Nursing Outcomes Classification (NOC)

Measurement of Health Outcomes

6th Edition - January 12, 2018
Authors: Sue Moorhead, Elizabeth Swanson, Marion Johnson, Meridean L. Maas
Language: English
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Promoting safe and effective nursing care, Nursing Outcomes Classification (NOC), 6th Edition standardizes the terminology and criteria needed to measure and evaluate outcomes… Read more

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Promoting safe and effective nursing care, Nursing Outcomes Classification (NOC), 6th Edition standardizes the terminology and criteria needed to measure and evaluate outcomes that result from nursing interventions. Over 540 research-based nursing outcome labels — including50 that are NEW to this edition — help to standardize expected patient outcomes. Specific indicators make it easier to evaluate and rate the patient in relation to outcome achievement. Written by an expert author team led by Sue Moorhead, this book is ideal for practicing nurses, students, educators, researchers, and administrators seeking to improve cost containment and patient outcomes.

Cover image
Title page
Table of Contents
Inside front cover
Copyright
Recognition list sixth edition
Preface
Strengths of the nursing outcomes classification
Definition of terms
Acknowledgments
PART ONE. Overview and Use of Nursing Outcomes Classification (NOC)
1. The Current Classification of Outcomes
THE NURSING OUTCOME CLASSIFICATION (NOC): WHAT IS IT?
THE NURSING OUTCOMES CLASSIFICATION: WHAT IT IS NOT
FREQUENTLY ASKED QUESTIONS
REFINEMENT OF THE CLASSIFICATION: ONGOING AND FUTURE DEVELOPMENT
SUMMARY
References
2. Examples of Use of NOC in Education, Clinical Practice, and Research
IMPLEMENTING NOC IN NURSING EDUCATION IN THE UNITED STATES
USING NOC IN CLINICAL PRACTICE
USING NOC IN AN INTRODUCTORY NURSING COURSE IN BRAZIL
USE OF NOC IN SPAIN
USING NOC TO MEASURE NURSING CARE VALUE IN CLINICAL PRACTICE
USING NOC TO DETERMINE STAFFING NEEDS
CONSIDERATIONS WHEN USING NOC IN PRACTICE IN BRAZIL
USING NOC IN BRAZIL
CONSIDERATIONS WITH USING NOC WITH AN ELECTRONIC HEALTH CARE RECORD
RESEARCH FOCUSED ON THE CORRESPONDENCE BETWEEN NANDA-I AND NOC, FUNDED BY NANDA INTERNATIONAL FOUNDATION GRANT
CHAPTER SUMMARY
References
PART TWO. NOC Taxonomy
3. Overview of the NOC Taxonomy
HISTORICAL DEVELOPMENT OF THE NOC TAXONOMY
REVISIONS MADE IN THE TAXONOMY SINCE ITS CREATION
CODING OF THE CLASSIFICATION
References
PART THREE. Outcomes
Introduction
Overview
4. A
Abstract Thinking 0919
Abuse Cessation 2500
Abuse Protection 2501
Abuse Recovery 2514
Abuse Recovery: Emotional 2502
Abuse Recovery: Financial 2503
Abuse Recovery: Physical 2504
Abuse Recovery: Sexual 2505
Abusive Behavior Self-Restraint 1400
Acceptance: Health Status 1300
Activity Tolerance 0005
Acute Respiratory Acidosis Severity 0604
Acute Respiratory Alkalosis Severity 0605
Adaptation to Physical Disability 1308
Adherence Behavior 1600
Adherence Behavior: Healthy Diet 1621
Aggression Self-Restraint 1401
Agitation Level 1214
Alcohol Abuse Cessation Behavior 1629
Allergic Response: Localized 0705
Allergic Response: Systemic 0706
Ambulation 0200
Ambulation: Wheelchair 0201
Anger Self-Restraint 1410
Anxiety Level 1211
Anxiety Self-Control 1402
Appetite 1014
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5. B
Balance 0202
Blood Coagulation 0409
Blood Glucose Level 2300
Blood Loss Severity 0413
Blood Transfusion Reaction 0700
Body Image 1200
Body Mechanics Performance 1616
Body Positioning: Self-Initiated 0203
Bone Healing 1104
Bottle Feeding Establishment: Infant 1016
Bottle Feeding Performance 1017
Bowel Continence 0500
Bowel Elimination 0501
Breastfeeding Establishment: Infant 1000
Breastfeeding Establishment: Maternal 1001
Breastfeeding Maintenance 1002
Breastfeeding Weaning 1003
Burn Healing 1106
Burn Recovery 1107
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6. C
Cardiac Pump Effectiveness 0400
Cardiac Rehabilitation Participation 1636
Cardiopulmonary Status 0414
Caregiver Adaptation to Patient Institutionalization 2200
Caregiver Emotional Health 2506
Caregiver Home Care Readiness 2202
Caregiver Lifestyle Disruption 2203
Caregiver-Patient Relationship 2204
Caregiver Performance: Direct Care 2205
Caregiver Performance: Indirect Care 2206
Caregiver Physical Health 2507
Caregiver Role Endurance 2210
Caregiver Stressors 2208
Caregiver Well-Being 2508
Chemotherapy: Disruptive Physical Effects 2116
Child Adaptation to Hospitalization 1301
Child Development: 1 Month 0120
Child Development: 2 Months 0100
Child Development: 4 Months 0101
Child Development: 6 Months 0102
Child Development: 12 Months 0103
Child Development: 2 Years 0104
Child Development: 3 Years 0105
Child Development: 4 Years 0106
Child Development: 5 Years 0107
Child Development: Middle Childhood 0108
Child Development: Adolescence 0109
Childhood Bullying Recovery 1312
Circulation Status 0401
Client Satisfaction 3014
Client Satisfaction: Access to Care Resources 3000
Client Satisfaction: Caring 3001
Client Satisfaction: Case Management 3015
Client Satisfaction: Communication 3002
Client Satisfaction: Continuity of Care 3003
Client Satisfaction: Cultural Needs Fulfillment 3004
Client Satisfaction: Functional Assistance 3005
Client Satisfaction: Pain Management 3016
Client Satisfaction: Physical Care 3006
Client Satisfaction: Physical Environment 3007
Client Satisfaction: Protection of Rights 3008
Client Satisfaction: Psychological Care 3009
Client Satisfaction: Safety 3010
Client Satisfaction: Symptom Control 3011
Client Satisfaction: Teaching 3012
Client Satisfaction: Technical Aspects of Care 3013
Cognition 0900
Cognitive Orientation 0901
Comfort Status 2008
Comfort Status: Environment 2009
Comfort Status: Physical 2010
Comfort Status: Psychospiritual 2011
Comfort Status: Sociocultural 2012
Comfortable Death 2007
Communication 0902
Communication: Expressive 0903
Communication: Receptive 0904
Community Competence 2700
Community Disaster Readiness 2804
Community Disaster Response 2806
Community Grief Response 2703
Community Health Screening Effectiveness 2807
Community Health Status 2701
Community Immune Status 2800
Community Program Effectiveness 2808
Community Resiliency 2704
Community Risk Control: Bullying 2811
Community Risk Control: Chronic Disease 2801
Community Risk Control: Communicable Disease 2802
Community Risk Control: Environmental Hazards 2812
Community Risk Control: Lead Exposure 2803
Community Risk Control: Obesity 2809
Community Risk Control: Suicide 2813
Community Risk Control: Unhealthy Cultural Traditions 2810
Community Risk Control: Violence 2805
Community Violence Level 2702
Compliance Behavior 1601
Compliance Behavior: Prescribed Activity 1632
Compliance Behavior: Prescribed Diet 1622
Compliance Behavior: Prescribed Medication 1623
Concentration 0905
Coordinated Movement 0212
Coping 1302
Cup Feeding Establishment: Infant 1018
Cup Feeding Performance 1019
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7. D
Decision-Making 0906
Delirium Level 0916
Dementia Level 0920
Depression Level 1208
Depression Self-Control 1409
Development: Late Adulthood 0121
Development: Middle Adulthood 0122
Development: Young Adulthood 0123
Dignified Life Closure 1307
Discharge Readiness: Independent Living 0311
Discharge Readiness: Supported Living 0312
Discomfort Level 2109
Distorted Thought Self-Control 1403
Drug Abuse Cessation Behavior 1630
Dry Eye Severity 2110
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8. E
Eating Disorder Self-Control 1411
Electrolyte & Acid/Base Balance 0600
Electrolyte Balance 0606
Elopement Occurrence 1919
Elopement Propensity Risk 1920
Endurance 0001
Energy Conservation 0002
Exercise Participation 1633
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9. F
Fall Prevention Behavior 1909
Falls Occurrence 1912
Family Coping 2600
Family Functioning 2602
Family Health Status 2606
Family Integrity 2603
Family Normalization 2604
Family Normalization: Autism Spectrum Disorder 2613
Family Normalization: Dementia 2611
Family Participation in Professional Care 2605
Family Performance: Dementia Care 2212
Family Resiliency 2608
Family Risk Control: Bullying 2612
Family Risk Control: Obesity 2610
Family Social Climate 2601
Family Support During Treatment 2609
Fatigue: Disruptive Effects 0008
Fatigue Level 0007
Fear Level 1210
Fear Level: Child 1213
Fear Self-Control 1404
Fetal Status: Antepartum 0111
Fetal Status: Intrapartum 0112
Financial Literacy Behavior 2014
Fluid Balance 0601
Fluid Overload Severity 0603
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10. G
Gait 0222
Gastrointestinal Function 1015
Grief Resolution 1304
Growth 0110
Guilt Resolution 1310
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11. H
Health Beliefs 1700
Health Beliefs: Perceived Ability to Perform 1701
Health Beliefs: Perceived Control 1702
Health Beliefs: Perceived Resources 1703
Health Beliefs: Perceived Threat 1704
Health Literacy Behavior 2015
Health Orientation 1705
Health Promoting Behavior 1602
Health Seeking Behavior 1603
Hearing Compensation Behavior 1610
Heedfulness of Affected Side 0918
Hemodialysis Access 1105
Hope 1201
Hydration 0602
Hyperactivity Level 0915
Hypercalcemia Severity 0607
Hyperchloremia Severity 0608
Hyperglycemia Severity 2111
Hyperkalemia Severity 0609
Hypermagnesemia Severity 0610
Hypernatremia Severity 0611
Hyperphosphatemia Severity 0612
Hypertension Severity 2112
Hypocalcemia Severity 0613
Hypochloremia Severity 0614
Hypoglycemia Severity 2113
Hypokalemia Severity 0615
Hypomagnesemia Severity 0616
Hyponatremia Severity 0617
Hypophosphatemia Severity 0618
Hypotension Severity 2114
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12. I
Immobility Consequences: Physiological 0204
Immobility Consequences: Psycho-Cognitive 0205
Immune Hypersensitivity Response 0707
Immune Status 0702
Immunization Behavior 1900
Impulse Self-Control 1405
Infant Nutritional Status 1020
Infection Severity 0703
Infection Severity: Newborn 0708
Information Processing 0907
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13. J
Joint Movement 0206
Joint Movement: Ankle 0213
Joint Movement: Elbow 0214
Joint Movement: Fingers 0215
Joint Movement: Hip 0216
Joint Movement: Knee 0217
Joint Movement: Neck 0218
Joint Movement: Passive 0207
Joint Movement: Shoulder 0219
Joint Movement: Spine 0220
Joint Movement: Wrist 0221
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14. K
Kidney function 0504
Knowledge: Acute illness management 1844
Knowledge: Allergy management 3200
Knowledge: Anticoagulation therapy management 1845
Knowledge: Arthritis management 1831
Knowledge: Asthma management 1832
Knowledge: Autism spectrum disorder management 3201
Knowledge: Body mechanics 1827
Knowledge: Bottle feeding 1846
Knowledge: Breastfeeding 1800
Knowledge: Cancer management 1833
Knowledge: Cancer threat reduction 1834
Knowledge: Cardiac disease management 1830
Knowledge: Cardiac rehabilitation 3202
Knowledge: Celiac disease management 3203
Knowledge: Child physical safety 1801
Knowledge: Chronic anemia management 3204
Knowledge: Chronic disease management 1847
Knowledge: Chronic obstructive pulmonary disease management 1848
Knowledge: Conception prevention 1821
Knowledge: Coronary artery disease management 1849
Knowledge: Cup feeding 1850
Knowledge: Dementia management 1851
Knowledge: Depression management 1836
Knowledge: Diabetes management 1820
Knowledge: Diagnostic & therapeutic procedures 1867
Knowledge: Disease process 1803
Knowledge: Dysrhythmia management 1852
Knowledge: Eating disorder management 1853
Knowledge: Energy conservation 1804
Knowledge: Epilepsy management 3205
Knowledge: Fall prevention 1828
Knowledge: Fertility promotion 1816
Knowledge: Health behavior 1805
Knowledge: Health resources 1806
Knowledge: Healthy diet 1854
Knowledge: Healthy lifestyle 1855
Knowledge: Heart failure management 1835
Knowledge: Human immunodeficiency virus management 3206
Knowledge: Hypertension management 1837
Knowledge: Infant care 1819
Knowledge: Infection management 1842
Knowledge: Inflammatory bowel disease management 1856
Knowledge: Kidney disease management 1857
Knowledge: Labor & delivery 1817
Knowledge: Lipid disorder management 1858
Knowledge: Lymphedema management 3207
Knowledge: Medication 1808
Knowledge: Multiple sclerosis management 1838
Knowledge: Musculoskeletal rehabilitation 3208
Knowledge: Osteoporosis management 1859
Knowledge: Ostomy care 1829
Knowledge: Pain management 1843
Knowledge: Parenting 1826
Knowledge: Peripheral artery disease management 1860
Knowledge: Personal safety 1809
Knowledge: Pneumonia management 1861
Knowledge: Postpartum maternal health 1818
Knowledge: Preconception maternal health 1822
Knowledge: Pregnancy 1810
Knowledge: Pregnancy & postpartum sexual functioning 1839
Knowledge: Prescribed activity 1811
Knowledge: Prescribed diet 1802
Knowledge: Preterm infant care 1840
Knowledge: Sexual functioning 1815
Knowledge: Stress management 1862
Knowledge: Stroke management 1863
Knowledge: Stroke threat reduction 1864
Knowledge: Substance use control 1812
Knowledge: Thrombus threat reduction 1865
Knowledge: Time management 1866
Knowledge: Treatment procedure 1814
Knowledge: Treatment regimen 1813
Knowledge: Weight management 1841
Knowledge: Wound management 3209
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15. L
Leisure participation 1604
Lifestyle balance 2013
Liver function 0803
Loneliness severity 1203
Lymphedema severity 2117
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16. M
Maternal status: Antepartum 2509
Maternal status: Intrapartum 2510
Maternal status: Postpartum 2511
Mechanical ventilation response: Adult 0411
Mechanical ventilation weaning response: Adult 0412
Medication response 2301
Memory 0908
Metabolic acidosis severity 0619
Metabolic alkalosis severity 0620
Metabolic function 0804
Mobility 0208
Mood equilibrium 1204
Motivation 1209
Musculoskeletal rehabilitation participation 1637
Mutilation self-restraint 1406
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17. N
Nausea & vomiting control 1618
Nausea & vomiting: Disruptive effects 2106
Nausea & vomiting severity 2107
Neglect cessation 2513
Neglect recovery 2512
Neurological status 0909
Neurological status: Autonomic 0910
Neurological status: Central motor control 0911
Neurological status: Consciousness 0912
Neurological status: Cranial sensory/motor function 0913
Neurological status: Peripheral 0917
Neurological status: Spinal sensory/motor function 0914
Newborn adaptation 0118
Nutritional status 1004
Nutritional status: Biochemical measures 1005
Nutritional status: Energy 1007
Nutritional status: Food & fluid intake 1008
Nutritional status: Nutrient intake 1009
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18. O
Oral health 1100
Ostomy self-care 1615
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19. P
Pain: Adverse psychological response 1306
Pain control 1605
Pain: Disruptive effects 2101
Pain level 2102
Panic level 1217
Panic self-control 1412
Parent-infant attachment 1500
Parenting performance 2211
Parenting performance: Adolescent 2903
Parenting performance: Adolescent physical safety 2902
Parenting performance: Early/middle childhood physical safety 2901
Parenting performance: Infant 2904
Parenting performance: Infant/toddler physical safety 2900
Parenting performance: Middle childhood 2905
Parenting performance: Preschooler 2906
Parenting performance: Psychosocial safety 1901
Parenting performance: Toddler 2907
Participation in health care decisions 1606
Patient engagement behavior 1638
Perimenopause symptom severity 2104
Peripheral artery disease severity 2115
Personal autonomy 1614
Personal health screening behavior 1634
Personal health status 2006
Personal identity 1202
Personal resiliency 1309
Personal safety behavior 1911
Personal time management 1635
Personal well-being 2002
Physical aging 0113
Physical fitness 2004
Physical injury severity 1913
Physical maturation: Female 0114
Physical maturation: Male 0115
Play participation 0116
Postpartum maternal health behavior 1624
Post-procedure recovery 2303
Premenstrual syndrome (PMS) severity 2105
Prenatal health behavior 1607
Pre-procedure readiness 1921
Preterm infant organization 0117
Psychomotor energy 0006
Psychosocial adjustment: Life change 1305
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20. Q
Quality of life 2000
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21. R
Relocation adaptation 1311
Respiratory status 0415
Respiratory status: Airway patency 0410
Respiratory status: Gas exchange 0402
Respiratory status: Ventilation 0403
Rest 0003
Risk control 1902
Risk control: Alcohol use 1903
Risk control: Aspiration 1935
Risk control: Cancer 1917
Risk control: Cardiovascular disease 1914
Risk control: Child bullying 1936
Risk control: Dehydration 1937
Risk control: Drug use 1904
Risk control: Dry eye 1927
Risk control: Environmental hazards 1938
Risk control: Falls 1939
Risk control: Hearing impairment 1915
Risk control: Hypertension 1928
Risk control: Hyperthermia 1922
Risk control: Hypotension 1933
Risk control: Hypothermia 1923
Risk control: Infant allergies 1940
Risk control: Infectious process 1924
Risk control: Lipid disorder 1929
Risk control: Obesity 1941
Risk control: Osteoporosis 1930
Risk control: Pressure injury 1942
Risk control: Sexually transmitted diseases (STD) 1905
Risk control: Stroke 1931
Risk control: Sun exposure 1925
Risk control: Thrombus 1932
Risk control: Tobacco use 1906
Risk control: Unintended pregnancy 1907
Risk control: Visual impairment 1916
Risk detection 1908
Role performance 1501
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22. S
Safe health care environment 1934
Safe home environment 1910
Safe wandering 1926
Seizure self-control 1620
Seizure severity 2118
Self-awareness 1215
Self-care status 0313
Self-care: Activities of daily living (ADL) 0300
Self-care: Bathing 0301
Self-care: Dressing 0302
Self-care: Eating 0303
Self-care: Hygiene 0305
Self-care: Instrumental activities of daily living (IADL) 0306
Self-care: Non-parenteral medication 0307
Self-care: Oral hygiene 0308
Self-care: Parenteral medication 0309
Self-care: Toileting 0310
Self-direction of care 1613
Self-direction of instrumental activities of daily living 1639
Self-Esteem 1205
Self-management: Acute illness 3100
Self-management: Anticoagulation therapy 3101
Self-management: Arthritis 3112
Self-management: Asthma 0704
Self-management: Autism spectrum disorder 3113
Self-management: Cancer 3114
Self-management: Cardiac disease 1617
Self-management: Celiac disease 3115
Self-management: Chronic anemia 3116
Self-management: Chronic disease 3102
Self-management: Chronic obstructive pulmonary disease 3103
Self-management: Coronary artery disease 3104
Self-management: Diabetes 1619
Self-management: Dysrhythmia 3105
Self-management: Heart failure 3106
Self-management: Human immunodeficiency virus 3117
Self-management: Hypertension 3107
Self-management: Infection 3118
Self-management: Inflammatory bowel disease 3119
Self-management: Kidney disease 3108
Self-management: Known allergy 3120
Self-management: Lipid disorder 3109
Self-management: Lymphedema 3121
Self-management: Multiple sclerosis 1631
Self-management: Osteoporosis 3110
Self-management: Peripheral artery disease 3111
Self-management: Pneumonia 3122
Self-management: Stroke 3123
Self-management: Wound 3124
Sensory function 2405
Sensory function: Hearing 2401
Sensory function: Proprioception 2402
Sensory function: Tactile 2400
Sensory function: Taste & smell 2403
Sensory function: Vision 2404
Sexual functioning 0119
Sexual identity 1207
Shock severity: Anaphylactic 0417
Shock severity: Cardiogenic 0418
Shock severity: Hypovolemic 0419
Shock severity: Neurogenic 0420
Shock severity: Septic 0421
Skeletal function 0211
Sleep 0004
Smoking cessation behavior 1625
Social anxiety level 1216
Social interaction skills 1502
Social involvement 1503
Social support 1504
Spiritual health 2001
Stress level 1212
Student health status 2005
Substance addiction consequences 1407
Substance withdrawal severity 2108
Suffering severity 2003
Suicide self-restraint 1408
Surgical recovery: Convalescence 2304
Surgical recovery: Immediate post-operative 2305
Swallowing status 1010
Swallowing status: Esophageal phase 1011
Swallowing status: Oral phase 1012
Swallowing status: Pharyngeal phase 1013
Symptom control 1608
Symptom severity 2103
Systemic toxin clearance: Dialysis 2302
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23. T
Thermoregulation 0800
Thermoregulation: Newborn 0801
Tissue integrity: Skin & mucous membranes 1101
Tissue perfusion 0422
Tissue perfusion: Abdominal organs 0404
Tissue perfusion: Cardiac 0405
Tissue perfusion: Cellular 0416
Tissue perfusion: Cerebral 0406
Tissue perfusion: Peripheral 0407
Tissue perfusion: Pulmonary 0408
Transfer performance 0210
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24. U
Urinary continence 0502
Urinary elimination 0503
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25. V
Vision compensation behavior 1611
Vital signs 0802
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26. W
Weight: Body mass 1006
Weight gain behavior 1626
Weight loss behavior 1627
Weight maintenance behavior 1628
Will to live 1206
Wound healing: Primary intention 1102
Wound healing: Secondary intention 1103
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PART FOUR. NOC and NIC Linkages to Clinical Conditions
27. NOC and NIC linkages to clinical conditions
Prevalence, mortality, and cost
Risk factors
Course of the disease
Use of NOC and NIC for patients with chronic kidney disease
Prevalence, mortality, and cost
Risk factors
Course of the disease
Use of NOC and NIC for patients with pressure injury
References
References
References
28. NOC performance outcomes related to NOC knowledge outcomes
Overview
PART FIVE. Core Outcomes for Nursing Specialties
29. Core outcomes for nursing specialties
Efforts to identify core outcomes
Appendix A: Outcomes New revised reviewed and retired since the fourth edition
Appendix B: Previous editions and translations
Appendix C: Definitions of Selected Terms
Appendix D: Breakdown of outcomes for each measurement scale in NOC
Appendix E: Guidelines for submission of a new or revised outcome
Appendix F: NANDA I diagnoses definitions
Index

Life Sciences

Physical Sciences & Engineering

Social Sciences & Humanities

Health

Nursing Outcomes Classification (NOC)

Measurement of Health Outcomes

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Sue Moorhead

Elizabeth Swanson

Marion Johnson

Meridean L. Maas