Associate Professor and Director for the Center for Nursing Classification & Clinical Effectiveness, College of Nursing, University of Iowa, Iowa City, IA.
Postdoctoral Associate, College of Nursing, University of Florida, Gainesville, FL.
Int J Nurs Knowl. 2021 Jan;32(1):59-67. doi: 10.1111/2047-3095.12291. Epub 2020 Jun 4.
We developed linkages using interoperable standardized nursing terminologies, NANDA International (NANDA-I) nursing diagnoses, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC), to present initial guidance for the development of care plans focused on COVID-19 for nurses practicing in community or public health roles.
Seven nurse experts identified the linkages of NANDA-I, NOC and NIC for our work related to the COVID-19 pandemic. A model was developed to guide the project. The first step in creating linkages focused on the identification of nursing diagnoses. Then, for each nursing diagnosis, outcomes aligned with all components of the diagnosis were categorized and a list of nursing interventions was selected. The experts used their clinical judgment to make final decisions on the linkages selected in this study.
Two community level nursing diagnoses were identified as key problems appropriate for a pandemic related to COVID-19: Deficient Community Health and Ineffective Community Coping. For the nursing diagnosis Deficient Community Health, eight nursing outcomes and 12 nursing interventions were selected. In comparison for the nursing diagnosis, Ineffective Community Coping, nine nursing outcomes and 18 nursing interventions were identified. A total of40 concepts were identified for future development across the three classifications.
The nursing diagnoses, outcomes and interventions selected during this linkage process provide knowledge to support the community challenged with responding to the COVID-19 pandemic, provide the opportunity to quantify the impact of nursing care, and enhance nursing practice by promoting the use of three standardized terminologies.
NANDA-I, NOC and NIC linkages identified in this manuscript provide resources to support clinical decisions and care plan development for nurses practicing in the community.
我们使用可互操作的标准化护理术语、国际护理诊断协会（NANDA-I）护理诊断、护理干预分类（NIC）和护理结局分类（NOC）建立联系，为在社区或公共卫生角色中工作的护士制定专注于 COVID-19 的护理计划提供初步指导。
七名护士专家确定了与 COVID-19 大流行相关工作的 NANDA-I、NOC 和 NIC 的联系。制定了一个模型来指导项目。建立联系的第一步是确定护理诊断。然后，对于每个护理诊断，与诊断的所有组成部分相匹配的结果进行分类，并选择一组护理干预措施。专家们根据他们的临床判断对本研究中选择的联系进行最终决策。
确定了两个与 COVID-19 大流行相关的社区层面的护理诊断作为关键问题：社区卫生不足和社区应对无效。对于护理诊断社区卫生不足，选择了八个护理结局和 12 个护理干预措施。相比之下，对于护理诊断无效的社区应对，确定了九个护理结局和 18 个护理干预措施。在这三个分类中，共确定了 40 个概念，用于未来的发展。
在这个联系过程中选择的护理诊断、结局和干预措施为应对 COVID-19 大流行的社区提供了支持知识，为量化护理服务的影响提供了机会，并通过促进使用三种标准化术语来增强护理实践。
本文确定的 NANDA-I、NOC 和 NIC 联系为在社区工作的护士提供了支持临床决策和护理计划制定的资源。
