Identification of Linkages Between the NANDA-I Nursing Diagnosis Impaired End-of-Life Comfort Syndrome,NOC,and NIC for Individuals in End-of-Life Care

Abstract

Aim

To identify linkages using interoperable standardized nursing terminologies of NANDA-International (NANDA-I), Nursing Outcomes Classification (NOC), and Nursing Intervention Classification (NIC) - for the “Impaired End-of-Life Comfort Syndrome” nursing diagnosis for guiding nurses’ decision-making in promoting comfort in end-of-life care.

Methods

Using a consensus process, a research group of six experts with clinical and theoretical expertise developed the NANDA-I, NOC, and NIC (NNN) linkages in a multistep process. In the first step, for each nursing diagnosis, outcomes aligned with all its components were categorized. Then, relevant nursing interventions were identified. The whole process was supported by a preliminary literature review to inform the consensus process and support decision-making during linkage development.

Findings

A total of 46 NOC nursing outcomes were identified to guide care based on the syndrome, and 29 NIC interventions were identified as suggested interventions for the management of Impaired End-of-Life Comfort Syndrome, reflecting the multidimensional nature of end-of-life comfort.

Conclusions

The NNN linkages selected provide a solid foundation for consensus-derived framework to support person-centered nursing care planning, offer an opportunity to make nursing care visible, and promote comfort in end-of-life care.

Implications for Nursing Practice

The identified linkages between NANDA-I, NOC, and NIC provide a consensus-derived framework to support nursing care decision-making and promote comfort in end-of-life care.

Keywords

end-of-life care terminal care patient comfort NANDA-international nursing outcomes classification nursing interventions classification standardized nursing terminology

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