Cox R A
Alverno Health Care Facility, Clinton, IA, USA.
J Nurs Care Qual. 1998 Jun;12(5):41-51. doi: 10.1097/00001786-199806000-00008.
This article describes one long-term care facility's efforts to implement standardized language in the care planning process. Federal regulations for long-term care mandate the use of a uniform comprehensive assessment tool. Eighteen Resident Assessment Protocols (RAPs) are identified for data collection. Computer databases were revised for care planning. Appropriate North American Nursing Diagnosis Association (NANDA) diagnoses were linked to each RAP. Nursing-Sensitive Outcomes (NOCs) were linked to each NANDA as goals. Nursing Interventions Classifications (NICs) were linked to NANDA diagnosis and NOC outcomes as approaches. The databases are illustrated, and frequently used NANDAs and NOCs are identified.
本文介绍了一家长期护理机构在护理计划过程中实施标准化语言的努力。长期护理的联邦法规规定要使用统一的综合评估工具。确定了18项居民评估方案（RAPs）用于数据收集。对计算机数据库进行了修订以用于护理计划。将适当的北美护理诊断协会（NANDA）诊断与每个RAP相关联。护理敏感结果（NOCs）作为目标与每个NANDA相关联。护理干预分类（NICs）作为方法与NANDA诊断和NOC结果相关联。展示了这些数据库，并确定了常用的NANDA和NOC。
