Online Advanced Release
Nursing Diagnoses, Interventions, and Patient Outcomes for Hospitalized Older Adults with Pneumonia

Research in Gerontological Nursing 

By Barbara J. Head, PhD, RN; Cindy A. Scherb, PhD, RN; David Reed, PhD; Deborah Marks Conley, MSN, APRN-CNS-BC, FNGNA; Barbara Weinberg, BS, RN, CCRN; Marie Kozel, RN, BSN, MBA; Susan Gillette, RN; Mary Clarke, PhD, RN, BC; Sue Moorhead, PhD, RN

Received: March 17, 2009; Accepted: March 5, 2010; Posted: June 30, 2010

A study was conducted by academic and community hospital partners with clinical information systems that included the standardized nursing language classifications of the North American Nursing Diagnosis Association International (NANDA-I), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC). The aim of the study was to determine the frequency of NANDA-I, NIC, and NOC (NNN) terms documented for older adults with pneumonia who were discharged from three hospitals during a 1-year period. NNN terms were ranked according to frequency for each hospital, and then the rankings were compared with previous studies. Similarity was greater across hospitals in rankings of NANDA-I and NOC terms than in rankings of NIC terms. NANDA-I and NIC terms are influenced by reimbursement and regulatory factors as well as patient condition. The 10 most frequent NNN terms for each hospital accounted for only a small to moderate percentage of the terms selected.

doi:10.3928/19404921-20100601-99