RESUMO
Nursing intervention classification (NIC) is an effective system in documenting nursing work, which can improve nursing quality, strengthen the standard of nursing charging, and promote nursing education and research. In addition, it can be used as a standardized nursing language to satisfy the needs of electronic computerized nursing record. The authors introduced the content of NIC, as well as the advantages found in overseas application and the status of application and research at home. Also presented are the application prospect, research approaches and advices on how to apply the NIC system in clinical practice at home.
RESUMO
The purpose of this study was to identify nursing care for elderly patients with dementia using Uniform Hospital Discharge Data Set (UHDDS) and Nursing Minimum Data Set (NMDS) of a community hospital in the United States Mid-west. The study sample included 222 elderly patients with dementia who were discharged in the year 1998. The findings were as follows. 1. The proportion of dementia in this study was 8.5% among total elderly patients. The most common associated disease was hypertension (n=40, 18.0%), followed by urinary tract infection (n=30, 13.5%). 2. The most frequent nursing diagnoses were altered health maintenance (n=158, 71.2%), knowledge deficit (n=150, 67.6%), potential for injury (n=119, 53.6%), potential for infection (n=102, 45.9%), pain (n=89, 40.1%), impaired physical mobility (n=78, 35.1%), and altered thought process (n=64, 28.8%). 3. The most frequent interventions were discharge planning (n=138, 62.1%), surveillance safety (n=86, 38.8%), fall prevention (n=78, 34.9%), teaching: disease process (n=74, 33.1%), learning facilitation (n=66, 29.5%), and infection protection (n=65, 29.3%). The results identified the need for continued work on the linkage of the nursing care elements, including nursing diagnosis, nursing intervention, and nursing-sensitive outcome, using the standardized languages.