title: Nursing diagnoses, interventions, and patient outcomes for hospitalized older adults with pneumonia.
abstract: A study was conducted by academic and community hospital partners with clinical information systems that included the standardized nursing language classifications of the North American Nursing Diagnosis Association International (NANDA-I), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC). The aim of the study was to determine the frequency of NANDA-I, NIC, and NOC (NNN) terms documented for older adults with pneumonia who were discharged from three hospitals during a 1-year period. NNN terms were ranked according to frequency for each hospital, and then the rankings were compared with previous studies. Similarity was greater across hospitals in rankings of NANDA-I and NOC terms than in rankings of NIC terms. NANDA-I and NIC terms are influenced by reimbursement and regulatory factors as well as patient condition. The 10 most frequent NNN terms for each hospital accounted only for a small to moderate percentage of the terms selected.
authors.affiliation: College of Nursing, University of Nebraska Medical Center, Nebraska, USA. bhead@unmc.edu
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: Head
authors.forename: Cindy A
authors.initials: CA
authors.lastname: Scherb
authors.forename: David
authors.initials: D
authors.lastname: Reed
authors.forename: Deborah Marks
authors.initials: DM
authors.lastname: Conley
authors.forename: Barbara
authors.initials: B
authors.lastname: Weinberg
authors.forename: Marie
authors.initials: M
authors.lastname: Kozel
authors.forename: Susan
authors.initials: S
authors.lastname: Gillette
authors.forename: Mary
authors.initials: M
authors.lastname: Clarke
authors.forename: Sue
authors.initials: S
authors.lastname: Moorhead
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D009733:Nursing Diagnosis; D011014:Pneumonia / Q000175:diagnosis / Q000451:nursing*; D016896:Treatment Outcome