnosis / Q000592:standards; D017063:Outcome Assessment, Health Care / Q000145:classification / Q000379:methods*; D019984:Quality Indicators, Health Care / Q000592:standards*; D012015:Reference Standards; D018875:Vocabulary, Controlled