Browse > Article
http://dx.doi.org/10.4069/kjwhn.2016.22.3.170

Identification of Nursing Diagnosis-Outcome-Intervention Linkages for Inpatients in Gynecology Department Nursing Units  

Yang, Min Ji (Chonbuk National University Hospital)
Kim, Hye Young (College of Nursing.Research Institute of Nursing Science, Chonbuk National University)
Publication Information
Women's Health Nursing / v.22, no.3, 2016 , pp. 170-181 More about this Journal
Abstract
Purpose: The aim of this study was to identify the nursing diagnosis-outcome-intervention (NANDA-NOC-NIC) linkages for gynecology inpatients shown in their electronic nursing records. Methods: This retrospective and descriptive research was conducted in two steps and based on the 287 electronic nursing records for 253 patients. First, nursing diagnoses, outcomes and interventions were collected. To identify major nursing diagnoses, a comparison was done with the top 10 nursing diagnoses from this research and with previous research selected using a content validity index developed by a team of professionals. Second, nursing outcomes and interventions that were associated with major nursing diagnoses were identified. Results: Nineteen nursing diagnoses, 12 nursing outcomes, and 40 nursing interventions were collected. The top 5 major nursing diagnoses were identified and 7 nursing outcomes and 18 nursing interventions associated with these diagnoses were checked. Conclusion: The identified NANDA-NOC-NIC linkages can contribute to improving nursing practice and will help in the establishment of standardized nursing care.
Keywords
Nursing process; Gynecology department; Inpatient;
Citations & Related Records
Times Cited By KSCI : 9  (Citation Analysis)
연도 인용수 순위
1 Park JE, Chung KA, Cho H, Kim HS. Construction of the nursing diagnosis ontology in obstetric and gynecologic nursing unit using nursing process and SNOMED CT. Korean Journal of Women Health Nursing. 2013;19(1):1-12.   DOI
2 Cho EJ, Kim NC. Validation of major nursing diagnosis-outcome-intervention (NANDA-NOC-NIC) linkage for adult surgery patients of post anesthetic care unit. Journal of Korean Clinical Nursing Research. 2008;14(3):141-151.
3 Kim MJ. Analysis on military hospital nursing records by NANDA, NIC, NOC system. Journal of Korean Academy of Nursing Administration. 2010;16(1):73-85.   DOI
4 Lee EJ, Choi SH. Identification of nursing diagnosis-outcomeintervention (NANDA-NOC-NIC) linkages in surgical nursing unit. Korean Journal of Adult Nursing. 2011;23(2):180-188.
5 Noh HK, Lee EJ. Relationships among NANDA-I diagnoses, nursing outcomes classification, and nursing interventions classification by nursing students for patients in medical-surgical units in Korea. International Journal of Nursing Knowledge. 2015;26(1):43-51.   DOI
6 Kim JK. A study on nursing diagnoses, interventions, outcomes frequently used and linkage to NANDA-NOC-NIC in major nursing departments. Journal of Korean Academy of Nursing Administration. 2010;16(2):121-142.   DOI
7 Hong SJ, Lee SH, Kim HS. Analysis of nursing interventions performed by gynecological nursing unit nurses using the nursing interventions classification. Korean Journal of Women Health Nursing. 2011;17(3):275-284.   DOI
8 Bulechek GM, Butcher HK, Dochterman JM, Wagner C. Nursing interventions classification (NIC). 6th ed. Saint Louis: Mosby Elsevier; 2013.
9 Lampe S. Focus charting: Documentation for patient-centered care. Minneapolis: Creative Nursing Management; 1994. p. 193-197
10 Moorhead S, Johnson M, Mass ML, Swanson E. Nursing outcomes classification (NOC). 5th ed. Saint Louis: Mosby Elsevier; 2013.
11 Choi SH, Cho BH, Chi HR, Lee EJ, Kim HS, Park MJ. Standardized NANDA, NOC, NIC linkage. Seoul: Hyunmoonsa; 2004.
12 Fehring RJ. Method to validate nursing diagnoses. Heart and Lung. 1987;16(6):625-629.
13 Park IS, Yoo CS, Lee SH, Woo KS, Joo YH, Choi WH, et al. Evaluation on the record completeness of the nursing process in electronic nursing record for patients undertaken gastrectomy. Journal of Korean Clinical Nursing Research. 2009;15 (3):107-116.
14 Yoo HS, Chi SA. Construction of linkage database on nursing diagnoses, interventions, outcomes in abdominal surgery patients. The Journal of Korean Nursing Administration Academic Society. 2001;7(3):425-437.
15 Minthorn C, Lunney M. Participant action research with bedside nurses to identify NANDA-International, nursing interventions classification, and nursing outcomes classification categories for hospitalized persons with diabetes. Applied Nursing Research. 2012;25(2):75-80.   DOI
16 Moon MK. Relationship of nursing diagnoses, nursing outcomes, and nursing interventions for patient care in intensive care units [dissertation]. Iowa: University of Iowa ; 2011.
17 Song SM, So HS, An MJ. Identification of major nursing diagnosis, nursing outcomes, and nursing interventions (NNN) linkage for cancer patients undergoing chemotherapy. Journal of Korean Academy of Adult Nursing. 2014;26(4):413-423.   DOI
18 Azzolin K, Mussi CM, Ruschel KB, de Souza EN, de Fatima Lucena A, Rabelo-Silva ER. Effectiveness of nursing interventions in heart failure patients in home care using NANDA-I, NIC, and NOC. Applied Nursing Research. 2013;26(4):239-244.   DOI
19 Park HJ. Identifying Core NANDA-I Nursing Diagnoses, NIC interventions, NOC outcomes, and NNN linkages for heart failure. International Journal of Nursing Knowledge. 2014;25 (1):30-38.   DOI
20 Menna Barreto LN, Swanson EA, de Abreu Almeida M. Nursing outcomes for the diagnosis impaired tissue integrity (00044) in adults with pressure ulcer. International Journal of Nursing Knowledge. 2016;27(2):104-110.   DOI
21 Choi SH, Kim YJ, Moon H, Park MJ, Sun JJ. Nursing process. Seoul: Hyunmoonsa; 2010. p. 12-20
22 Lundberg CB, Warren JJ, Brokel J, Bulechek GM, Butcher HK, Dochterman JM, et al. Selecting a standardized terminology for the electronic health record that reveals the impact of nursing on patient care. Online Journal of Nursing Informatics. 2008;12(2):1-19.
23 Park HJ, Lee EJ. Incorporating standardized nursing languages into an electronic nursing documentation system in Korea: A pilot study. International Journal of Nursing Knowledge. 2015;26(1):35-42.   DOI
24 Kim YJ, Jo KH. Effects of nurse presence program on anxiety and physiological indicators in patients with gynecological surgery. Journal of Korean Biological Nursing Science. 2014; 16(4):326-333.   DOI
25 Saranto K, Kinnunen UM, Kivekas E, Lappalainen AM, Liljamo P, Rajalahti E, et al. Impacts of structuring nursing records: A systematic review. Scandinavian Journal of Caring Sciences. 2014;28(4):629-647.   DOI
26 NANDA-International. Nursing diagnoses: Definition and classification 2012-2014. 9th ed. Philadelphia: Blackwell; 2012.
27 Johnson M, Bulechek GM, Butcher HK, Maas ML, Moorhead S, Swanson E. NOC and NIC linkages to NANDA-I and clinical conditions. 3rd ed. Saint Louis: Mosby Elserver; 2011.
28 Ko E, So HS. Construction and application of nursing information system using NANDA-NOC-NIC linkage in medicalsurgical nursing units. Journal of Korean Academy of Adult Nursing. 2013;25(4):365-376.   DOI
29 Chi MK, Chi SA. Linkages of nursing diagnosis, nursing intervention and nursing outcome classification of breast cancer patients using nursing database. Journal of Korean Academy of Nursing Administration. 2003;9(4):651-661.
30 Hughes R, Sheerin F, McCourt F. Identifying and defining the problems, interventions, and outcomes of spinal cord injured patients in the Irish Spinal Cord Injury Service using standardized nursing language: A delphi study. International Journal of Nursing Terminologies & Classifications. 2006;17(1):36-37.