Kontakt 2014, 16(2):e79-e86 | DOI: 10.1016/j.kontakt.2014.04.001

Priority interventions from the NIC and expected results from the NOC in patients with a nursing diagnosis of Ineffective breathing patternNursing - Original article

František Dolák^*, Valérie Tóthová

Jihočeská univerzita v Českých Budějovicích, Zdravotně sociální fakulta, katedra ošetřovatelství a porodní asistence

The aim of the study was to validate the priority interventions NIC (Nursing Interventions Classification) and the expected results NOC (Nursing Outcomes Classification) in patients hospitalized in intensive care unit with nursing diagnosis ineffective breathing pattern.
Twenty experts helped with the verification of priority interventions and expected results. They assigned score using Likert scale to individual interventions and results. During testing, the experts had to indicate with the help of Likert scale how they perform various activities in selected NIC and how they evaluate different indicators in selected NOC. They could select from the following scale: 1 = not at all, 2 = seldom, 3 = sometimes, 4 = many times, 5 = always. The data were consequently analyzed by assigning a value to each of the responses (1 = 0; 2 = 0.25; 3 = 0.5; 4 = 0.75; 5 = 1). The maximum value that could be achieved in the evaluated field was 1, the minimum was 0. Activities (for NIC) and indicators (for NOC) which reached the value ≥0.8, were identified as the priority use. In case that they achieved the value ≤0.5, they were excluded on the reason that the nurses perform them minimally or not at all. Others were taken as commonly used.
Based on the analysis of related NIC (specifically, it was respiratory monitoring 3350, ventilation assistance 3390, chest physiotherapy 3230, airways suctioning 3160 and airways management 3140), we concluded that only 62 activities from a total number 158 were used by nurses. In NOC from a total number of 83, 50 indicators were assessed and 32 can be considered typically rated. On the basis of the results our experts consider most of NIC interventions unusable. On the other hand, more than half of NOC indicators were rated as useful.
The results of the study point to the fact that possible introduction of classification systems NIC and NOC requires further testing in clinical practice in the Czech Republic in order to use them effectively.

Keywords: nursing classification; Ineffective breathing pattern; NIC (Nursing Interventions Classification); NOC (Nursing Outcomes Classification); NANDA (North American Nursing Diagnosis Association); acute care

Received: November 11, 2013; Revised: January 14, 2014; Accepted: April 15, 2014; Published: June 23, 2014  Show citation