Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

Perception of Nurse Experts on the Contribution of Nursing Interventions to NOC Nursing Outcomes in General Hospitals in Korea

  • Published : 2005.06.01
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Abstract

The purpose of this study was to identify the perception of nurse experts on the contribution of nursing interventions to Nursing Outcomes Classification NOC nursing outcomes. A nursing outcome is a nursing-sensitive patient outcome primarily affected by nursing interventions. As one of the standardized language systems of nursing outcomes, the NOC must be examined for applicability before it is used in Korea. Data were collected in February and March 2003 using a 5-point Likert scale. For data collection, 230 quality improvement (QI) or quality assurance (QA) nurses from general hospitals in Korea were asked to rate the extent that nursing interventions contribute to each of the NOC nursing outcomes (2000) in their hospitals. Ninety-six nurses from 63 hospitals responded and the response rate was $41.7\%$. Mean scores for perception of contribution of nursing interventions to each of the NOC nursing outcomes ranged from 2.18 to 4.54. Vital Signs Status had the highest score (M = 4.54), and Abuse Recovery: Financial, the lowest score (M = 2.18). Of the seven NOC domains, the mean score was highest for Physiologic Health (M = 3.91) and lowest for Community Health (M = 2.92). Of the 29 NOC classes, the mean score for perceived contribution was highest for Metabolic Regulation (M = 4.32) and lowest for Community Well-Being (M = 2.92). Participants perceived that nursing interventions in general hospitals in Korea contributed, at least to a certain extent, to most of the NOC nursing outcomes. Based on these results, NOC should have relatively good applicability in Korea.

Keywords

References

  1. Bloch, D. (1975). Evaluation of nursing care in terms of process and outcome: Issues in research and quality assurance, Nurs Res, 24(4),256-263
  2. Bond, S., & Thomas, L. H. (1991). Issues in measuring outcomes of nursing. J Adv Nurs, 16, 1492-1502 https://doi.org/10.1111/j.1365-2648.1991.tb01598.x
  3. Denehy, J. (1998). Integrating nursing outcomes classification in nursing education. J Nurs Care Qual, 12(5), 73-84 https://doi.org/10.1097/00001786-199806000-00011
  4. Gallant, B. W., & McLane, A. M. (1979). Outcome criteria: A process for validation of the unit level. J Nurs Adm, 9(1), 14-21
  5. Griffith, P. (1995). Progress in measuring nursing outcomes. J Adv Nurs, 21, 1092-1100 https://doi.org/10.1046/j.1365-2648.1995.21061092.x
  6. Higgins, M., McCaughan, D., Griffiths, M., & Carr-Hill, R. (1992). Assessing the outcomes of nursing care. J Adv Nurs, 17, 561-568 https://doi.org/10.1111/j.1365-2648.1992.tb02833.x
  7. Hill, M. (1999). Outcomes measurement requires nursing to shift to outcome-based practice. Nurs Adm Quatery, 24(1), 1-16 https://doi.org/10.1097/00006216-199910000-00003
  8. Johnson, M., & Maas, M. (1997). Iowa Outcomes Projects: Nursing Outcomes Classification (NOC). 1st ed. St. Louis: C.V. Mosby
  9. Johnson, M. & Maas, M.(1998). The nursing outcomes classification. J Nurs Care Qual, 12(5), 9-20
  10. Johnson, M., Maas, M., & Moorhead, S. (2000). Iowa Outcomes Projects: Nursing Outcomes Classification (NOC). 2nd ed. St. Louis: C.V. Mosby
  11. Keenan, G., & Aquilino, M. L. (1998). Standardized nomenclatures:Keys to continuity of care, nursing accountability and nursing effectiveness. Outcomes Man Nurs Prac, 2(2), 81-86
  12. Kerr, P. (1999). Comparing two nursing outcomes reporting initiatives. Outcome Management Nurs Prac, 4(3), 144-149
  13. Kim, C. J., & Park, J. W. (1987). A study for formulating criteria of patient classification system based on the analysis of direct nursing activity. J Korean Acad Nurs, 17(1), 9-23
  14. Kim, S. I., & Baek, H. M. (1996). A Study on the Job Analysis of the Staff Nurses. Korean Nurs, 35(5), 110-117
  15. Lang, N. M., & Marek, K. D. (1990). The classification of patient outcomes. J Prof Nurs, 6(3), 158-163 https://doi.org/10.1016/S8755-7223(05)80146-2
  16. Lang, N. M., & Marek, K. D. (1991). The policy and politics of patient outcomes. J Nurs Qual Assurance, 5(2), 7-12
  17. Lee, B. S., & Kwon, Y. S. (1996). Evaluation of outcome in nursing practice. J Korean Nurs Adm Acad Soc, 2(2), 59-71
  18. Lee, B. S. (1999). Patient Outcomes at Nursing Research in Korea. Keimyung J Nurs Sci, 3(1), 141-151
  19. Lee, Y. S. (1992). Measurement of the nursing workload in a special nursing unit-Tertiary hospital. Master's Thesis, Seoul National University
  20. Marek, K. D. (1989). Outcome measurement in nursing. J Nurs Qual Assur, 4(1), 1-9
  21. Mark, B. A. (1995). The black box of patient outcomes research. Image, 27(1), 42
  22. Mass, M. L. (1998). Nursing's role in interdisciplinary accountability for patient outcomes. Outcomes Man Nurs Prac, 2(3), 92-94
  23. Moorhead, S., Head, B., Johnson, M. & Maas, M. (1998). The nursing outcomes taxonomy: Development and coding. J Nurs Care Qual, 12(6), 56-63 https://doi.org/10.1097/00001786-199808000-00010
  24. Retting, R. (1991). History, development, and importance to nursing of outcomes research. J Nurs Qual Assur, 5(2), 13-17
  25. O'Connell, B. (2001). Challenges of measuring and linking patient outcomes to nursing interventions in acute care settings. Nurs Health Sci, 3, 113-117 https://doi.org/10.1046/j.1442-2018.2001.00084.x
  26. Park, J. S., Koh, H. J., Kwon, Y. S., Kim, C. N., Park, Y. S., Park, C. J., Shin, Y. H., Lee, K. H., & Lee, B. S. (2001). Activities of day and evening shifts nurses in a university hospital. Keimyung J Nurs Sci, 5(1), 169-183
  27. Park, H. A., Kim, J. E., & Choi, I. S. (2000). Nursing Diagnosis, Intervention, Outcome Classification. Seoul, Seoul National University Press
  28. Prophet, C. M., & Delaney, C. W. (1998). Nursing outcomes classification: Implications for nursing information systems and the computer-based patient record. J Nurs Care Qual, 12(5), 21-29 https://doi.org/10.1097/00001786-199806000-00006
  29. Yim, Y. Y. (1998). An analysis on nursing activity in a hospital. J Korean Nurs Adm Acad Soc, 4(1), 73-88
  30. You, C. S. (2001). Construction of linkage database on nursing diagnoses, interventions, outcomes in abdominal surgery patients. Doctoral Dissertation, Chung Ang University