Paper
Monday, November 5, 2007

423
This presentation is part of : Participant Action Research with Nurses to Identify NANDA, NIC and NOC Categories for Care of People with Diabetes and Women in Labor
Participant Action Research Methods to Involve Practicing Nurses
Margaret Lunney, RN, PhD, Department of Nursing, College of Staten Island, CUNY, Staten Island, NY, USA
The selection of nursing diagnoses, nursing interventions and patient outcomes from the NANDA, NIC and NOC (NNN) classifications are important for clinical practice because these research-based categories represent three nursing care elements of the Nursing Minimum Data Set (NMDS). Selection of categories from NNN is needed for development of standards of care and for the design of population-specific products in electronic health records. As electronic health records become mandated, the selection of these categories for use with specific populations will be essential for efficient and effective development of nursing services. The purpose of this paper is to describe the action research methods used for this study.

 

The investigators of this study used action research methods for consensus validation by practicing nurses of NNN categories that are relevant for two populations, people with diabetes and women in labor. Action research is a method of inquiry that involves people at grassroots levels in decision making processes for knowledge generation. Use of this method requires special considerations in respect to protection of human subjects.

 

Consensus validation of NNN categories involved 3-4 experienced nurses meeting regularly for one hour or more with a clinical/research leader to select the categories from each classification system that are considered relevant for quality-based care. 100% consensus was required; this involved critical thinking and group collaboration. After the categories from NANDA were selected, the categories from NIC were selected, and matched with the NANDA categories. Then the NOC categories were selected and matched. The final product was designed to be a coordinated list of NNN categories that were essential for care of these specific populations in this institution.

 

Nurses are ideal participants in action research because they have a wealth of clinical experiences to contribute to knowledge generation, and ongoing desire to improve patient care.

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