In the past decade, forces such as prospective payment systems, cost containment, increased compe... more In the past decade, forces such as prospective payment systems, cost containment, increased competition, corporate mergers, and alternative care delivery systems have converged upon health care organizations. In a climate of uncertainty and rapid change, it is imperative ...
Clinically useful and measurable patient outcomes that are sensitive to nursing interventions are... more Clinically useful and measurable patient outcomes that are sensitive to nursing interventions are needed to determine the effectiveness of nursing care. Nursing Outcomes Classification (NOC) researchers are evaluating the reliability, validity, and usefulness of the first 190 published outcomes in 10 sites representing the continuum of care. Preliminary analysis of inter-rater reliability and construct or criterion validity of 15 outcomes are described. Results indicate NOC outcomes can be used to accurately document the effectiveness of nursing interventions.
More than ever before, caregiving has become a salient public policy issue. A number of recent an... more More than ever before, caregiving has become a salient public policy issue. A number of recent and anticipated demographic, economic and social changes have occurred that make it imperative for researchers to critically examine the impact of caregiving on family caregivers' health, behavior, emotions, and social status. Researchers at the University of Iowa College of Nursing are working to classify standardized nursing-sensitive patient outcomes for use in language development, practice, research, and education to evaluate the effectiveness of nursing interventions and clinical nursing services. This article focuses on family caregiving and the analysis of caregiver role performance in both direct and indirect care, linking outcomes and indicators, to enable nurses to promote the health of caregivers.
Outcomes management has received increased attention in the current health care environment, but ... more Outcomes management has received increased attention in the current health care environment, but nursing participation has been limited due to the lack of standardized data about the effects of nursing practice. The Nursing Outcomes Classification (NOC) provides a standardized language that can be used to measure the effects of nursing practice on patient outcomes. An overview of the classification and implementation methods is provided.
Studies in Health Technology and Informatics, Feb 1, 2006
The Nursing Outcomes Classification (NOC) includes with each outcome a set of indicators to provi... more The Nursing Outcomes Classification (NOC) includes with each outcome a set of indicators to provide concrete referents for measurement of the outcome. Not all indicators are relevant for all instances of the rating of an outcome. The choice of indicators to use varies by clinical setting. Patterns of variation in use of indicators have implications for both nurse clinicians in understanding their practice and nurse informaticists in developing nursing information systems.
Caring National Association For Home Care Magazine, Feb 1, 1997
In these tumultuous times in health care, nursing providers are under pressure to capture data th... more In these tumultuous times in health care, nursing providers are under pressure to capture data that demonstrate the effectiveness of nursing interventions on client health. At the University of Iowa, researchers are attempting to develop a client outcome classification system that uses a standardized language across different health care settings to capture this vital information.
The purpose of the Iowa Model is to serve both as a heuristic device and as a framework for artic... more The purpose of the Iowa Model is to serve both as a heuristic device and as a framework for articulating knowledge for nursing administration research, practice, and education. The model delineates two domains of knowledge (systems and outcomes), each with three levels (patient aggregates, the organization, and the health care system). Concepts useful for knowledge development are identified for each level. Practice, research, and curricular applications of the model are made.
International Journal of Nursing Terminologies and Classifications, 2003
PURPOSE To evaluate NOC outcomes in field sites across the care continuum; to identify core outco... more PURPOSE To evaluate NOC outcomes in field sites across the care continuum; to identify core outcomes and linkages among diagnoses, interventions, and outcomes. METHODS Researchers tested 190 patient outcomes, developed and tested for content validity and ...
The purpose of this study was to provide evidence of the inter-rater reliability, validity, and s... more The purpose of this study was to provide evidence of the inter-rater reliability, validity, and sensitivity of a subset of Nursing Outcomes Classification (NOC) measures, including 26 found to be "most clinically useful" in a nurse practitioner setting (NPS). Selected NPS results are compared to those obtained from a larger 10-site study. Results indicated that the measures are valid, reliable, and sensitive as clinical measures of nursing outcomes. Proper education of users can enhance psychometrics. Suggestions for strengthening the measures and further study are outlined.
International journal of nursing terminologies and classifications : the official journal of NANDA International
To review the use of diagnosis-specific outcomes in health care and nursing. Published literature... more To review the use of diagnosis-specific outcomes in health care and nursing. Published literature, information databases. The need to identify nursing diagnosis-specific outcomes is necessary in order to expand nursing's knowledge base and identify the cost-effectiveness of nursing interventions. Outcomes work needs to be done across settings where care is provided. Outcomes information is necessary to identify the cost and impact of nursing interventions.
Studies in health technology and informatics, 2006
The Nursing Outcomes Classification (NOC) includes with each outcome a set of indicators to provi... more The Nursing Outcomes Classification (NOC) includes with each outcome a set of indicators to provide concrete referents for measurement of the outcome. Not all indicators are relevant for all instances of the rating of an outcome. The choice of indicators to use varies by clinical setting. Patterns of variation in use of indicators have implications for both nurse clinicians in understanding their practice and nurse informaticists in developing nursing information systems.
To describe what electronic health record meaningful use requirements mean for nursing clinical ... more To describe what electronic health record meaningful use requirements mean for nursing clinical information system (CIS) development. The nursing CIS in many, if not most hospitals, has a number of critical design inadequacies that constrain the meaningful use of nursing data to ensure quality outcomes for patients and data-based maturing of the nursing profession. It is the responsibility and obligation of nurses to ensure that CISs are designed for the meaningful use of nursing clinical data. To accomplish these ends, interoperable clinical nursing data must be documented in a properly integrated operational CIS, and must be retrievable and stored in data repositories for analysis and reports.
In the past decade, forces such as prospective payment systems, cost containment, increased compe... more In the past decade, forces such as prospective payment systems, cost containment, increased competition, corporate mergers, and alternative care delivery systems have converged upon health care organizations. In a climate of uncertainty and rapid change, it is imperative ...
Clinically useful and measurable patient outcomes that are sensitive to nursing interventions are... more Clinically useful and measurable patient outcomes that are sensitive to nursing interventions are needed to determine the effectiveness of nursing care. Nursing Outcomes Classification (NOC) researchers are evaluating the reliability, validity, and usefulness of the first 190 published outcomes in 10 sites representing the continuum of care. Preliminary analysis of inter-rater reliability and construct or criterion validity of 15 outcomes are described. Results indicate NOC outcomes can be used to accurately document the effectiveness of nursing interventions.
More than ever before, caregiving has become a salient public policy issue. A number of recent an... more More than ever before, caregiving has become a salient public policy issue. A number of recent and anticipated demographic, economic and social changes have occurred that make it imperative for researchers to critically examine the impact of caregiving on family caregivers' health, behavior, emotions, and social status. Researchers at the University of Iowa College of Nursing are working to classify standardized nursing-sensitive patient outcomes for use in language development, practice, research, and education to evaluate the effectiveness of nursing interventions and clinical nursing services. This article focuses on family caregiving and the analysis of caregiver role performance in both direct and indirect care, linking outcomes and indicators, to enable nurses to promote the health of caregivers.
Outcomes management has received increased attention in the current health care environment, but ... more Outcomes management has received increased attention in the current health care environment, but nursing participation has been limited due to the lack of standardized data about the effects of nursing practice. The Nursing Outcomes Classification (NOC) provides a standardized language that can be used to measure the effects of nursing practice on patient outcomes. An overview of the classification and implementation methods is provided.
Studies in Health Technology and Informatics, Feb 1, 2006
The Nursing Outcomes Classification (NOC) includes with each outcome a set of indicators to provi... more The Nursing Outcomes Classification (NOC) includes with each outcome a set of indicators to provide concrete referents for measurement of the outcome. Not all indicators are relevant for all instances of the rating of an outcome. The choice of indicators to use varies by clinical setting. Patterns of variation in use of indicators have implications for both nurse clinicians in understanding their practice and nurse informaticists in developing nursing information systems.
Caring National Association For Home Care Magazine, Feb 1, 1997
In these tumultuous times in health care, nursing providers are under pressure to capture data th... more In these tumultuous times in health care, nursing providers are under pressure to capture data that demonstrate the effectiveness of nursing interventions on client health. At the University of Iowa, researchers are attempting to develop a client outcome classification system that uses a standardized language across different health care settings to capture this vital information.
The purpose of the Iowa Model is to serve both as a heuristic device and as a framework for artic... more The purpose of the Iowa Model is to serve both as a heuristic device and as a framework for articulating knowledge for nursing administration research, practice, and education. The model delineates two domains of knowledge (systems and outcomes), each with three levels (patient aggregates, the organization, and the health care system). Concepts useful for knowledge development are identified for each level. Practice, research, and curricular applications of the model are made.
International Journal of Nursing Terminologies and Classifications, 2003
PURPOSE To evaluate NOC outcomes in field sites across the care continuum; to identify core outco... more PURPOSE To evaluate NOC outcomes in field sites across the care continuum; to identify core outcomes and linkages among diagnoses, interventions, and outcomes. METHODS Researchers tested 190 patient outcomes, developed and tested for content validity and ...
The purpose of this study was to provide evidence of the inter-rater reliability, validity, and s... more The purpose of this study was to provide evidence of the inter-rater reliability, validity, and sensitivity of a subset of Nursing Outcomes Classification (NOC) measures, including 26 found to be "most clinically useful" in a nurse practitioner setting (NPS). Selected NPS results are compared to those obtained from a larger 10-site study. Results indicated that the measures are valid, reliable, and sensitive as clinical measures of nursing outcomes. Proper education of users can enhance psychometrics. Suggestions for strengthening the measures and further study are outlined.
International journal of nursing terminologies and classifications : the official journal of NANDA International
To review the use of diagnosis-specific outcomes in health care and nursing. Published literature... more To review the use of diagnosis-specific outcomes in health care and nursing. Published literature, information databases. The need to identify nursing diagnosis-specific outcomes is necessary in order to expand nursing's knowledge base and identify the cost-effectiveness of nursing interventions. Outcomes work needs to be done across settings where care is provided. Outcomes information is necessary to identify the cost and impact of nursing interventions.
Studies in health technology and informatics, 2006
The Nursing Outcomes Classification (NOC) includes with each outcome a set of indicators to provi... more The Nursing Outcomes Classification (NOC) includes with each outcome a set of indicators to provide concrete referents for measurement of the outcome. Not all indicators are relevant for all instances of the rating of an outcome. The choice of indicators to use varies by clinical setting. Patterns of variation in use of indicators have implications for both nurse clinicians in understanding their practice and nurse informaticists in developing nursing information systems.
To describe what electronic health record meaningful use requirements mean for nursing clinical ... more To describe what electronic health record meaningful use requirements mean for nursing clinical information system (CIS) development. The nursing CIS in many, if not most hospitals, has a number of critical design inadequacies that constrain the meaningful use of nursing data to ensure quality outcomes for patients and data-based maturing of the nursing profession. It is the responsibility and obligation of nurses to ensure that CISs are designed for the meaningful use of nursing clinical data. To accomplish these ends, interoperable clinical nursing data must be documented in a properly integrated operational CIS, and must be retrievable and stored in data repositories for analysis and reports.
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