THE CENTER FOR NURSING CLASSIFICATION

Classification research conducted at Iowa is unique and crucial to the documentation and study of nursing care and to the articulation of nursing care with that of other providers. For nearly a decade the University of Iowa College of Nursing has been a leader in developing standardized languages to describe the work of nursing. The Center for Nursing Classification, established in 1995, facilitates the continued development of this important work.

The purposes of the Center for Nursing Classification are to:

Nursing Interventions Classification:

The Nursing Interventions Classification (NIC) describes the treatments that nurses perform. NIC is useful to nurses in all specialties and in all settings. The classification contains a standardized list of 433 interventions, each with a definition, a set of activities that a nurse performs to carry out the intervention, and a short list of background readings. The interventions are coded and organized in a three-level taxonomic structure which makes it easier to select an intervention and use the classification on a computer. Examples of interventions include the physiological (Acid-Base Management), the psychosocial (Anxiety Reduction), those used for illness treatment (Shock Management), for illness prevention (Fall Prevention), and to promote health (Exercise Promotion). Indirect care interventions (Emergency Cart Checking) are also included.

Nursing Outcomes Classification:

The Nursing Outcomes Classification (NOC) describes patient outcomes sensitive to nursing intervention. NOC evaluates the effects of nursing care as a part of health care. Standardized patient outcomes are essential to ensure that nursing becomes a full participant in clinical evaluation science along with other health disciplines. The classification contains 190 outcomes, each with a label, definition, and a set of indicators and measures to determine achievement of the outcome. Examples of outcomes influenced by nursing interventions include: Ambulation, Caregiver Emotional Health, Mobility Level, Nutritional Status, and Cognitive Orientation.

Benefits of NIC and NOC:

The Classifications will benefit health care providers, patients, and third-party payers in many ways. They will:

· Provide a standardized language for nursing.

· Facilitate appropriate selection of nursing interventions.

· Define and predict outcomes nurses can achieve with patients.

· Facilitate communication of nursing treatments to other nurses and other providers.

· Standardize and define the knowledge base for nursing curricula and practice.

· Facilitate the teaching of clinical decision-making to novice nurses.

· Assist administrators in effectively planning for staff and equipment resources.

· Enable researchers to examine the effectiveness and cost of nursing care.

· Assist educators in developing curricula that better conform with clinical practice.

· Promote the development of a reimbursement system for nursing services.

· Facilitate the development of computerized information systems.

· Communicate the nature of nursing to the public.

For more information, contact the Center for Nursing Classification, 319-335-7051 or E-mail: william-donahue@uiowa.edu. You may also contact one of the prinicpal investigators for NIC or NOC. For NIC, Joanne McCloskey, 319-335-7120, and Gloria Bulechek, 319-335-7115. For NOC, Marion Johnson, 319-335-7125, and Meridean Maas, 319-335-7107.