Classifying Nursing‐Sensitive Patient Outcomes

Abstract

This report describes research at the University of Iowa College of Nursing to develop a comprehensive classification of nursing-sensitive patient outcomes. The Nursing-Sensitive Outcomes Classification (NOC) completes the nursing process elements of the Nursing Minimum Data Set (NMDS). We describe resolution of conceptual and methodological problems that define the inductive approach taken to develop the NOC. Strategies used to develop NOC included review of the literature, clinical databases and instruments; concept analysis; and surveys of nurse experts. Examples of outcomes, definitions, and indicators are presented. The NOC provides standardized patient outcomes for determining the effectiveness of nursing interventions and enables inclusion of these data in data sets for healthcare effectiveness research.

The impact of the nursing hours per patient day (NHPPD) staffing method on patient outcomes: A retrospective analysis of patient and staffing data

“…The staffing data request excluded all non-productive hours such as annual leave, long service leave and leave without pay. [Irvine et al, 1998], [Johnson and Lass, 1997] and [Mass et al, 1996]). The nursing-sensitive outcomes in this study were derived according to the methodology developed by Needleman et al (2001).…”

Nursing Structures in New Zealand Public Hospitals: Current Configurations

“…Buerhaus and Needleman (2000, p. 7) and Maas, Johnson, and Moorhead (1996) have been major contributors to the research to provide sound evidencebased measurements for indicating nurse sensitive patient outcomes. The McClosky and Diers study utilized the Needleman indicators to ascertain the level of variability on patient outcomes from nursing care in New Zealand hospitals.…”

Nursing Process Outcome Linkage Research

“…ANA-recognized, standardized nursing languages provide the comprehensive content for the 3 nursing clinical elements of the NMDS: the North American Nursing Diagnosis Association (NANDA) Classification (NANDA, 2001), 45 the Nursing Interventions Classification (NIC), 46 the Nursing Outcomes Classification (NOC), [47][48][49][50] the Omaha System, 51 the Home Health Care Classification, 52 the Patient Care Data Set (PCDS), 53 the Perioperative Nursing Data Elements, 54 SnomedRT, 55 and the International Classification of Nursing Practice. 56,57 The Nursing Management Minimum Data Set (NMMDS), recognized by ANA in 1998, complements the NMDS by identifying contextual and structural factors that can affect quality.…”