PURPOSE. To analyze the degree to which standardized nursing language was used by baccalaureate nursing students completing Outcome-Present State-Test (OPT) model worksheets in a clinical practicum.
METHODS. A scoring instrument was developed and 100 worksheets were retrospectively analyzed.
FINDINGS. NANDA nursing diagnoses were correctly stated in 92% of the OPT models. Nursing Outcomes Classification (NOC) outcomes were explicitly stated in 22%, and implied in 72%. Interventions matched appropriate Nursing Interventions Classification (NIC) activities in 61%.
CONCLUSIONS. NANDA, NIC, and NOC (NNN) language was used inconsistently by students in this sample.
IMPLICATIONS FOR PRACTICE. If NNN language is to advance nursing knowledge, its promotion, representation in curriculum development, and active use is necessary. Educational research is needed on the facilitators and barriers to NNN language use.
JohnsonM.BulechekG.ButcherH.DochtermanJ. M.MaasM.MoorheadS., et al. (2006). NANDA, NOC, and NIC linkages: Nursing Diagnoses, outcomes, & interventions (2nd ed.). St. Louis, MO: Mosby.
3.
KautzD. D.KuiperR. A.PesutD. J.Knight-BrownP.DenekerD. (2005). Promoting clinical reasoning in undergraduate nursing students: Application and evaluation of the outcome present state test (OPT) model of clinical reasoning. International Journal of Nursing Education Scholarship, 2, 1–17. Retrieved January 24, 2005, from http://bepress.com/ijnes/vol2/iss1/art1/
4.
KuiperR. A.PesutD. J. (2004) Promoting cognitive and metacognitive reflective clinical reasoning skills in nursing practice: self-regulated learning theory. Journal of Advanced Nursing, 45, 381–391.
5.
LunneyM. (2006). Helping nurses use NANDA, NOC, and NIC. Journal of Nursing Administration, 36, 118–125.
PesutD. J. (2006). 21st century nursing knowledge work: Reasoning into the future. InWeaverC.DelaneyC. W.WeberP.CarrR. (Eds.), Nursing and informatics for the 21st century: An international look at practice, trends and the future(pp. 13–23). Chicago: Health Care Information and Management Systems Society.
9.
PesutD. J. (2004). Reflective clinical reasoning. InHaynesL. C.ButcherH. K.BoeseT. A. (Eds.), Nursing in contemporary society: Issues, trends and transition to practice (pp. 146–162). Upper Saddle River, NJ: Prentice Hall.
10.
PesutD. J.HermanJ. (1999). Clinical reasoning: The art and science of critical and creative thinking. New York: Delmar.
11.
PesutD. J.HermanJ. (1988). OPT: Transformation of nursing process for contemporary practice. Nursing Outlook, 46 (1), 29–36.
