Documented Nursing Interventions in Inpatient Psychiatry

Abstract

PURPOSE

This study explored how well the Nursing Interventions Classification (NIC) covers adult inpatient psychiatric care.

METHODS

By systematic analyses and a mapping approach, documented nursing interventions were assessed on concurrencies with the NIC.

FINDINGS

From 2,153 intervention descriptions in nursing notes, 1,924 were recognizable as NIC interventions, and 229 did not match the NIC. 89.4% of all identified descriptions of interventions were recognizable as NIC interventions on the level of definition.

CONCLUSIONS

This study demonstrates that the NIC describes adult inpatient psychiatric care to a large extent. Nevertheless, further development of the classification is important.

PRACTICE IMPLICATIONS

The study results provide a basis for further developing the NIC and to reinforce its use in inpatient psychiatric settings.

Get full access to this article

View all access options for this article.

References

Aiyegbusi

Norton

(2009). Modern milieus: Psychiatric inpatient treatment in the twenty-first century. In Norman

Ryrie

(Eds.), The art and science of mental health nursing (2nd ed., pp. 260–282). Berkshire, UK: Open University Press.

Amorim Beltrao

da Silva

V. M.

deAraujo

T. L.

deOliveira Lopes

M. V.

(2011). Clinical indicators of ineffective breathing pattern in children with congenital heart diseases. International Journal of Nursing Terminologies and Classifications, 22(1), 4–12. doi:10.1111/j.1744-618X.2010.01169.x

Anderson

C. A.

Keenan

Jones

(2009). Using bibliometrics to support your selection of a nursing terminology set. Computer, Informatics, Nursing, 27(2), 82–90.

Azzolin

Motta Mussi

Brasil Ruschel

Nogueira de Souza

deFátima Lucena

Rabelo-Silva

E. R.

(2013). Effectiveness of nursing interventions in heart failure patients in home care using NANDA-I, NIC, and NOC. Applied Nursing Research, 26, 239–244. doi:10.1016/j.apnr.2013.08.003

Bowers

(2005). Reasons for admission and their implications for the nature of acute inpatient psychiatric nursing. Journal of Psychiatric and Mental Health Nursing, 12, 231–236.

Bulechek

G. M.

Butcher

H. K.

Dochterman

J. M.

Wagner

(2013). Nursing Interventions Classification (6th ed.). St. Louis, MO: Mosby Elsevier.

Burkhard

Androwich

(2004). Measuring the domain completeness of the Nursing Interventions Classification in parish nurse documentation. Computers, Informatics, Nursing, 22(2), 72–82.

Da Silva Thomé

Cardoso Centena

Da Silva Behenck

Marini

Heldt

(2014). Applicability of the NANDA-I and Nursing Interventions Classification taxonomies to mental health nursing practice. International Journal of Nursing Knowledge, 25(3), 168–172. doi:10.1111/2047-3095.12033

DeFátima Lucena

deGutiérrez

M. G.

Echer

I. C.

deBarros

A. L. B.

(2010). Nursing interventions in the clinical practice of an intensive care unit. Revista Latino-Americana de Enfermagem, 18(5), 873–880.

10.

DeLima Lopes

deBarros

A. L.

Michel

J. L.

(2009). A pilot study to validate the priority Nursing Interventions Classification interventions and Nursing Outcomes Classification outcomes for the nursing diagnosis “Excess Fluid Volume” in cardiac patients. International Journal of Nursing Terminologies and Classifications, 20(2), 76–88. doi:10.1111/j.1744-618X.2009.01118.x

11.

Deacon

Fairhurst

(2008). The real-life practice of acute inpatient mental health nurses: An analysis of “eight interrelated bundles of activity.” Nursing Inquiry, 15(4), 330–340.

12.

Escalada-Hernandez

Munoz-Hermoso

Gonzalez-Fraile

Santos

Gonzalez-Vargas

J. A.

Feria-Raposo

, … Garcia-Manso

(2015). A retrospective study of nursing diagnoses, outcomes, and interventions for patients with mental disorders. Applied Nursing Research, 28(2), 92–98. doi:10.1016/j.apnr.2014.05.006

13.

Farren

A. T.

(2009). An oncology case study demonstrating the use of Rogers's Science of Unitary Human Beings and standardized nursing languages. International Journal of Nursing Terminologies and Classifications, 20(1), 34–39. doi:10.1111/j.1744-618X.2008.01111.x

14.

Fischetti

(2008). Using standardized nursing languages: A case study exemplar on management of diabetes mellitus. International Journal of Nursing Terminologies and Classifications, 19(4), 163–166. doi:10.1111/j.1744-618X.2008.00105.x

15.

Frauenfelder

Müller-Staub

Needham

vanAchterberg

(2013). Nursing interventions in inpatient psychiatry. Journal of Psychiatric and Mental Health Nursing, 20(10), 921–31. doi:10.1111/jpm.12040

16.

Gildberg

F. A.

Bradley

S. K.

Fristed

Hounsgaard

(2012). Reconstructing normality: Characteristics of staff interactions with forensic mental health inpatients. International Journal of Mental Health Nursing, 21, 103–113 doi:10.1111/j.1447-0349.2011.00786.x

17.

Head

B. J.

Scherb

C. A.

Reed

Conley

D. M.

Weinberg

Kozel

, … Moorhead

(2011). Nursing diagnoses, interventions, and patient outcomes for hospitalized older adults with pneumonia. Research in Gerontological Nursing, 4(2), 95–105. doi:10.3928/19404921-20100601-99

18.

Hoff

Bobst

Conradt

Gemperle

Herwig

Hierlemann

… Frauenfelder

(2011). Zentrum für Stationäre Psychiatrische Rehabilitation—Klinikkonzept. Zurich: University Psychiatric Hospital Zurich.

19.

Holoday Worret

P. A.

(2008). Principles of psychiatric nursing: Theory and practice. In Fortinash

K. M.

Holoday Worret

P. A.

(Eds.), Psychiatric mental health nursing (pp. 1–19). St. Louis, MO: Mosby Elsevier.

20.

Johansson

I. M.

Skärsäter

Danielson

(2006). The health-care environment on a locked psychiatric ward: An ethnographic study. International Journal of Mental Health Nursing, 15, 242–250. doi:10.1111/j.1447-0349.2006.00430.x

21.

Johnson

Moorhead

Bulechek

Butcher

Maas

Swanson

(2012). NOC and NIC linkages to NANDA-I and clinical conditions: Supporting critical reasoning and quality care (3rd ed.). Maryland Heights, MO: Elsevier Mosby.

22.

Jordan Halter

(2009). Setting for psychiatric care. In Varcarolis

E. M.

Halter

J. M.

(Eds.), Essentials of psychiatric mental health nursing, a communication approach to evidence-based care (pp. 535–546). St. Louis, MO: Saunders Elsevier.

23.

Just

Arnold

Busch

Hillewerth

Holzer-Pruss

Miserez

, … Zimmermann Heinrich

(2005). Ordnungssystem zur Abbildung des Pflegeprozesses im elektronischen Patientendossier—Eine Empfehlung zuhanden der Pflegedienst-Kommission der Gesundheitsdirektion des Kantons Zürich. In, Zürich.

24.

Keenan

Yakel

(2005). Promoting safe nursing care by bringing visibility to the disciplinary aspects of interdisciplinary care. AMIA Annual Symposium Proceedings, 385–389.

25.

Keenan

G. M.

Tschannen

Wesley

M. L.

(2008). Standardized nursing terminologies can transform practice. Journal of Nursing Administration, 38(3), 103–106.

26.

Lee

Jung

O. B.

(2006). Mapping of nursing records into the NIC and the ICNP in a Korean oriental-medicine hospital. Computers, Informatics, Nursing, 24(6), 346–352.

27.

Lunney

McGuire

Endozo

McIntosh-Waddy

(2010). Consensus-validation study identifies relevant nursing diagnoses, nursing interventions, and health outcomes for people with traumatic brain injuries. Rehabilitation Nursing, 35(4), 161–166. doi:10.1002/j.2048-7940.2010.tb00042.x

28.

Mayring

(2010). Qualitive Inhaltsanalyse—Grundlagen und Techniken (11th ed.). Weinheim: Beltz Verlag.

29.

McLean

P.A.

(2011). Older adult who falls: A case study. International Journal of Nursing Terminologies and Classifications, 22(3), 142–146. doi:10.1111/j.1744-618X.2011.01187.x

30.

Minthorn

Lunney

(2012). 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, 25(2), 75–80. doi:10.1016/j.apnr.2010.08.001

31.

Müller-Staub

(2007). Evaluation of the implementation of nursing diagnostics: A study on the use of nursing diagnoses, interventions and outcomes in nursing documentation. Wageningen: Ponsen & Looijen.

32.

Müller-Staub

Lavin

M. A.

Needham

vanAchterberg (2006). Nursing diagnosis, intervention and outcome—Application and impact on nursing practice: Systematic literature review. Journal of Advanced Nursing, 56, 514–531.

33.

Müller-Staub

Lavin

M. A.

Needham

vanAchterberg

(2007). Meeting the criteria of a nursing diagnosis classification: Evaluation of ICNP®, ICF, NANDA and ZEFP. International Journal of Nursing Studies, 44(5), 702–713.

34.

Müller-Staub

Needham

Odenbreit

Lavin

M. A.

vanAchterberg

(2007). Improved quality of nursing documentation: Results of a nursing diagnoses, interventions and outcomes implementation study. International Journal of Nursing Terminologies and Classifications, 18(1), 5–17.

35.

Müller-Staub

Needham

Odenbreit

Lavin

M. A.

vanAchterberg

(2008). Implementing nursing diagnostics effectively: Cluster randomized trial. Journal of Advanced Nursing, 63(3), 291–301.

36.

Odenbreit

Müller-Staub

Brokel

J. M.

Avant

Keenan

(2012). Nursing classifications: Criteria and evaluation. In Herdman

T. H.

(Ed.), NANDA International nursing diagnoses: Definitions and classification 2012–2014. Oxford: Wiley-Blackwell.

37.

Park

(2014). Identifying core NANDA-I nursing diagnoses, NIC Interventions, NOC outcomes, and NNN linkages for heart failure. International Journal of Nursing Studies, 25(1), 30–38. doi:10.1111/2047-3095.12010

38.

Pitkänen

Hätönen

Kollanen

Kuosmanen

Välimäki

(2011). Nurses’ perceptions of nursing interventions supporting quality of life in acute psychiatric wards. Perspectives in Psychiatric Care, 47, 167–175. doi:10.1111/j.1744-6163.2010.00284.x

39.

Roecklein

(2012). Using standardized nursing languages in end-of-life care plans. International Journal of Nursing Studies, 23(3), 183–185. doi:10.1111/j.2047-3095.2012.01211.x

40.

Sauter

Abderhalden

Needham

Wolff

(2011). Lehrbuch Psychiatrische Pflege (3rd ed.). Bern: Huber.

41.

Scherb

C. A.

Head

B. J.

Maas

M. L.

Swanson

E. A.

Moorhead

Reed

, … Kozel

(2011). Most frequent nursing diagnoses, nursing interventions, and nursing sensitive patient outcomes of hospitalized older adults with heart failure: Part 1. International Journal of Nursing Terminologies and Classification, 22(1), 13–22. doi:10.1111/j.1744-618X.2010.01164.x

42.

Scherb

C. A.

Stevens

M. S.

Busman

M. S.

(2007). Outcomes related to dehydration in the pediatric population. Journal of Pediatric Nursing, 22(7), 376–382.

43.

Sveinbjarnardottir

E. K.

Svavarsdottir

E. K.

Wright

L. M.

(2013). What are the benefits of a short therapeutic conversation intervention with acute psychiatric patients and their families? A controlled before and after study. International Journal of Nursing Studies, 50, 593–602.

44.

Tastan

Linch

G. C.

Keenan

G. M.

Stifter

McKinney

Fahey

Wilkie

D. J.

(2014). Evidence for the existing American Nurses Association-recognized standardized nursing terminologies: A systematic review. International Journal of Nursing Studies, 51(8), 1160–1170. doi:10.1016/j.ijnurstu.2013.12.004

45.

Varcarolis

E. M.

(2009). Practicing the science and art of psychiatric nursing. In Varcarolis

E. M.

Halter

J. M.

(Eds.), Essentials of psychiatric mental health nursing, a communication approach to evidence-based care (pp. 2–10). St. Louis, MO: Saunders Elsevier.

46.

Voogt

L. A.

Nugter

Goossens

P. J.

vanAchterberg

(2013). “Providing Structure” as a psychiatric nursing Intervention: A review of the literature. Perspective in Psychiatric Care, 49, 278–278. doi:10.1111/ppc.12014

47.

Voogt

L. A.

Goossens

P. J.

Nugter

vanAchterberg

(2014). An observational study of providing structure as a psychiatric nursing intervention. Perspectives in Psychiatric Care, 50, 7–18. doi:10.1111/ppc.12018

48.

Wallace

O'Connell

Frisch

S. R.

(2005). Community psychiatric practice—What do nurses when take to the streets? An analysis of psychiatric and mental health nursing interventions in the community. Community Mental Health Journal, 41(4), 481–496. doi:10.1007/s10597-005-586-7

49.

Wang

Hailey

(2011). Quality of nursing documentation and approaches to its evaluation: A mixed-method systematic review. Journal of Advanced Nursing, 67(9), 1858–1875. doi:10.1111/j.1365-2648.2011.05634.x

50.

Zampieron

Aldo

Corso

(2011). A retrospective study of nursing diagnoses, outcomes, and interventions for patients admitted to a cardiology rehabilitation unit. International Journal of Nursing Terminologies and Classifications, 22(4), 148–156. doi:10.1111/j.1744-618X.2011.01184.x

51.

Zegers

deBruijne

M. C.

Spreeuwenberg

Wagener

Groenewegen

P. P.

vander Wal

(2011). Quality of patient record keeping: An indicator of the quality of care? BMJ Quality and Safety, 20(4), 314–318. doi:10.1136/bmjqs.2009.038976