Nursing diagnoses, interventions, and patient outcomes for hospitalized older adults with pneumonia

• Published in: Research in gerontological nursing Vol. 4; no. 2; pp. 95 - 105
• Main Authors: Head, Barbara J, Scherb, Cindy A, Reed, David, Conley, Deborah Marks, Weinberg, Barbara, Kozel, Marie, Gillette, Susan, Clarke, Mary, Moorhead, Sue
• Format: Journal Article
• Language: English
• Published: United States SLACK INCORPORATED 01.04.2011
• Subjects: Aged; Aged, 80 and over; Clinical nursing; Clinical outcomes; Communication; Documentation; Effectiveness studies; Female; Health care policy; Hospitalization; Hospitals; Humans; Male; Middle Aged; Nurses; Nursing; Nursing administration; Nursing Diagnosis; Older people; Patients; Pneumonia; Pneumonia - diagnosis; Pneumonia - nursing; Surveillance; Treatment Outcome; United States > US
• ISSN: 1940-4921; 1938-2464
• DOI: 10.3928/19404921-20100601-99

A study was conducted by academic and community hospital partners with clinical information systems that included the standardized nursing language classifications of the North American Nursing Diagnosis Association International (NANDA-I), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC). The aim of the study was to determine the frequency of NANDA-I, NIC, and NOC (NNN) terms documented for older adults with pneumonia who were discharged from three hospitals during a 1-year period. NNN terms were ranked according to frequency for each hospital, and then the rankings were compared with previous studies. Similarity was greater across hospitals in rankings of NANDA-I and NOC terms than in rankings of NIC terms. NANDA-I and NIC terms are influenced by reimbursement and regulatory factors as well as patient condition. The 10 most frequent NNN terms for each hospital accounted only for a small to moderate percentage of the terms selected.