Henry S B, Holzemer W L, Randell C, Hsieh S F, Miller T J
Department of Community Health Systems, University of California, San Francisco 94143-0608, USA.
Image J Nurs Sch. 1997;29(2):133-8. doi: 10.1111/j.1547-5069.1997.tb01545.x.
To compare the frequency with which nursing activity terms could be categorized using Nursing Interventions Classification (NIC) and Current Procedural Terminology (CPT) codes.
Descriptive. The sample was 201 patients with AIDS hospitalized 1989-1992 for pneumocystis carinii pneumonia in three US medical centers.
Nursing activity terms (n = 21,366) were collected from patient interviews, nurse interviews, intershift reports, and patient records, then were categorized using NIC and CPT codes.
Nursing activity terms were categorized into 80 NIC interventions across 22 classes and into 15 CPT codes. All terms in the data set were classifiable using the NIC system and the majority (60%) of the terms were classified into 14 NIC intervention categories; 6% of the terms were classifiable by CPT codes. The most frequently used CPT code was "pulse oximetry." Significantly (p < .0001) greater numbers of nursing activity terms could be categorized in the NIC system compared to the CPT system.
Findings provide evidence that NIC is superior to CPT for categorizing nursing activities in this study's population. The findings support the importance of discipline-specific classifications for categorization of health care interventions. Nursing-specific intervention classification systems such as NIC, the Omaha System, and the Home Health Care Classification are essential to defining the contribution of nursing to both quality and cost outcomes.
比较使用护理干预分类法（NIC）和现行程序术语（CPT）编码对护理活动术语进行分类的频率。
描述性研究。样本为1989年至1992年在美国三个医疗中心因卡氏肺孢子虫肺炎住院的201例艾滋病患者。
从患者访谈、护士访谈、交接班报告和患者记录中收集护理活动术语（n = 21366），然后使用NIC和CPT编码进行分类。
护理活动术语被分类为22个类别中的80项NIC干预措施和15个CPT编码。数据集中的所有术语都可以使用NIC系统进行分类，并且大多数（60%）术语被分类到14个NIC干预类别中；6%的术语可以用CPT编码分类。最常用的CPT编码是“脉搏血氧饱和度测定”。与CPT系统相比，NIC系统中可分类的护理活动术语数量显著更多（p <.0001）。
研究结果表明，在本研究人群中，NIC在对护理活动进行分类方面优于CPT。这些发现支持了针对特定学科的分类对于医疗保健干预分类的重要性。诸如NIC、奥马哈系统和家庭健康护理分类等特定于护理的干预分类系统对于界定护理对质量和成本结果的贡献至关重要。
