Recently, there has been increased emphasis by the nursing profession on
evaluating outcomes.
Iowa have developed classifications of client outcomes, the
Nursing Outcomes Classification . The NOC provides a standardized language
that can be used to measure the effects of nursing practice on client
outcomes. The NOC outcomes, which are used in the United States and other
countries, are constantly undergoing research to validate application to
clinical practice. Figure 8-2 illustrates the relationship between the nursing
classification systems. Just as the North
American Nursing Diagnosis Association International and the Nursing
Interventions Classifications are continuing to develop standardized nursing
language relative to diagnosis and intervention, the NOC is striving toward a
similar goal of standardized language for classifying nursing outcomes. The
NOC system can be used to enhance decision making in clinical practice and
research.
Linking nursing interventions to improved client outcomes through scientific
research is important. Nurse researchers who are observing, measuring, and
studying client outcomes believe that outcomes indicate the quality or
effectiveness of the nursing interventions provided. The use of classification
systems in nursing promotes nurses’ descriptions of their contributions and
helps validate the value of nursing activities. The accompanying Community
Considerations display lists some selected outcomes relevant to safety
maintenance for an elderly client being cared for in the home.
PLAN OF CARE
The plan of care is a written guide that organizes data about a client’s care
into a formal statement that will be used to help the client achieve optimal
health. Nursing care plans usually include components such as assessment,
nursing diagnoses, goals and expected outcomes, nursing interventions, and
evaluations. The nurse begins the nursing care plan on the day of admission
and continually updates and individualizes the client’s plan of care until
discharge.
The plan of care directs the efforts of the entire health care team regarding
each client. This plan promotes the health care team’s delivery of holistic,
individualized, and goal-oriented care to the client. Attention to a
comprehensive assessment of the entire person allows for a holistic
approach.
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