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    Oleh: Septi Dewi Rachmawati: Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya

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    Megeon Seong
    The document discusses standardized nursing languages and terminologies. It describes nursing diagnosis classification systems like NANDA and standardized nursing intervention and outcome classifications like NIC and NOC. The combination of NANDA nursing diagnoses, NOC outcomes, and NIC interventions is recognized by ANA. The document also provides examples of common nursing diagnoses for respiratory disorders and how they link to specific NOC outcomes and NIC interventions.

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    Oleh: Septi Dewi Rachmawati: Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya

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    Megeon Seong
    34 views26 pages
    The document discusses standardized nursing languages and terminologies. It describes nursing diagnosis classification systems like NANDA and standardized nursing intervention and outcome classifications like NIC and NOC. The combination of NANDA nursing diagnoses, NOC outcomes, and NIC interventions is recognized by ANA. The document also provides examples of common nursing diagnoses for respiratory disorders and how they link to specific NOC outcomes and NIC interventions.

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    The document discusses standardized nursing languages and terminologies. It describes nursing diagnosis classification systems like NANDA and standardized nursing intervention and outcome classifications like NIC and NOC. The combination of NANDA nursing diagnoses, NOC outcomes, and NIC interventions is recognized by ANA. The document also provides examples of common nursing diagnoses for respiratory disorders and how they link to specific NOC outcomes and NIC interventions.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    34 views26 pages

    Oleh: Septi Dewi Rachmawati: Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya

    Uploaded by

    Megeon Seong
    The document discusses standardized nursing languages and terminologies. It describes nursing diagnosis classification systems like NANDA and standardized nursing intervention and outcome classifications like NIC and NOC. The combination of NANDA nursing diagnoses, NOC outcomes, and NIC interventions is recognized by ANA. The document also provides examples of common nursing diagnoses for respiratory disorders and how they link to specific NOC outcomes and NIC interventions.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 26

    Oleh: Septi Dewi Rachmawati

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Review:
    Introduction to NIC & NOC

    Standardized nursing languages (SNLs)

    A recognized pioneer in SNL is NANDA


    Internationals (formerly North American
    Nursing Diagnosis Association)

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Standardized Nursing Language

    Definition of nursing language

    ... the universe of written terms and their


    definitions comprising nomenclature or
    thesauria that are used for purposes such as
    indexing, sorting, retrieving and classifying
    nursing data in clinical records, in information
    systems, and in literature and research reports
    (NCNR, 1993) cited from (Clark, 1999)

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Standardized terminologies

    Focus on health concerns (diagnoses,


    interventions and outcomes) consistent with
    the scope of practice for nursing
    Concept or term used
    Representing: nursing data, information, and
    knowledge
    Organized into: Nomenclatures,
    classifications, terminologies and vocabularies

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Why do we need SNL?

    If we cannot name it, we cannot control it, finance


    it, teach it, research it, or put it into public policy
    (Clark and Lang 1992, cited from (Clark, 1999)

    We believe that standardized language should be


    and will be a source of pride for the professions
    (McCloskey & Bulechek, 1994)
    WHY
    Pengertian yang sama

    Berkomunikasi dimengerti di hargai (Clark,


    1999).

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Standardized nursing languages (SNLs)
    A recognized pioneer in SNL is NANDA Internationals
    (formerly North American Nursing Diagnosis Association)
    Nursing terminology development timeline

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Several SNLs, including Home Health Care
    Classification (HHCC; now Clinical Care
    Classification), Nursing Interventions
    Classification (NIC), Nursing Outcomes
    Classification NOC), Omaha System-Community
    Health Classification System (OS), Patient Care
    Data Set (PCDS) and Perioperative Nursing Data
    Set (PNDS)

    Using NANDA, NOC, NIC, Doenges, Carpenito??

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    The combination of NANDA-I nursing
    diagnoses, NOC outcomes, and NIC is
    recognized by the American Nurses
    Association (ANA) and is coded in the
    Systematized Nomenclature of Medicine
    (SNOMED) in support of the electronic client
    record.

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Common Nursing diagnoses
    (for respiratory disorders)

    NANDA-I

    Domain 1: Health promotion


    Risk-prone health behaviour
    Ineffective health maintenance
    Ineffective self-health management
    Readiness for enhanced self-health management
    Ineffective family therapeutic regimen
    management
    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya
    Domain 2: Nutrition
    Imbalanced nutrition: less than body
    requirements
    Impaired swallowing
    Risk for electrolite imbalance
    Deficient fluid volume
    Risk for deficient fluid volume

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Domain 3: Elimination and Exchange
    Impaired gas exchange

    Domain 4: Activity rest


    Imsomnia
    Disturbed sleep pattern
    Fatique
    Activity intolerance
    Risk for activity intolerance
    Ineffective breathing pattern
    Impaired spontaneous ventilation
    Ineffective peripheral tissue perfusion
    Risk for ineffective cerebral tissue perfusion
    Risk for ineffective peripheral tissue perfusion

    Class 5: Self-Care
    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya
    Domain 5: Perception/ Cognition
    Deficient knowledge
    Readiness for enhanced knowledge

    Domain 6: Self-perception
    Chronic low self-esteem
    Risk for chronic self-esteem

    Domain 7: Role relationship


    Caregiver role strain
    Risk for caregiver role strain

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Domain 9: Coping/ stress tolerance
    Anxiety
    Ineffective coping
    Ineffective community coping
    Death anxiety

    Domain 11: Safety/ protection


    Risk for infection
    Ineffective airway clearance
    Risk for aspiration

    Domain 12: Environmental hazards


    Hyperthermia

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Domain 12: Comfort
    Acute pain
    Chronic pain

    Domain 13: Growth/ Development


    Risk for disproportionate growth
    Delayed growth and development
    Risk for delayed development

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Nursing diagnosis

    Ineffective airway clearance

    Ineffective breathing pattern

    Impaired gas exchange

    Activity intolerance

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Nursing diagnosis
    Imbalanced nutrition: less than
    body requirements

    Pain (acute; chronic)

    Deficit knowledge

    Anxiety

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Nursing Diagnoses
    Ineffective Airway clearance

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya
    Impaired gas Exchange

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    NOC commonly used
    (for respiratory system disorders)

    NIC Commonly used


    (for respiratory system disorders)

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Applying NANDA NIC NOC

    NANDA-I
    NANDA NOC/NIC LINKAGE
    NOC/NIC SPECIALTY AREA
    NOC/NIC DOMAIN

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    NANDA, NOC, NIC LINKAGE
    (Examples)
    Dx: Ineffective airway clearance Dx: ineffective breathing pattern

    NOC:
    Respiratory status: airway NOC:
    Patency Respiratory status: airway
    Respiratory status Patency
    Vital signs Respiratory status

    NIC: NIC:
    Airway management Airway management
    Cough enhancement Asthma management
    Respiratory monitoring Respiratory monitoring
    Chest physiotherapy Allergy management
    Airway suctioning Oxygen therapy
    Positioning Medication administration
    Vital sign monitoring
    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya
    NANDA, NOC, NIC LINKAGE
    (Examples)
    Dx: Impaired gas exchange Dx: Pain (Acute; chronic)

    NOC:
    - Respiratory status: gas exchange NOC:
    - Respiratory status Pain Level
    Pain control
    NIC:
    Acid Base Management NIC:
    Acid Base Management: Respiratory/ Pain management
    metabolic asidosis
    Airway management
    Vital sign monitoring
    Respiratory monitoring
    Medication administration

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    NANDA, NOC, NIC LINKAGE
    (Examples)
    Dx: Imbalanced nutrion: less than Dx: Activity intolerance
    body requirement

    NOC: NOC:
    Nutritional status Activity tolerance
    Nutritional status: nutrient Endurance
    intake
    Appetite NIC:
    Energy management
    NIC: Activity therapy
    Nutrition management
    Weight gain assistance
    Nutrition therapy
    Nutritional monitoring

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    NANDA, NOC, NIC LINKAGE
    (Examples)
    Dx: Anxiety Dx: Deficient knowledge

    NOC: NOC:
    Anxiety level Knowledge: disease process
    Anxiety self-control Knowledge: Asthma
    Vital signs management

    NIC: NIC:
    Anxiety reduction Teaching: disease process
    Relaxation therapy Teaching: prescribed medication
    Vital sign monitoring

    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya


    Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya

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