Cent Eur J Nurs Midw 2012, 3(1):362-367
Verification of nursing interventions NIC in home care
- Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava
Aim: The aim of this study was to verify the utilization of nursing interventions NIC in home care and to compare the report of current nursing interventions recorded in nursing documentation in home care agency with proposed set of nursing interventions NIC.
Methods: The sample of 110 nursing interventions and 2150 nursing activities was compiled according to taxonomy NIC (Nursing Intervention Classification), its verification was carried out in 30 home care agency clients in 2011. Using the analysis of nursing documentation in 200 clients of the same agency, were then monitored real interventions and activities by nurses recorded in nursing care plan.
Results: From the pilot set of NIC interventions nurses have used 39 of nursing interventions for 221 confirmed nursing diagnoses NANDA-I. The most of interventions (73%) were indicated for nursing diagnoses: Impaired physical mobility, Risk for infection, Risk for deficient fluid volume and Risk for impaired skin integrity. Among the most frequent nursing interventions, which nurses have selected from NIC file, were: Energy management, Fall prevention, Wound care, Teaching: prescribed activities/exercise. Nursing activities actually performed by nurses in home care clients and recorded in nursing care plan (44 different nursing interventions, 1406 performed procedures) differed from nursing interventions that were confirmed during the pilot verification. Naming of nursing interventions by the nurses in home care agency did not reflect the NIC terminology, thus the data were not mutually compared.
Conclusion: The use of uniform nursing terminology is essential for accurate and unambiguous communication of nursing professionals, for description and record of the work of nurses and for provable reporting of nursing activities.
Keywords: nursing interventions NIC, home care, clients, verification
Published: March 30, 2012 Show citation
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