The purpose of this competing continuation grant is twofold: a) to refine and expand the Nursing Interventions Classification (NIC) and b) to field test the Classification for clinical usefulness. The research will be accomplished in two phases. The specific phases and their objectives are: PHASE I: Refinement and expansion of the Nursing Interventions Classification (NIC) Objectives: 1. develop, implement, and evaluate an expert review process to evaluate feedback on specific interventions in NIC and to refine the interventions and classification as feedback indicates; 2. define and validate indirect care interventions; 3. refine, validate, and publish the taxonomic groupings for the interventions; 4. translate the Classification into a coding system that can be used for computerization, for articulation with other classifications, and for reimbursement. PHASE II: Field testing of the classification for clinical usefulness Objectives: 5. construct an electronic version of NIC to help agencies incorporate the Classification into nursing information systems; 6. implement and evaluate the use of the Classification in a nursing information system in four different agencies; 7. establish mechanisms to build nursing knowledge through the analysis of electronically retrievable clinical nursing data. Three retrospective investigations will: a) identify intervention clusters that typically occur together for certain types of patients; b) determine the use rate of particular interventions by type of unit and facility (""""""""area variations""""""""). c) identify core nursing diagnoses and outcomes for specific interventions. 8. publish a second edition of the Nursing Interventions Classification with taxonomic groupings and results of field testing. The central product of the grant work will be the publication of the second edition of NIC. This will include revised and new direct care interventions, new indirect care interventions, and all interventions ordered by logical groups (classes and domains). The revised Classification will also be coded for computer and reimbursement use. The results of the field testing will be written up and included with a discussion of the issues related to implementation. A preliminary list of related diagnoses and outcomes will be included for each intervention. The second edition of NIC will be available in both paper and electronic forms.
| McCloskey, J C; Bulechek, G M; Donahue, W (1998) Nursing interventions core to specialty practice. Nurs Outlook 46:67-76 |
| Daly, J M; Button, P; Prophet, C M et al. (1997) Nursing Interventions Classification implementation issues in five test sites. Comput Nurs 15:23-9 |
| Eganhouse, D J; McCloskey, J C; Bulechek, G M (1996) How NIC describes MCH nursing. MCN Am J Matern Child Nurs 21:247-52 |
| Tripp-Reimer, T; Woodworth, G; McCloskey, J C et al. (1996) The dimensional structure of nursing interventions. Nurs Res 45:10-7 |
| McCloskey, J C; Bulechek, G M; Moorhead, S et al. (1996) Nurses' use and delegation of indirect care interventions. Nurs Econ 14:22-33 |
| McCloskey, J; Bulechek, G (1995) Validation and coding of the NIC taxonomy structure. Iowa Intervention Project. Nursing Interventions Classification. Image J Nurs Sch 27:43-9 |
| Mobily, P R; Herr, K A; Nicholson, A C (1994) Validation of cutaneous stimulation interventions for pain management. Int J Nurs Stud 31:533-44 |
| McCloskey, J C; Bulechek, G M (1994) Standardizing the language for nursing treatments: an overview of the issues. Nurs Outlook 42:56-63 |
| Bulechek, G M; McCloskey, J C; Titler, M G et al. (1994) Report on the NIC Project. Nursing interventions used in practice. Am J Nurs 94:59-64, 66 |
| Steelman, V M; Bulechek, G M; McCloskey, J C (1994) Toward a standardized language to describe perioperative nursing. AORN J 60:786-90, 793-5 |
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