International Journal of Nursing Knowledge

To select outcomes from the Nursing Outcomes Classification (NOC) to evaluate impaired tissue integrity in patients undergoing orthopedic surgeries, and develop conceptual and operational definitions for their indicators.

A consensus study involving 10 nurses from clinical practice. A 100% consensus was established in the outcomes selection.

Wound Healing: Primary intention (1102) with two indicators: (110214) Scar formation, and (110201) Skin approximation were selected. Four indicators were grouped to evaluate inflammatory signs together with foul wound odor and six for drainage.

These indicators direct the outcomes evaluation for wound healing.

Support to the definition the priority interventions in nursing process documentation.

Nurses are uniquely positioned to implement behavior change interventions. Yet, nursing interventions have traditionally resulted from nurses problem-solving rather than allowing the patient to self-generate possible solutions for attaining specific health outcomes.

The purpose of this review is to clarify the meaning of possible solutions in behavior change interventions.

Walker and Avant's method on concept analysis serves as the framework for examination of the possible solutions.

Possible solutions can be defined as continuous strategies initiated by patients and families to overcome existing health problems.

As nurses engage in behavior change interventions, supporting patients and families in problem-solving will optimize health outcomes and transform clinical practice.