Transcript Nursing Intervention Classifications

Nursing Intervention
Classifications
Esther K. AFOLABI
RN, MSc. FWACN
Introduction
•We continue with the series of lectures
on the SNLs by discussing the NIC.
•The NIC was founded in the 1987 and it
replaces the implementation used in the
former format of the Nursing Process
Learning Objectives
•At the end of this session, the learner will be
able to ;
•Define the NIC
•Identify the format of writing the NIC
•List out some examples of NIC
•Link the NIC with other segments of the
Nursing process
Nursing Intervention Classifications
•Domains (7)
•Classes (30)
•Interventions (554)
The Nursing Interventions Classification (NIC)
•“is a comprehensive, research-based,
standardized classification of interventions
that nurses perform.
•An intervention is defined as:
“any treatment, based upon clinical judgment
and knowledge that a nurse performs to
enhance patient/client outcomes.”
Useful of NIC
•for clinical documentation,
• communication of care across settings,
•integration of data across systems and settings,
• effectiveness research,
• productivity measurement,
•competency evaluation,
•reimbursement, and curricular design.
NIC Format
• Label
name
• Definition
• Activities
• References
Nursing Intervention Domains
Physiological:
Basic
Physiological: Complex
 Behavioral
Safety
Family
Health System
Community
Diarrhea Management
0460
Definition: Management and Alleviation of diarrhea
Activities:
• Determine history of diarrhea
• Obtain stool for culture and sensitivity if diarrhea
continues
• Teach patient appropriate use of antidiarrheal
medications
• Instruct patient/family members to record color,
volume, frequency, and consistency of stools.
• Encourage frequent, small feeding, adding bulk
gradually
• Weigh patient regularly
• Observe skin turgor regularly
Childbirth Preparation
6760
Definition: Providing information and support to
facilitate childbirth and to enhance the ability of an
individual to develop and perform the parental role
Activities
• Teach the mother and partner about the physiology of
labor
• Educate mother and partner about signs of labor
• Inform mother about when to come to the hospital in
preparation for delivery
• Discuss pain control options with mother
• Inform mother about delivery options if complications
arise
• Promote parent’s self-efficacy in taking on parental role
• Discuss arrangements for siblings care during
hospitalization
Community Health Development 8500
Definition: Assisting members of a community to identify
community’s health concern, mobilize resources, and
implement solution
Activities
• Identify health concerns, strengths, and priorities with
community partners
• Provide opportunities for community participation by
all segments of the community
• Assist community members in raising awareness of
health problems and concerns
• Enhance community support network
• Develop strategies for managing conflict
• Provide an environment, creating situations in which
individuals and groups feel safe expressing their views
Self-Esteem Enhancement 5400
Definition: Assisting a patient to increase his or her
personal judgement of self-worth
Activities
• Monitor patient’s statement of self-worth
• Determine patient’s locus of control
• Determine patient’s confidence in own judgement
• Encourage patient to identify strength
• Facilitate an environment and activities that will
increase self-esteem
• Make positive statements about patient
NIC for Individuals
•Anxiety Reduction
5820
•Asthma Management
3210
•Behaviour Management
4350
•Bleeding Reduction: Post Partum Uterus 4026
•Body Image Enhancement 5220
•Fever treatment
3740
NIC for Families
•Family Integrity Promotion
7100
•Family Process Maintenance
7130
•Family therapy
7150
•Family Support
7140
•Financial Resource Assistance
7380
•Family Presence Facilitation
7170
NIC for Communities
•Community Disaster Preparedness. 8840
•Community Health Development. 8500
•Culture Brokerage. 7330
•Immunization / Vaccination Management. 6530
•Teaching: Safe sex. 5622
•Environmental management: Community.
6484
•Surveillance: Community. 6652
Example of using the NNN
Nursing Diagnosis: Diarrhea
Outcome
Suggested
Interventions
Major
Bowel
Diarrhea Management
continence Medication Management
fluid/electrolyte
Bowel Mgt
monitoring
Medication
Nutrition Mgt
Example of using the NNN
Nursing Diagnosis: Self-Esteem: Situational Low
Outcome
Self
Esteem
Interventions
Major
Coping Enhancement
Self- Esteem Enhancement
Suggested
Anticipatory Guidance
Body ImageEnhancement
MoodManagement
AssertiveTraining
The Nursing Process
•Assessing
•Diagnosing (NANDA-I)
•Outcome Identification (NOC)
•Planning
•Implementing ( NIC)
•Evaluating the Outcomes (NOC)
Conclusion
•Using the three concepts will pave way for
better understanding of Nursing and
documentation of care.