title: Development of the Nursing Outcome (NOC) label: hyperactivity level.
abstract: OBJECTIVE
  Hyperactivity, a persistent, severe pattern of inattention or impulsivity, places children at risk for impaired functioning in many developmental areas. This behavior is characterized by short attention span, low frustration tolerance, impulsivity, distractibility, and increased physical activity. Responses from multiple sources in the child's environment must be monitored to manage childhood hyperactivity.
  
  
  OBJECTIVE
  Success at school, in peer relationships, and parent-child interactions is frequently affected by hyperactivity. Using a focus group approach, a Nursing Outcomes Classification (NOC) label, definition, and indicators were developed for Hyperactivity Level.
  
  
  METHODS
  Review of the literature allowed for a content analysis approach and conceptualization of hyperactivity at several levels.
  
  
  CONCLUSIONS
  Twenty three (23) measurable indicators were formulated and refined into conceptually and clinically coherent outcomes. Clinical relevance and utility were presented through a case study approach.
authors.affiliation: Adult Psych/Mental Health Nursing Psychology Associates,Ltd, IA, USA. ccaldwell@eicc.edu
authors.forename: Carol L
authors.initials: CL
authors.lastname: Caldwell
authors.forename: Dianne
authors.initials: D
authors.lastname: Wasson
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Anderson
authors.forename: Veronica
authors.initials: V
authors.lastname: Brighton
authors.forename: Lois
authors.initials: L
authors.lastname: Dixon
mesh_terms: D000223:Adaptation, Psychological; D001289:Attention Deficit Disorder with Hyperactivity / Q000145:classification / Q000175:diagnosis / Q000451:nursing*; D002648:Child; D005190:Family / Q000523:psychology; D005260:Female; D017144:Focus Groups; D005639:Frustration; D006801:Humans; D009730:Nursing Assessment; D009733:Nursing Diagnosis; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009736:Nursing Process / Q000592:standards*; D017063:Outcome Assessment, Health Care / Q000145:classification / Q000458:organization & administration*; D010347:Patient Care Planning; D002666:Psychology, Child; D019984:Quality Indicators, Health Care; D012573:School Nursing; D012649:Self Concept; D012720:Severity of Illness Index; D009626:Terminology as Topic