Reporting Nursing Interventions Classification and Nursing Outcomes Classification in Nursing Research: A Systematic Review

Abstract

Background

Nursing classification systems are used to report nursing practices and maintain a unified documentation language. Nursing interventions classification (NIC) and nursing outcomes classification (NOC) are among the recognized terminology systems.

Aim

To examine the extent of reporting NIC/NOC in nursing research.

Design

A systematic review following PRISMA guidelines.

Data Sources

A literature search in three electronic databases was performed.

Results

A total of (18) articles were included. Nine studies were conducted to describe the commonly used NIC/NOC, six studies validated the effectiveness of classification systems, and two studies compared different nursing classification systems.

Conclusion

The available evidence is limited by the quality of the studies. We recommend examining the use of NIC/NOC in nursing documentation using an experimental design.

Keywords

International classification for nursing practice NIC terminology NOC terminology nursing classification systems nursing interventions classification nursing outcomes classification standardized nursing terminology systematic review

Get full access to this article

View all access options for this article.

References

Azzolin

Mussi

C. M.

Ruschel

K. B.

De Souza

E. N.

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(4), 239–244. https://doi.org/10.1016/j.apnr.2013.08.003

Butcher

H. K.

Bulechek

G. M.

Dochterman

J. M. M.

Wagner

(2018). Nursing Interventions classification (NIC). St. Louis, MO: E. H. Sciences.

Castelpietra

Salvador-Carulla

Almborg

A. H.

Fernandez

Madden

(2017). Working draft: Classifications of interventions in mental health care. An expert review. European Journal of Psychiatry, 31(4), 127–144. https://doi.org/10.1016/j.ejpsy.2017.10.001

Escalada-Hernández

Girón-García

J. L.

Feria-Raposo

García-Manso

Muñoz-Hermoso

Santos

, … González–Fraile

(2014). A retrospective study of nursing diagnoses, outcomes, and interventions for patients with mental disorders. Applied Nursing Research, 28(2), 92–98. https://doi.org/10.1016/j.apnr.2014.05.006

Gordon

(1998). Nursing nomenclature and classification system development. Online Journal of Issues in Nursing, 3(2), 1–13.

Hovenga

E. J.

(2003). Nursing classification and terminology systems. Health Information Management, 31(1), 25–42. https://doi.org/10.1177/183335830303100111

Hůsková

Juřeníková

Mikšová

(2017). The usability of classification NIC interventions in ventilator-associated pneumonia prevention. Kontakt, 19(3), e178–e185. https://doi.org/10.1016/j.kontakt.2017.07.002

Lee

(2019). Use of the nursing outcomes classification for falls and fall prevention by nurses in South Korea. International Journal of Nursing Knowledge,30(1), 28–33. https://doi.org/10.1111/2047-3095.12201

Liberati

Altman

D. G.

Tetzlaff

Mulrow

Gøtzsche

P. C.

Ioannidis

J. P. A.

, … Moher

(2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. Journal of Clinical Epidemiology, 62(10), e1–e34. https://doi.org/10.1016/j.jclinepi.2009.06.006

10.

Mantovani

Rodríguez

A. A.

Lucena

A. D. F.

Paz

E. D. S. H.

Klockner

S. B.

Echer

I. C.

(2016). Nursing outcomes for the evaluation of patients during smoking cessation. International Journal of Nursing Knowledge, 28(4), 204–210. https://doi.org/10.1111/2047-3095.12138

11.

Mantovani

Rodríguez Acelas

A. L.

Klockner Boaz

Cañon-Montañez

Lucena

A. D. F.

Echer

I. C.

, … Echer

I. C.

(2018). Evaluation of patients in a smoking cessation support group using the nursing outcomes classification. International Journal of Nursing Knowledge, 30(3), 125–130. https://doi.org/10.1111/2047-3095.12213

12.

Mello

B. S.

Massutti

T. M.

Longaray

V. K.

Trevisan

D. F.

deFátima Lucena

(2016). Applicability of the nursing outcomes classification (NOC) to the evaluation of cancer patients with acute or chronic pain in palliative care. Applied Nursing Research, 29, 12–18. https://doi.org/10.1016/j.apnr.2015.04.001

13.

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. https://doi.org/10.1016/j.apnr.2010.08.001

14.

Moorhead

Johnson

Maas

M. L.

Swanson

(2018). Nursing outcomes classification (NOC)-e-book: Measurement of health outcomes. St. Louis, MO: Elsevier Health Sciences.

15.

Noh

H. K.

Lee

(2015). 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, 26(1), 43–51. https://doi.org/10.1111/2047-3095.12044

16.

Palomar-Aumatell

Subirana-Casacuberta

Mila-Villarroel

(2017). Critical care nursing interventions and the time required for their completion in intensive care units: A Delphi study. Intensive and Critical Care Nursing, 43, 87–93. https://doi.org/10.1016/j.iccn.2017.05.001

17.

Patiraki

Katsaragakis

Dreliozi

Prezerakos

(2017). Nursing care plans based on NANDA, nursing interventions classification, and nursing outcomes classification: The Investigation of the effectiveness of an educational intervention in Greece. International Journal of Nursing Knowledge, 28(2), 88–93. https://doi.org/10.1111/2047-3095.12120

18.

Reyes

(2012). A composite case study of a woman with human immunodeficiency virus: Integration of nursing research and theory with practice. International Journal of Nursing Knowledge, 24(1), 59–62. https://doi.org/10.1111/j.2047-3095.2012.01232.x

19.

Riva

J. J.

Malik

K. M.

Burnie

S. J.

Endicott

A. R.

Busse

J. W.

(2012). What is your research question? An introduction to the PICOT format for clinicians. The Journal of the Canadian Chiropractic Association, 56(3), 167–171.

20.

deSantana

V. M.

dosSantos

J. A. A.

Silva

P. C. V.

(2017). Nursing care systematization in the immediate postoperative period after orthopedic surgeries. Journal of Nursing UFPE / Revista de Enfermagem UFPE, 11(10), 4004–4010. https://doi.org/10.5205/reuol.10712-95194-3-SM.1110sup201701

21.

Scherb

C. A.

Head

B. J.

Hertzog

Swanson

Reed

Maas

M. L.

, … Gillette

(2013). Evaluation of outcome change scores for patients with pneumonia or heart failure. Western Journal of Nursing Research, 35(1), 117–140. https://doi.org/10.1177/0193945911401429

22.

Tastan

Linch

G. C. F.

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. https://doi.org/10.1016/j.ijnurstu.2013.12.004

23.

Thomas

B. H.

Ciliska

Dobbins

Micucci

(1998). Dictionary for the effective public health practice project quality assessment tool for quantitative studies. Retrieved from https://merst.ca/wp-content/uploads/2018/02/qualilty-assessment-dictionary_2017.pdf

24.

Thomas

B. H.

Ciliska

Dobbins

Micucci

(2004). A process for systematically reviewing the literature: Providing the research evidence for public health nursing interventions. Worldviews on Evidence-Based Nursing, 1(3), 176–184. https://doi.org/10.1111/j.1524-475X.2004.04006.x

25.

Thomé

E. D. S.

Centena

R. C.

Behenck

A. D. S.

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. https://doi.org/10.1111/2047-3095.12033

26.

Yang

M. J.

Kim

H. Y.

Kim

H. K.

(2019). Identification of nursing diagnosis-outcome-intervention linkages for inpatients in the Obstetrics Department Nursing Unit in South Korea. International Journal of Nursing Knowledge, 30(1), 12–20. https://doi.org/10.1111/2047-3095.12187