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성인간호학회지 = Korean Journal of Adult Nursing v.23 no.2, 2011년, pp.180 - 188   피인용횟수: 5
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

일반외과 입원 환자에 적용되는 간호진단-간호결과-간호중재 연계 확인
Identification of Nursing Diagnosis-Outcome-Intervention (NANDA-NOC-NIC) Linkages in Surgical Nursing Unit

이은주    (서강정보대학 간호과   ); 최순희    (전남대학교 간호대학  );
  • 초록

    Purpose: This study was to identify nursing diagnosis-outcome-intervention (NANDA- NOC-NIC: NNN) linkages applied to inpatients in general surgical nursing units. Methods: We developed the NNN linkage computerized nursing process program, which consisted of the 107 nursing outcomes and the 190 nursing interventions linked to the 39 nursing diagnoses. This program was applied to 324 patients who admitted to those nursing units from July, 2004 to February, 2005. Results: First, nursing outcomes of each nursing diagnosis were identified as follows: for 'acute pain', pain control, pain level, and comfort level; for 'risk for infection', wound healing: primary intention, wound healing: secondary intention, and infection status; for 'nausea', nutritional status: food & fluid intake, comfort level, symptom severity and hydration. Second, major nursing interventions for each nursing outcome were analyzed as follows: for pain control or comfort level, pain management and medication management; for pain level, pain management and analgesic administration; for wound healing: primary intention, incision site care and wound care; for Wound healing: secondary intention or infection status, infection control; for nutritional status: food & fluid intake, fluid monitoring; for comfort level, nausea management; for symptom severity, nausea management and vomiting management; for hydration, fluid/electrolyte management. Conclusion: This identified NNN linkages will facilitate the use of nursing process in surgical nursing practice and documentation systems.


  • 주제어

    간호진단 .   간호결과 .   간호중재 .   일반외과.  

  • 참고문헌 (22)

    1. Cho, E. J., & Kim, N. C. (2008). Validation of major nursing diagnosis-outcome-intervention (NANDA-NOC-NIC) linkage for adult surgery patients of post anesthetic care unit. Journal of Korean Clinical Nursing Research, 14(3), 141- 151. 
    2. Choi, S. H., Cho, B. H., Ji, H. R., Li, E. H., Kim, H. S., & Park, M. J. (2004). Standardized NANDA, NOC, and NIC linkages. Seoul: Hyunmoonsa. 
    3. Craven, R. F., & Hirnle, C. J. (2007). Fundamental of nursing (5th ed.). Philadelphia: Lippincott Williams & Wilkins. 
    4. Hughes, R. (2003). The use of NANDA, NIC, and NOC in the identification and Measurement of problems, interventions, and outcomes in spinal cord injury. International Journal of Nursing Terminologies and Classifications, 14(4), 18. 
    5. Ji, M. K. (2003). Linkages of nursing diagnoses, nursing intervention, and nursing outcome classification of brest cancer patients using nursing database. Unpublished master's thesis, Chung-Ang University, Seoul. 
    6. Johnson, M., Bulechek, G., Dochterman, J. M., Mass, M., & Moorhead, S. (Ed.). (2001). Nursing diagnoses, outcomes, and interventions: NANDA, NOC, and NIC linkages. St. Louis: Mosby. 
    7. Johnson, M., Mass, M., & Moorhead, S. (Ed.). (2000). Nursing outcomes classification (NOC) . St. Louis: Mosby. 
    8. Kim, H. S. (2005). Development and application of a computerized nursing process program for orthopedic surgery inpatients-NANDA, NOC, and NIC Linkage. Journal of Korean Academy of Nursing, 35(6), 979-990.     
    9. Ko, E. (2008). Construction of nursing information system using NANDA-NOC-NIC linkage in Medical ? Surgical Nursing Units. Unpublished doctoral dissertation, Chonnam National University, Gwangju. 
    10. McCloskey, J. C., & Bulechek, G. M. (2000). Nursing intervention classification (NIC) (3rd ed.). St. Louis: Mosby. 
    11. Micek, W. T., Berry, L., Gilski, D., Kallenbach, A., Link, D., & Scharer, K. (1996). Patient outcome: The link between nursing diagnosis and interventions. The Journal of Nursing Administration, 26 (11), 29-35. 
    12. North American Nursing Diagnosis Association (2000). NANDA nursing diagnosis; Definitions classification 2001-2002. Philadelphia: NANDA. 
    13. Park, H. J. (2003). Development and application of the computerized nursing process program using nursing diagnosis- outcome-intervention linkage. Unpublished master's thesis, Chonnam National University, Gwangju. 
    14. Park, M. J. (2010). Identification of nursing diagnosis-outcomeintervention (NANDA-NOC-NIC) linkage in MICU inpatients. Unpublished doctoral dissertation, Chonnam National University, Gwangju. 
    15. Park, S, H. (2006). Linkages of nursing diagnoses and nursing interventions for nursing clinical decision support system. Unpublished doctoral dissertation, Seoul National University, Seoul. 
    16. Procella, A. (2003). Nursing outcomes across a surgical care episode. International Journal of Nursing Terminologies and Classifications, 14(4), 15. 
    17. Ross, D. (1998, September/October). A contribution to nursing's Minimum Data Set. Journal of Orthopaedic Nursing, 22-30. 
    18. Scherb, C. A. (2003). Describing nursing effectiveness through standardized nursing languages and computerized clinical data. International Journal of Nursing Terminologies and Classifications, 14(4), 29. 
    19. Shever, L. L., Titler, M., Dochterman, J., Fei, Q., & Picone, D. M. (2007). Patterns of nursing intervention use across 6 days of acute care hospitalization for three older patient populations. International Journal of Nursing Terminologies and Classifications, 18(1), 18-29. 
    20. Volpato, M. P. (2003). Nursing diagnosis in medical-surgical patients. International Journal of Nursing Terminologies and Classifications, 14(4), 57. 
    21. Yom, Y. H., Chi, S. A., & Yoo, H. S. (2002). Application of nursing diagnoses, interventions and outcomes to patients undergoing abdominal surgery in Korea. International Journal of Nursing Terminologies and Classifications, 13(3), 77-87. 
    22. Yoo, H. S. (2003). Clinical nursing process model using a database linking system. Journal of Korean Society of Medical Informatics, 9(1), 25-36. 
  • 이 논문을 인용한 문헌 (5)

    1. Hwang, Jee-In 2011. "Nursing Problems in Oriental Nursing Practice Based on Nursing Documentation" 동서간호학연구지 = Journal of East-West nursing research, 17(1): 66~70     
    2. Hong, Sung-Jung ; Kim, Hwa-Sun 2011. "Development and Effects of a Comprehensive Web-Based Nursing Process for Nursing Students" 기본간호학회지 = Journal of Korean Academy of Fundamentals of Nursing, 18(4): 497~505     
    3. Cho, Hune ; Hong, Sung-Jung ; Kim, Hwa-Sun 2013. "Evaluation of Adaption and Intent to Use Smartphone Application for Nursing Process of Nursing Student" 한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, 14(12): 6403~6412     
    4. Ko, Eun ; So, Hyang-Sook 2013. "Construction and Application of Nursing Information System Using NANDA-NOC-NIC Linkage in Medical-Surgical Nursing Units" 성인간호학회지 = Korean Journal of Adult Nursing, 25(4): 365~376     
    5. Song, Su Mi ; So, Hyangsook ; An, Minjeong 2014. "Identification of Major Nursing Diagnosis, Nursing Outcomes, and Nursing Interventions (NNN) Linkage for Cancer Patients Undergoing Chemotherapy" 성인간호학회지 = Korean Journal of Adult Nursing, 26(4): 413~423     

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