Evaluation of the nursing intervention classification for use by flight nurses.

INTRODUCTION The purpose of the study was to determine if terminology used for nursing interventions in air transport records is consistent with the Nursing Intervention Classification (NIC) system. METHODS A retrospective descriptive design was used to examine the terminology used in air transport records. The sample included the transport records for 46 cardiac patients transported by air. RESULTS Of the 7958 data elements obtained from the transport records, 1435 were nursing interventions. Ninety-nine percent of the interventions could be classified into the NIC. However, 8.5% of the NIC interventions listed did not reflect the advanced level of practice demonstrated by the flight nurses. CONCLUSION The results of the study suggest that the current version of the NIC was a useful but not a sufficient classification system for flight nurse documentation. More than 90% of the interventions could be categorized using the NIC. However, modifications are needed to reflect the advanced level of practice used by flight nurses and deal with the inconsistencies in the data classification system structure.

[1]  W. Stigelman,et al.  Goodman and Gilman's the Pharmacological Basis of Therapeutics , 1986 .

[2]  J. McCloskey.  The nurse executive. The NMDS is a trend, not a fad. , 1994, Journal of professional nursing : official journal of the American Association of Colleges of Nursing.

[3]  Virginia K. Saba,et al.  Position Paper: Toward Standard Classification Schemes for Nursing Language: Recommendations of the American Nurses Association Steering Committee on Databases to Support Clinical Nursing Practice , 1994, J. Am. Medical Informatics Assoc..

[4]  E A Panacek,et al.  Basics of research (Part 7): Archival data research. , 1996, Air medical journal.

[5]  M. Leider.  Goodman & Gilman's The Pharmacological Basis of Therapeutics , 1985 .

[6]  Ramez Elmasri,et al.  Fundamentals of Database Systems , 1989 .

[7]  Suzanne Bakken,et al.  Research Paper: Terms used by nurses to describe patient problems: : Can SNOMED III represent nursing concepts in the patient record? , 1994, J. Am. Medical Informatics Assoc..

[8]  J C McCloskey,et al.  Standardizing the language for nursing treatments: an overview of the issues. , 1994, Nursing outlook.

[9]  Judy G. Ozbolt,et al.  Research Paper: Toward data standards for clinical nursing information , 1994, J. Am. Medical Informatics Assoc..

[10]  G. Bulechek,et al.  Nursing Interventions Classification , 2000 .

[11]  C. Paulson,et al.  Standards of clinical nursing practice. , 1992, Insight.

[12]  Iowa Intervention,et al.  The NIC taxonomy structure , 1993 .

[13]  T. Reisine.  Opioid analgesics and antagonists , 1996 .

[14]  Iowa Intervention.  The NIC taxonomy structure. Iowa Intervention Project. , 2007, Image--the journal of nursing scholarship.

[15]  Ramez Elmasri,et al.  Fundamentals of database systems (2nd ed.) , 1994 .

[16]  B. O'Connell.  Diagnostic reliability: a study of the process. , 1995, Nursing diagnosis : ND : the official journal of the North American Nursing Diagnosis Association.

[17]  C G Ward,et al.  A qualitative comparison of paper flowsheets vs a computer-based clinical information system. , 1991, Chest.

[18]  Linda C. Degutis,et al.  Trauma Registry Data Definition, Acquisition, and Evaluation , 1998 .

[19]  W L Holzemer,et al.  Comparison of nursing interventions classification and current procedural terminology codes for categorizing nursing activities. , 1997, Image--the journal of nursing scholarship.