SYMPOSIUM
Monday, November 5, 2007: 10:30 AM-11:45 AM
Participant Action Research with Nurses to Identify NANDA, NIC and NOC Categories for Care of People with Diabetes and Women in Labor
Learning Objective #1: Discuss the methodology and implementation of an action research project.
Learning Objective #2: Describe the benefits of using participant action research methods in the nursing Magnet journey.
Action research methods were used to identify the categories from NANDA, NIC and NOC (NNN) that are relevant for two populations served in a community hospital. The advantages of using NNN for quality-based care and electronic health records are that they are comprehensive, research-based classifications of nursing diagnoses, interventions and outcomes, three nursing care elements in the Nursing Miniumum Data Set. We undertook a consensus validation study with two groups of experienced nurses to identify the categories that achieved 100% consensus. The purpose of this symposium is to present the participant action research methods of the study, describe the findings for both patient populations, and explain the advantages of using these methods to engage nurses in research in the journey to Magnet status. Participant action research enables researchers to work with clinicians for knowledge development. With this method, staff nurses are not just research subjects but they develop the research product. In this study, the staff nurses volunteered for one of two groups, one examined NNN in relation to women in labor and the other in relation to people with diabetes mellitus admitted to a medical-surgical unit. They met about every two weeks for 6 months (labor group) and a year (diabetics group). The groups were led by nurse leaders who were trained by an experienced researcher in the research method. The products that were developed each contain over 10 NANDA diagnoses, over 100 NIC interventions and over 50 NOC outcomes that are being used to develop standards of care. Several common themes emerged in both groups. An advantage to the nurses is that they used their experience to collaboratively make decisions. They reported that they gained insight, respect of otherís opinions, and personal and professional growth. One of the advantages to the hospital was scholarly research brought to the bedside, a Magnet journey requirement.
Symposium Organizer:Crista N. Minthorn, RN, C, MSN, ANP, APRN, BC
Symposium Presenters:Margaret Lunney, RN, PhD
Loraine Skeahan, RN, MA, MSN, PNP
Dorothy VanDerWiele, MSN, MPA, CNAA
 Consensus Validation Results: NANDA, NIC and NOC Categories for Care of Hospitalized Diabetics and Women in Labor
Loraine Skeahan, RN, MA, MSN, PNP, Dorothy VanDerWiele, MSN, MPA, CNAA
 Magnet Journey: Advantages in Using Participant Action Research Methods to Identify NANDA, NIC and NOC Labels for Specific Populations
Crista N. Minthorn, RN, C, MSN, ANP, APRN, BC
 Participant Action Research Methods to Involve Practicing Nurses
Margaret Lunney, RN, PhD