Nanda-i Classification

[Nella Mcnairy]

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Background: Various standardised terminologies are employed by nurses worldwide, whether for teaching, research or patient care. These systems can improve the quality of nursing records, enable care continuity, consistency in written communication and enhance safety for patients and providers alike.

Methods: A total of 138 records from two facilities (69 records from each facility) were analysed, one using the NANDA-International and Nursing Interventions Classification terminology (Centre 1) and one the International Classification for Nursing Practice (Centre 2), by means of the Quality of Diagnoses, Interventions, and Outcomes instrument. Quality of Diagnoses, Interventions, and Outcomes scores range from 0-58 points. Nursing records were dated 2012-2013 for Centre 1 and 2010-2011 for Centre 2.

Results: Centre 1 had a Quality of Diagnoses, Interventions, and Outcomes score of 3546 (645), whereas Centre 2 had a Quality of Diagnoses, Interventions, and Outcomes score of 3172 (462) (p Conclusion: The quality of nursing documentation was superior at Centre 1, although both facilities demonstrated moderate scores considering the maximum potential score of 58 points. Reliability analyses showed satisfactory results for both standardised terminologies.

Keywords: International Classification for Nursing Practice; NANDA-International; Nursing Interventions Classification; Quality of Diagnoses, Interventions, and Outcomes instrument; classification; nursing process; nursing records.

The nursing classification NANDA International are descriptions of the nursing situation. The NANDA International (NANDA-I) organization has been dedicated to providing a standardized taxonomy based on nursing diagnoses around the world for about 40 years. RECOM is the official licensee of NANDA-I for the German-speaking countries and translates the original English-language edition into German.

In the nursing terminology and classification ENP (European Nursing care Pathways) detailed practice guidelines are available. A practice guideline always consists of the preceding nursing diagnosis, associated characteristics, etiologies, resources, outcomes and finally the nursing interventions.

The database of NANDA International illustrates the familiar NANDA-I structure: established nursing diagnoses with corresponding defining characteristics, related factors or risk factors and associated conditions and risk populations.

RECOM provides a helpful combination of both databases (NANDA-I and ENP). For this purpose, the existing NANDA-I structure is supplemented by nursing outcomes and interventions of ENP in order to be able to illustrate a complete nursing care process based on the NANDA-I nursing diagnoses as well.

As a result of this intelligent linkages, users are shown outcomes and interventions from the ENP practice guidelines for the respective NANDA-I nursing diagnoses combined in the NANDA-I PLUS database.

... is linked to the nursing outcomes and interventions from the ENP practice guideline (shown in blue in the figure).

Read more about the nursing terminology ENP which illustrates the entire nursing care process, here.

Rigorously updated and revised, the new edition of this acclaimed text is a must-have resource for all nursing students, professional nurses, nurse educators, nurse informaticists, nurse researchers, and nurse administrators.

The diagnoses contained in NANDA International Nursing Diagnoses: Definitions and Classification, 2024-2026, Thirteenth Edition, are to nursing what ICD is to physicians and DSM is to mental health professionals. EHR programs populated with NANDA-I support healthcare organizations by gathering data and by allowing nurses to attain excellence in assessment and, through that excellence, to prevent money-costing incidents.

Digital licenses to the NANDA-I diagnostic system encourage conversation and progress in nursing by implementing standardized terminology. Along with use of the full set diagnoses, digital licenses include the terms in .xml, .txt, or relational database format. If you are interested in use of the NANDA-I taxonomy in any format or wish to apply to re-use it in any print or electronic product, please contact nan...@thieme.com.

The Center for Nursing Classification and Clinical Effectiveness (CNC), an Iowa Board of Regents-approved Center, was established in 1995 to facilitate the ongoing research and development of the Nursing Interventions Classification (NIC) and the Nursing Outcomes Classification (NOC). NIC and NOC are standardized nursing terminologies focused on nursing treatments and patient outcomes for use across settings and specialties.

NNN Linkages for Individual Response to COVID-19

Table 1. Nine NANDA-I, NIC, and NOC Linkages in Physiological Dimension

Table 2. Seven NANDA-I, NIC, and NOC Linkages in Psychosocial Dimension

Interested in using NIC or NOC in your research? We have streamlined this process and can help you. Please contact classifica...@uiowa.edu.

NIC 7th edition has been translated into Dutch, Estonian, Indonesian, Italian, Japanese, Portuguese, and Spanish, and NOC 6th edition into Dutch, Estonian, Indonesian, Italian, Japanese, Portuguese, and Spanish.

NANDA International (formerly the North American Nursing Diagnosis Association) is a professional organization of nurses interested in standardized nursing terminology, that was officially founded in 1982 and develops, researches, disseminates and refines the nomenclature, criteria, and taxonomy of nursing diagnoses. In 2002, NANDA became NANDA International in response to the broadening scope of its membership. NANDA International published Nursing Diagnosis quarterly, which became the International Journal of Nursing Terminologies and Classifications, and then later was reconceptualized as the International Journal of Nursing Knowledge, which remains in print today. The Membership Network Groups foster collaboration among NANDA-I members in countries (Brazil, Colombia, Ecuador, Mxico, Peru, Portugal, and Nigeria-Ghana) and for languages: the German Language Group (Germany, Austria, Switzerland) and the Dutch Language Group (Netherlands and Belgium).

In 1973, Kristine Gebbie and Mary Ann Lavin called the First National Conference on the Classification of Nursing Diagnoses (Gebbie & Lavin, 1975). It was held in St. Louis, Missouri. Attendees produced a beginning classification, an alphabetized list of nursing diagnoses. The conference also created three structures: A National Clearinghouse for Nursing Diagnoses, located at Saint Louis University and led by Ann Becker; a Nursing Diagnosis Newsletter, edited by Anne Perry; and a National Conference Group to standardize nursing terminology and led by Marjory Gordon. In 1982 NANDA was formed, and included members from the United States and Canada.

NANDA developed a nursing classification to organize nursing diagnoses into different categories. Although the taxonomy was revised to accommodate new diagnoses, in 1994 it became apparent that an overhaul was needed. In 2002 Taxonomy II, which was a revised version of Gordon's functional health patterns (Gordon, 1994), was released.

In 2002, NANDA became NANDA International in response to requests from its growing base of membership from outside North America. The acronym of NANDA was retained in the name because of the name recognition, but it is no longer merely "North American", and has members from 35 countries as of 2018.

Research has shown that NANDA-I is the most used, most researched of the standardized nursing languages (Tastan, S., Linch, G. C., Keenan, G. M., Stifter, J., McKinney, D., Fahey, L., ... & Wilkie, D. J., 2014). Their findings showed that the number of standardized nursing language (SNL) publications increased primarily since 2000, with most focusing on NANDA International, the Nursing Interventions Classification, and the Nursing Outcome Classification. The majority of the studies were descriptive, qualitative, or correlational designs that provide a strong base for understanding the validity and reliability of the concepts underlying the standardized nursing terminologies. There is evidence supporting the successful integration and use in electronic health records for two standardized nursing terminology sets: (1) the combination of NANDA International nursing diagnoses, Nursing Interventions Classification, and Nursing Outcome Classification; and (2) the Omaha System set.

Table 1 and Figure 1 illustrate the percentage of clinical users of a terminology who found the terminology helpful in actual clinical practice.; With the exception of the International Classification of Nursing Practice (ICNP) terminology, for which there were only four responses, more than 60% of clinical users of the nursing-specific terminologies found them helpful in clinical patient care. The Clinical Care Classification (CCC) users and the Omaha System users gave the most positive responses as noted in Table 1. Users of the interdisciplinary terminologies, Logical Observation Identifiers Names and Code (LOINC) and Systematized Nomenclature of Medicine Clinical Terminology (SNOMED CT), had the least positive perceptions regarding the helpfulness of the terminology in clinical practice. For the nursing-specific terminologies, North American Nursing Diagnosis Association, International (NANDA-I) and the Nursing Outcomes Classification (NOC) had relatively high percentages of users who did not find the terminology helpful in clinical practice.

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