PURPOSE. The purpose of this research survey was to determine which Adult Critical Care Core Nursing Interventions (ACCCNIs) in the Nursing Interventions Classification constitutes a critical incident nursing intervention (CINI). A CINI is defined as any indirect or direct care registered nurse (RN)-initiated treatment performed in response to a life-threatening nursing diagnosis.
METHODS. A list of ACCCNIs were sent to 50 critical care RNs in two survey rounds. Responses >80% for each ACCCNI was determined to be a CINI.
FINDINGS. Forty-one ACCCNIs were determined to be CINIs.
CONCLUSIONS. It is recommended that CINIs be included as a separate Nursing Intervention Classification category to reflect current nursing practice.
IMPLICATIONS FOR NURSING PRACTICE. CINIs can enhance RN competency, education, and vigilance, thereby preventing or decreasing the number of deaths that occur from critical incidents.
American Association of Critical Care Nurses. (1998). Core curriculum for critical care nursing (5th ed.). Philadelphia: Author.
2.
BeckC. T. (2003). Initiation into qualitative analysis. Journal of Nursing Education, 42(5), 231–233.
3.
BucklesJ. V.CasharL. G.OlsonL. N. (1968). Learning purposeful nursing intervention. American Journal of Nursing, 2578–2580.
4.
BulechekG. M.McCloskeyJ. C.TitlerM. G.DeneheyJ. A. (1994). Report on the NIC project. Nursing interventions used in practice. American Journal of Nursing, 94, 59–64, 66.
5.
DillmanD. (1978). Mail and telephone surveys: The total design method. Washington, DC: Wiley-Interscience.
6.
DochtermanJ. M.BulechekG. M. (2004). Nursing interventions classification (NIC). (4th ed.) New York: Mosby.
7.
FinkA.KosecoffJ. (1985). How to conduct surveys: A step-by-step guide. Beverly Hills, CA: Sage Publications.
8.
GoodmanC. M. (1987). The Delphi technique: A critique. Journal of Advanced Nursing, 12, 729–734.
9.
GordonM.SweeneyM. A. (1979). Methodological problems and issues in identifying and standardizing nursing diagnoses. Advances in Nursing Science, 2(1), 1–15.
10.
KeeneyS.HassonF.McKennaH. P. (2001). A critical review of the Delphi technique as a research methodology for nursing. International Journal of Nursing Studies, 38(2), 195–200.
11.
LevineM. (1966). Adaptation and assessment: A rationale for nursing intervention. American Journal of Nursing, 66(11), 2450–2453.
12.
MaasM. L.HardyM A.CraftM. (1990). Some methodologic considerations in nursing diagnosis research. Nursing Diagnosis, 1, 24–30.
McGawA. (1906). Review of over fourteen thousand surgical anaesthesias. Surgery, Gynecology and Obstetrics, 3, 795–799.
15.
NightingaleF. (1969). Notes on nursing: What it is and what it is not. New York: Dover Publications. (Original work published in 1860).
16.
PerryA. G.PotterP. A. (2002). Clinical nursing skills and techniques (5th ed.). St. Louis, MO: Mosby.
17.
RachtE. M. (2002). 10 pitfalls in airway management: How to avoid common airway management complications. JEMS: Journal of Emergency Medical Services, 27(3), 28–30, 32–34, 36–38.
18.
SchillingJ. (2006). On the pragmatics of qualitative assessment. Designing the process for content analysis. European Journal of Psychological Assessment, 22(1), 28–37.
WhitleyG. G. (1999). Processes and methodologies for research validation of nursing diagnoses. Nursing Diagnosis, 10(1), 5–14.
21.
WongE. (2008a). Coining and defining a novel nursing terminology. Part I: Critical incident nursing diagnosis. International Journal of Nursing Terminologies and Classifications, 19(3), 89–94.
22.
WongE. (2008b). Coining and defining a novel nursing terminology. Part II: Critical incident nursing intervention. International Journal of Nursing Terminologies and Classifications, 19(3), 132–139.
23.
WongE. (2009). Coining and defining a novel nursing terminology. Part III: Critical incident control. International Journal of Nursing Terminologies and Classifications, 19(3), 2–8.
