Korean J Adult Nurs.  2014 Aug;26(4):413-423. 10.7475/kjan.2014.26.4.413.

Identification of Major Nursing Diagnosis, Nursing Outcomes, and Nursing Interventions (NNN) Linkage for Cancer Patients Undergoing Chemotherapy

Affiliations
  • 1Chosun University Hospital, Gwangju, Korea.
  • 2College of Nursing, Chonnam National University, Gwangju, Korea. anminjeong@gmail.com

Abstract

PURPOSE
This study was aimed to identify NANDA-NOC-NIC linkage in cancer patients receiving chemotherapy.
METHODS
This study was a descriptive study conducted in three steps. First, nursing diagnoses were identified from the electronic nursing records. Second, content validity of nursing diagnoses and outcomes were evaluated. Third, major nursing interventions associated with expected nursing outcomes were collected from 97 nurses who worked in the oncology unit. Data were analyzed using descriptive statistics.
RESULTS
Four major nursing diagnoses were identified: acute pain, knowledge deficit, health seeking behaviors, and ineffective protection. Associated with each respective diagnosis, 3 major outcomes (pain level, pain control, and comfort state) for acute pain, 8 major nursing outcomes (diet, disease process, treatment regimen, illness, ostomy care, prescribed activity, health behavior, and infection management) for knowledge deficit, 4 major outcomes (health promoting behavior, health promotion, health belief, and knowledge: health resource) for health seeking behaviors, and 3 major outcomes (fatigue level, immune status, and nutritional status) for ineffective protection were identified. In addition, nursing interventions frequently used in clinical practice for each major nursing outcome were identified.
CONCLUSION
The identified NANDA-NOC-NIC linkage can contribute to improving the applications of nursing process and care plans.


MeSH Terms

Acute Pain
Diagnosis
Drug Therapy*
Health Behavior
Health Promotion
Humans
Nursing Diagnosis*
Nursing Process
Nursing Records
Nursing*
Ostomy

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Min Ji Yang, Hye Young Kim
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