BOOK
Nursing Outcomes Classification (NOC) - E-Book
Sue Moorhead | Marion Johnson | Meridean L. Maas | Elizabeth Swanson
(2018)
Additional Information
Book Details
Abstract
Promoting safe and effective nursing care, Nursing Outcomes Classification (NOC), 6th Edition standardizes the terminology and criteria needed to measure and evaluate outcomes that result from nursing interventions. Over 540 research-based nursing outcome labels — including50 that are NEW to this edition — help to standardize expected patient outcomes. Specific indicators make it easier to evaluate and rate the patient in relation to outcome achievement. Written by an expert author team led by Sue Moorhead, this book is ideal for practicing nurses, students, educators, researchers, and administrators seeking to improve cost containment and patient outcomes.
- 540 research-based nursing outcome labels promote standardization of expected patient outcomes.
- Definitions, lists of indicators, publication facts lines, and references provide all of the information you need to understand outcomes.
- NEW! Approximately 50 new outcome labels allow you to better define patient outcomes that are responsive to nursing care.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Inside Front Cover | IFC | ||
| Front Matter | i | ||
| Nursing Outcomes Classification (NOC) Measurement of Health Outcomes | i | ||
| Copyright | ii | ||
| Recognition List, Sixth Edition | iii | ||
| Preface | v | ||
| Strengths of the Nursing Outcomes Classification | vi | ||
| Definition of Terms | viii | ||
| Nursing-Sensitive Patient Outcome | viii | ||
| Outcome Indicator | viii | ||
| Measure | viii | ||
| Change Score | viii | ||
| NOC Taxonomy | viii | ||
| Acknowledgments | ix | ||
| Table of Contents | x | ||
| ONE Overview and Use of Nursing Outcomes Classification (NOC) | 1 | ||
| ONE The Current Classification of Outcomes | 2 | ||
| THE NURSING OUTCOME CLASSIFICATION (NOC): WHAT IS IT? | 3 | ||
| Definition of an Outcome | 3 | ||
| Measurement of an Outcome | 3 | ||
| Use of a Change Score | 3 | ||
| Use of a Reference Person for Comparison | 4 | ||
| Level of Abstraction of NOC Outcomes | 4 | ||
| Sensitivity of the Outcomes | 4 | ||
| Use by Other Disciplines | 5 | ||
| THE NURSING OUTCOMES CLASSIFICATION: WHAT IT IS NOT | 5 | ||
| The Classification Is Not Complete | 5 | ||
| NOC Outcomes Are Not Prescriptive | 5 | ||
| NOC Outcomes Are Not Nursing Diagnoses | 6 | ||
| Outcomes Are Not Assessments | 6 | ||
| FREQUENTLY ASKED QUESTIONS | 6 | ||
| What Is the Definition of a Nursing Outcome? | 7 | ||
| What Are Nursing-Sensitive Patient Outcomes? | 7 | ||
| Who Is the Patient? | 7 | ||
| What Do Patient Outcomes Describe? | 8 | ||
| At What Levels of Abstraction Are Outcomes Developed? | 8 | ||
| How Are Outcomes Stated? | 8 | ||
| Why Are the Outcomes Not Stated as Goals? | 8 | ||
| How Are Outcomes Different from Nursing Diagnoses? | 9 | ||
| Are Nursing-Sensitive Patient Outcomes the Resolution of Nursing Diagnoses? | 9 | ||
| How Should Outcomes Be Selected? | 9 | ||
| How Should Outcome Indicators Be Used? | 10 | ||
| Why Is It Necessary to Use the Outcome Labels When the Indicators May Be More Useful? | 10 | ||
| How Should the Measurement Scales Be Used? | 11 | ||
| Why Are There So Many Different Measurement Scales? | 11 | ||
| Why Do Some Outcomes Have Two Scales? | 11 | ||
| How Do You Rate an Outcome? | 11 | ||
| What Is an Outcome Target Rating and How Is It Used? | 14 | ||
| When Should Outcomes Be Measured? | 15 | ||
| At What Intervals Should the Outcomes Be Measured and Documented? | 15 | ||
| Why Is It Important to Measure Outcomes Across Different Care Settings? | 15 | ||
| Why Are There So Many Knowledge and Self-Management Outcomes? | 15 | ||
| How Are the Outcomes Used in Standardized Care Plans? | 15 | ||
| Why Is the Standardization of Outcomes Advocated When Each Patient, Caregiver, Family, or Community/Population Is Unique? | 16 | ||
| Why Is It Necessary for Nurses to Have Their Own Classification of Outcomes? | 16 | ||
| How Do I Identify Outcomes for Use in My Practice? | 16 | ||
| When Is a New Outcome Developed and How Is It Done? | 16 | ||
| What Translations of NOC Are Available? | 17 | ||
| Is a License Required to Use NOC Outcomes? | 17 | ||
| REFINEMENT OF THE CLASSIFICATION: ONGOING AND FUTURE DEVELOPMENT | 17 | ||
| SUMMARY | 19 | ||
| References | 19 | ||
| TWO Examples of Use of NOC in Education, Clinical Practice, and Research | 21 | ||
| IMPLEMENTING NOC IN NURSING EDUCATION IN THE UNITED STATES | 22 | ||
| Implementation Strategies | 23 | ||
| Aids for Curriculum Development and Teaching | 23 | ||
| USING NOC IN CLINICAL PRACTICE | 24 | ||
| USING NOC IN AN INTRODUCTORY NURSING COURSE IN BRAZIL | 24 | ||
| Use of Actual Clinical Linkage Data | 25 | ||
| Impact of Using NNN in Nursing Education | 25 | ||
| USE OF NOC IN SPAIN | 25 | ||
| Current Environment Supporting the Use of NOC in Spain | 26 | ||
| NOC in the Electronic Health Record | 26 | ||
| Importance of NOC in the Nursing Care Plan | 26 | ||
| NOC in Spanish Publications | 27 | ||
| Key Points | 27 | ||
| USING NOC TO MEASURE NURSING CARE VALUE IN CLINICAL PRACTICE | 28 | ||
| USING NOC TO DETERMINE STAFFING NEEDS | 29 | ||
| Acuity, Nursing Intensity, and Patient Classification Systems | 29 | ||
| Attributes of Acuity | 30 | ||
| The Concept of Acuity Applied to Nurse Staffing | 30 | ||
| Traditional Approaches to the Measurement of Acuity | 30 | ||
| Measurement of Acuity in the Digital Age | 30 | ||
| Cerner Clairvia Outcomes-Driven Acuity | 30 | ||
| Theoretical Framework: Clinical Reasoning | 30 | ||
| Nursing Taxonomy for Outcomes Classification | 31 | ||
| Outcomes-Driven Acuity Use of NOC | 31 | ||
| Outcomes-Driven Acuity Methodology for NOC Scores | 33 | ||
| Outcomes-Driven Acuity Scoring Is Sensitive to Nursing Documentation | 33 | ||
| Outcomes-Driven Acuity Aligned to Nursing Care Hours | 33 | ||
| Outcomes-Driven Acuity Validity | 34 | ||
| Normal Distribution of Acuity Scores | 34 | ||
| Outcomes-Driven Acuity Potential Weaknesses | 34 | ||
| Outcomes-Driven Acuity Historical Use | 34 | ||
| Applications of Outcomes-Driven Acuity | 34 | ||
| Research Using Outcomes-Driven Acuity | 35 | ||
| Variability in Acuity Among Patients with Heart Failure | 35 | ||
| CONSIDERATIONS WHEN USING NOC IN PRACTICE IN BRAZIL | 36 | ||
| USING NOC IN BRAZIL | 37 | ||
| Use of NOC in Nursing Education | 37 | ||
| Practice Applications of NOC in Brazil | 37 | ||
| Brazilian Study Using the NOC Outcome Wound Healing: Secondary Intention | 37 | ||
| Content and Consensus Validation Studies in Brazil | 38 | ||
| Use of Operational Definitions for NOC Indicators | 39 | ||
| CONSIDERATIONS WITH USING NOC WITH AN ELECTRONIC HEALTH CARE RECORD | 39 | ||
| NOC as Structured and Unstructured Data | 39 | ||
| Clinical Hierarchies, Knowledge Representation, and Concept Coding | 40 | ||
| NOC and Clinical Decision Support | 41 | ||
| NOC and Interoperability | 41 | ||
| RESEARCH FOCUSED ON THE CORRESPONDENCE BETWEEN NANDA-I AND NOC, FUNDED BY NANDA INTERNATIONAL FOUNDATION GRANT | 41 | ||
| Preliminary Findings | 42 | ||
| Summary of the Research Findings | 45 | ||
| CHAPTER SUMMARY | 45 | ||
| References | 45 | ||
| TWO NOC Taxonomy | 49 | ||
| Overview of the NOC Taxonomy | 50 | ||
| HISTORICAL DEVELOPMENT OF THE NOC TAXONOMY | 50 | ||
| REVISIONS MADE IN THE TAXONOMY SINCE ITS CREATION | 50 | ||
| Second Edition | 50 | ||
| Third Edition | 51 | ||
| Fourth Edition | 51 | ||
| Fifth Edition | 51 | ||
| Sixth Edition | 51 | ||
| CODING OF THE CLASSIFICATION | 51 | ||
| References | 74 | ||
| THREE Outcomes | 75 | ||
| OVERVIEW | 76 | ||
| A | 77 | ||
| B | 100 | ||
| C | 116 | ||
| D | 191 | ||
| E | 206 | ||
| F | 213 | ||
| G | 238 | ||
| H | 243 | ||
| I | 267 | ||
| J | 276 | ||
| K | 284 | ||
| L | 361 | ||
| M | 366 | ||
| N | 379 | ||
| O | 393 | ||
| P | 395 | ||
| Q | 439 | ||
| R | 440 | ||
| S | 477 | ||
| T | 565 | ||
| U | 574 | ||
| V | 576 | ||
| W | 578 | ||
| FOUR NOC and NIC linkages to clinical conditions | 587 | ||
| NOC and NIC Linkages to Clinical Conditions | 588 | ||
| CHRONIC KIDNEY DISEASE | 589 | ||
| Prevalence, mortality, and cost | 589 | ||
| Risk factors | 589 | ||
| Course of the disease | 589 | ||
| Use of NOC and NIC for patients with chronic kidney disease | 589 | ||
| References | 592 | ||
| PRESSURE INJURY | 593 | ||
| Prevalence, mortality, and cost | 593 | ||
| Risk factors | 593 | ||
| Course of the disease | 593 | ||
| Use of NOC and NIC for patients with pressure injury | 594 | ||
| FIVE Core outcomes for nursing specialties | 609 | ||
| Core Outcomes for Nursing Specialties | 610 | ||
| Efforts to identify core outcomes | 610 | ||
| SIX Appendices | 645 | ||
| APPENDIX A Outcomes: New, Revised, Reviewed, and Retired Since the Fourth Edition | 646 | ||
| APPENDIX B Previous Editions and Translations | 649 | ||
| COMPANION BOOKS | 649 | ||
| APPENDIX C Definitions of Selected Terms | 650 | ||
| APPENDIX D Breakdown of Outcomes for Each Measurement Scale in NOC | 652 | ||
| OUTCOMES WITH ONE MEASUREMENT SCALE | 652 | ||
| OUTCOMES WITH TWO MEASUREMENT SCALES | 655 | ||
| APPENDIX E Guidelines for Submission of a New or Revised Outcome | 657 | ||
| A. GENERAL COMMENTS ABOUT THE CLASSIFICATION | 657 | ||
| B. FEEDBACK ON AN OUTCOME | 657 | ||
| C. FEEDBACK ON A MEASUREMENT SCALE(S) | 657 | ||
| D. GUIDELINES FOR OUTCOME SUBMISSION | 657 | ||
| General Principles for Developing Outcomes | 657 | ||
| E. FEEDBACK ON CORE OUTCOMES BY SPECIALTY | 657 | ||
| APPENDIX F Nanda-i diagnoses definitions | 658 | ||
| Index | 659 | ||
| A | 659 | ||
| B | 659 | ||
| C | 659 | ||
| D | 661 | ||
| E | 661 | ||
| F | 661 | ||
| G | 662 | ||
| H | 662 | ||
| I | 663 | ||
| J | 663 | ||
| K | 663 | ||
| L | 665 | ||
| M | 665 | ||
| N | 665 | ||
| O | 667 | ||
| P | 667 | ||
| Q | 668 | ||
| R | 668 | ||
| S | 669 | ||
| T | 670 | ||
| U | 670 | ||
| V | 670 | ||
| W | 671 | ||
| Y | 671 | ||
| Z | 671 |