Nursing Outcomes Classification: Difference between revisions

Latest revision as of 23:03, 2 April 2025

System to classify outcomes influenced by nursing care

Nursing Outcomes Classification (NOC) is a standardized classification system that defines and measures patient outcomes that are directly influenced by nursing interventions. It is a key component of the nursing process and serves as a tool to evaluate the effectiveness of nursing care in clinical settings. The NOC provides a comprehensive list of patient outcomes that are sensitive to nursing actions. Each outcome is standardized with:

A unique label
A clear definition
A set of measurable indicators
A 5-point Likert scale to evaluate patient progress

Currently, the NOC includes over 330 defined outcomes. These outcomes are applicable to individual patients, families, or communities and span physical, psychological, social, and spiritual domains of health. The NOC is recognized by the American Nurses Association (ANA) and has been integrated into major healthcare information systems. It is included in the:

Unified Medical Language System (UMLS)
Health Level Seven International (HL7) registered terminologies

Purpose[edit]

The primary purpose of the Nursing Outcomes Classification is to:

Provide a framework for identifying nursing-sensitive outcomes
Evaluate the effectiveness of nursing interventions
Facilitate evidence-based practice in nursing
Improve patient care quality and safety
Support clinical decision support systems and electronic health records

Nursing-sensitive outcomes[edit]

Nursing-sensitive outcomes are defined as an individual's, family's, or community's state, behavior, or perception that changes in response to nursing care and is measured along a continuum. These outcomes are uniquely influenced by nursing interventions and can be used to justify the impact of nursing on healthcare delivery. Examples of nursing-sensitive outcomes include:

Pain level
Mobility
Knowledge of health condition
Self-care ability
Anxiety reduction
Respiratory status

Applications[edit]

NOC outcomes are used in:

Advanced nursing practice
Nursing education
Clinical research
Quality improvement programs
Documentation and reporting in electronic health records (EHRs)

They are particularly important in demonstrating the effectiveness and accountability of nursing in specialized fields such as:

Structure and Example[edit]

Each outcome in the NOC contains the following elements:

Label: Pain Level
- Definition: Severity of pain reported or observed by an individual
Indicators:
- Reports pain intensity on a scale of 0–10
- Reports pain relief with interventions
- Demonstrates non-verbal signs of pain (grimacing, guarding)
Measurement Scale: 1 (severely compromised) to 5 (not compromised)

Development[edit]

The NOC system was developed by the University of Iowa College of Nursing and continues to be updated based on ongoing research and clinical feedback.

External links[edit]

National Library of Medicine – UMLS
Nursing Outcomes Classification (U. Iowa)

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-The '''Nursing Outcomes Classification''' ('''NOC''') is a [[wiktionary:classification|classification]] system which describes [[patient]] outcomes sensitive to [[nursing]] intervention. The NOC is a system to evaluate the effects of [[nursing care]] as a part of the [[nursing process]]. The NOC contains 330 outcomes, and each with a label, a definition, and a set of indicators and measures to determine achievement of the nursing outcome and are included  The terminology is an [[American Nurses' Association]]-recognized terminology, is included in the [[UMLS]], and is [[HL7]] registered.<ref>Donahue, M.P. & Brighton, V., ''Nursing outcome classification: Development and implementation'', Journal of Nursing Care Quality, 1998, 12(5)</ref><ref>S. Moorhead, M. Johnson, M. Maas, E. Swanson, ''Nursing Outcomes Classification (NOC)'', Elsevier, Fourth Edition, 936 pages, 2007, {{ISBN|0-323-05408-0}}</ref>
+{{short description|System to classify outcomes influenced by nursing care}}
+'''Nursing Outcomes Classification''' ('''NOC''') is a standardized classification system that defines and measures [[patient]] outcomes that are directly influenced by [[nursing]] interventions. It is a key component of the [[nursing process]] and serves as a tool to evaluate the effectiveness of nursing care in clinical settings.
+The NOC provides a comprehensive list of patient outcomes that are sensitive to nursing actions. Each outcome is standardized with:
+* A unique '''label'''
+* A clear '''definition'''
+* A set of measurable '''indicators'''
+* A 5-point Likert scale to evaluate patient progress
+Currently, the NOC includes over 330 defined outcomes. These outcomes are applicable to individual patients, families, or communities and span physical, psychological, social, and spiritual domains of health.
+The NOC is recognized by the [[American Nurses Association]] (ANA) and has been integrated into major healthcare information systems. It is included in the:
+* [[Unified Medical Language System]] (UMLS)
+* [[Health Level Seven International]] (HL7) registered terminologies
+==Purpose==
+The primary purpose of the Nursing Outcomes Classification is to:
+* Provide a framework for identifying nursing-sensitive outcomes
+* Evaluate the effectiveness of nursing interventions
+* Facilitate [[evidence-based practice]] in nursing
+* Improve patient care quality and safety
+* Support [[clinical decision support systems]] and electronic health records
+==Nursing-sensitive outcomes==
+Nursing-sensitive outcomes are defined as an individual's, family's, or community's state, behavior, or perception that changes in response to nursing care and is measured along a continuum. These outcomes are uniquely influenced by nursing interventions and can be used to justify the impact of nursing on healthcare delivery.
+Examples of nursing-sensitive outcomes include:
+* Pain level
+* Mobility
+* Knowledge of health condition
+* Self-care ability
+* Anxiety reduction
+* Respiratory status
+==Applications==
+NOC outcomes are used in:
+* [[Advanced nursing practice]]
+* [[Nursing education]]
+* [[Clinical research]]
+* [[Quality improvement]] programs
+* [[Documentation]] and reporting in [[electronic health records]] (EHRs)
+They are particularly important in demonstrating the effectiveness and accountability of nursing in specialized fields such as:
+* [[Rheumatology nursing]]
+* [[Pediatric nursing]]
+* [[Intensive care nursing]]
+==Structure and Example==
+Each outcome in the NOC contains the following elements:
+* Label: Pain Level
+** Definition: Severity of pain reported or observed by an individual
+* Indicators:
+** Reports pain intensity on a scale of 0–10
+** Reports pain relief with interventions
+** Demonstrates non-verbal signs of pain (grimacing, guarding)
+* Measurement Scale: 1 (severely compromised) to 5 (not compromised)
-With the development of advanced nursing practice and the need to demonstrate effectiveness in patient care, academics and advanced practitioners have started researching and identifying nursing-sensitive outcome.<ref>{{Cite journal|last=Doran|first=Diane M.|last2=Harrison|first2=Margaret B.|last3=Laschinger|first3=Heather S.|last4=Hirdes|first4=John P.|last5=Rukholm|first5=Ellen|last6=Sidani|first6=Souraya|last7=Hall|first7=Linda McGillis|last8=Tourangeau|first8=Ann E.|date=March 2006|title=Nursing-sensitive outcomes data collection in acute care and long-term-care settings|journal=Nursing Research|volume=55|issue=2 Suppl|pages=S75–81|issn=0029-6562|pmid=16601638|doi=10.1097/00006199-200603001-00012}}</ref><ref>{{Cite journal|last=Ingersoll|first=G. L.|last2=McIntosh|first2=E.|last3=Williams|first3=M.|date=November 2000|title=Nurse-sensitive outcomes of advanced practice|journal=Journal of Advanced Nursing|volume=32|issue=5|pages=1272–1281|issn=0309-2402|pmid=11115013|doi=10.1046/j.1365-2648.2000.01598.x}}</ref><ref>{{Cite journal|last=Krau|first=Stephen D.|date=2014-03-01|title=Nurse-Sensitive Outcomes: Indicators of Quality Care?|url=http://www.nursing.theclinics.com/article/S0029-6465(13)00127-8/abstract|journal=Nursing Clinics|language=English|volume=49|issue=1|pages=ix–x|doi=10.1016/j.cnur.2013.12.002|issn=0029-6465|pmid=24485192}}</ref><ref>{{Cite journal|last=Ingersoll|first=Gail L.|last2=McIntosh|first2=Elaine|last3=Williams|first3=Mamie|date=2000-11-01|title=Nurse-sensitive outcomes of advanced practice|journal=Journal of Advanced Nursing|language=en|volume=32|issue=5|pages=1272–1281|doi=10.1046/j.1365-2648.2000.01598.x|issn=1365-2648|url=https://deepblue.lib.umich.edu/bitstream/2027.42/72541/1/j.1365-2648.2000.01598.x.pdf}}</ref> These are defined as defined as an individual’s, family or community state, behaviour or perception that is measured along a continuum in response to nursing intervention.<ref>{{Cite web|url=https://elsevier.ca/product.jsp?isbn=9780323100106|title=Elsevier: Nursing Outcomes Classification (NOC), 5th Edition: Moorhead, Johnson, Maas & Swanson|website=elsevier.ca|access-date=2017-11-13}}</ref> Nursing sensitive outcomes have been identifying in rheumatology nursing,<ref>{{Cite journal|last=Minnock|first=Patricia|last2=McKee|first2=Gabrielle|last3=Kelly|first3=Alexia|last4=Carter|first4=Sheree C.|last5=Menzies|first5=Victoria|last6=O’Sullivan|first6=Denis|last7=Richards|first7=Pam|last8=Ndosi|first8=Mwidimi|last9=Hustings|first9=Yvonne van Eijk|date=2018-01-01|title=Nursing sensitive outcomes in patients with rheumatoid arthritis: A systematic literature review|journal=International Journal of Nursing Studies|language=en|volume=77|pages=115–129|doi=10.1016/j.ijnurstu.2017.09.005|pmid=29080437|issn=0020-7489}}</ref> paediatric nursing<ref>{{Cite journal|last=Wilson|first=Sally|last2=Bremner|first2=Alexandra P.|last3=Hauck|first3=Yvonne|last4=Finn|first4=Judith|date=2012-07-20|title=Identifying paediatric nursing-sensitive outcomes in linked administrative health data|journal=BMC Health Services Research|volume=12|pages=209|doi=10.1186/1472-6963-12-209|pmid=22818363|pmc=3467158|issn=1472-6963}}</ref>  and in intensive care.<ref>{{Cite journal|last=Krapohl|first=Greta|last2=Manojlovich|first2=Milisa|last3=Redman|first3=Richard|last4=Zhang|first4=Lingling|date=November 2010|title=Nursing specialty certification and nursing-sensitive patient outcomes in the intensive care unit|journal=American Journal of Critical Care|volume=19|issue=6|pages=490–498; quiz 499|doi=10.4037/ajcc2010406|issn=1937-710X|pmid=21041193}}</ref><ref>{{Cite journal|last=Baggs|first=Judith Gedney|last2=Schmitt|first2=Madeline H.|last3=Mushlin|first3=Alvin I.|last4=Mitchell|first4=Pamela H.|last5=Eldredge|first5=Deborah H.|last6=Oakes|first6=David|last7=Hutson|first7=Alan D.|date=September 1999|title=Association between nurse-physician collaboration and patient outcomes in three intensive care units|journal=Critical Care Medicine|language=en|volume=27|issue=9|pages=1991–1998|doi=10.1097/00003246-199909000-00045|pmid=10507630|issn=0090-3493}}</ref>
+==Development==
+The NOC system was developed by the University of Iowa College of Nursing and continues to be updated based on ongoing research and clinical feedback.
 ==See also==
+* [[Nursing Interventions Classification]] (NIC)
-* [[Clinical Care Classification System]]
-* [[Diagnosis-related group]]
-* [[NANDA]]
-* [[Nursing care plan]]
 * [[Nursing diagnosis]]
-* [[Nursing Interventions Classification]]
 * [[Nursing process]]
-* [[Omaha System]]
+* [[Evidence-based nursing]]
+* [[Health informatics]]
-==References==
+* [[Unified Medical Language System]]
-{{Reflist}}
+* [[Standardized nursing terminology]]
 ==External links==
+* [https://www.nlm.nih.gov/research/umls/ National Library of Medicine – UMLS]
 * [http://www.nursing.uiowa.edu/excellence/nursing_knowledge/clinical_effectiveness/noc.htm Nursing Outcomes Classification] (U. Iowa)
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 [[Category:Nursing informatics]]
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