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A Study on Nursing Intervention Classification linked to Nursing Diagnoses

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KMID : 0367019970090030353
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Abstract

The purposes of this study were to label nursing intervention activities performed by Korean nurses working in medical surgical units by using Nursing Intervention Classification, and to compare nursing intervention classification in Korea with that in Iowa, and to link nursing interventions to nursing diagnoses.
This research was done in two steps. At the first step, list nursing intervention activities were used by korean nurses working in medicalsurgical units and categorize and label by using Nursing Intervention Classification. The 142 nursing intervention-s were identified. The nursing interventions had a threetiered taxonomic structure composed 6 domains, 27 classes, and 142 nursing interventions. At the second step, 142 interventions were linked to 57 nursing diagnoses and validated by the following 27 experts : 6 nursing professors, 11 graduate nursing students who have specialty of medicalsurgical nursing, 10 head nurses who have clinical experiences over 10 years.
The method of expert survey was used to establish the content validity of linking nursing diagnoses and nursing interventions. Questionaire was distributed to experts. In questionaire, the intervention labels for each of 57 nursing diagnoses were listed. Experts were asked to rate each diagnosis according to the extent to which it was validated and to identify any interventions they belived needed to be deleted or added.
The analysis of results indicated that the taxonomy was well developed. More than 80016 of the respondents rates as either very validate or validate on 44 nursing diagnoses. Only 13 diagnoses were rated. as validate by less than 80¢¥% of respondents. Based on validity results,revisions were made by adding 60 interventions and deleting 1 intervention Therefore, total 201 of nursing interventions for 57 nursing diagnoses were identified.
The use of standardized classifications in the areas of nursing diagnoses and interventions facilitates communication and allow us to build large computerized databases which, in turn, through their accessibility will facilitate research and clinical decision making. A comrrwn nursing language will unite nurses and make nursing care an identifiable essence of health care. Also this study adds to the growing body work that uses nursing interventions to enhance quality of nursing care and build a unique body of knowledge in nursing.
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ÇмúÁøÈïÀç´Ü(KCI) KoreaMed