Classifying Nursing-Sensitive Patient Outcomes

Authors

  • Meridean L. Maas RN, PhD, FAAN,

    Corresponding author
    1. Meridean L. Maas, RN, PhD, FAAN, Gamma, is Co-Principal Investigator and Professor; Marion Johnson, RN, PhD, is Principal Investigator and Associate Professor; Sue Moorhead, RN, PhD, is Investigator and Assistant Professor; all are at College of Nursing, The University of Iowa, Iowa City, IA.
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  • Marion Johnson RN, PhD,

    1. Meridean L. Maas, RN, PhD, FAAN, Gamma, is Co-Principal Investigator and Professor; Marion Johnson, RN, PhD, is Principal Investigator and Associate Professor; Sue Moorhead, RN, PhD, is Investigator and Assistant Professor; all are at College of Nursing, The University of Iowa, Iowa City, IA.
    Search for more papers by this author
  • Sue Moorhead RN, PhD

    1. Meridean L. Maas, RN, PhD, FAAN, Gamma, is Co-Principal Investigator and Professor; Marion Johnson, RN, PhD, is Principal Investigator and Associate Professor; Sue Moorhead, RN, PhD, is Investigator and Assistant Professor; all are at College of Nursing, The University of Iowa, Iowa City, IA.
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  • This research was funded by Sigma Theta Tau International, 1992–1993 and the National Institutes of Health, National Institute for Nursing Research (Grant R01NR03437), 1993–1997.

Dr. Maas, College of Nursing, The University of Iowa, Iowa City, IA 52242.

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.

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