Understanding Nursing Intervention Classifications (NIC) for Effective Patient Care

1. Nursing Intervention Classifications Esther K. AFOLABI RN, MSc. FWACN

2. Introduction • We continue with the series of lectures on the SNLs by discussing the NIC. • The NIC was founded in the 1987 and it replaces the implementation used in the former format of the Nursing Process

3. Learning Objectives • At the end of this session, the learner will be able to ; • Define the NIC • Identify the format of writing the NIC • List out some examples of NIC • Link the NIC with other segments of the Nursing process

4. Nursing Intervention Classifications • Domains (7) • Classes (30) • Interventions (554)

5. The Nursing Interventions Classification (NIC) • “is a comprehensive, research-based, standardized classification of interventions that nurses perform. • An intervention is defined as: “any treatment, based upon clinical judgment and knowledge that a nurse performs to enhance patient/client outcomes.”

6. Useful of NIC • for clinical documentation, • communication of care across settings, • integration of data across systems and settings, • effectiveness research, • productivity measurement, • competency evaluation, • reimbursement, and curricular design.

7. NIC Format • Label name • Definition • Activities • References

8. Nursing Intervention Domains • Physiological: Basic • Physiological: Complex • Behavioral • Safety • Family • Health System • Community

9. Diarrhea Management 0460 Definition: Management and Alleviation of diarrhea Activities: Determine history of diarrhea Obtain stool for culture and sensitivity if diarrhea continues Teach patient appropriate use of antidiarrheal medications Instruct patient/family members to record color, volume, frequency, and consistency of stools. Encourage frequent, small feeding, adding bulk gradually Weigh patient regularly Observe skin turgor regularly

10. Childbirth Preparation 6760Definition: Providing information and support to facilitate childbirth and to enhance the ability of an individual to develop and perform the parental role Activities • Teach the mother and partner about the physiology of labor • Educate mother and partner about signs of labor • Inform mother about when to come to the hospital in preparation for delivery • Discuss pain control options with mother • Inform mother about delivery options if complications arise • Promote parent’s self-efficacy in taking on parental role • Discuss arrangements for siblings care during hospitalization

11. Community Health Development 8500Definition: Assisting members of a community to identify community’s health concern, mobilize resources, and implement solution Activities • Identify health concerns, strengths, and priorities with community partners • Provide opportunities for community participation by all segments of the community • Assist community members in raising awareness of health problems and concerns • Enhance community support network • Develop strategies for managing conflict • Provide an environment, creating situations in which individuals and groups feel safe expressing their views

12. Self-Esteem Enhancement 5400Definition: Assisting a patient to increase his or her personal judgement of self-worth Activities • Monitor patient’s statement of self-worth • Determine patient’s locus of control • Determine patient’s confidence in own judgement • Encourage patient to identify strength • Facilitate an environment and activities that will increase self-esteem • Make positive statements about patient

13. NIC for Individuals • Anxiety Reduction 5820 • Asthma Management 3210 • Behaviour Management 4350 • Bleeding Reduction: Post Partum Uterus 4026 • Body Image Enhancement 5220 • Fever treatment 3740

14. NIC for Families • Family Integrity Promotion 7100 • Family Process Maintenance 7130 • Family therapy 7150 • Family Support 7140 • Financial Resource Assistance 7380 • Family Presence Facilitation 7170

15. NIC for Communities • Community Disaster Preparedness. 8840 • Community Health Development. 8500 • Culture Brokerage. 7330 • Immunization / Vaccination Management. 6530 • Teaching: Safe sex. 5622 • Environmental management: Community. 6484 • Surveillance: Community. 6652

16. Example of using the NNNNursing Diagnosis: Diarrhea OutcomeInterventions MajorSuggested Bowel Diarrhea Management Bowel Mgt continence Medication Management fluid/electrolyte monitoring Medication Nutrition Mgt

17. Example of using the NNNNursing Diagnosis: Self-Esteem: Situational Low OutcomeInterventions MajorSuggested Self Coping Enhancement Anticipatory Guidance Esteem Self- Esteem Enhancement Body Image- Enhancement Mood- Management Assertive- Training

18. The Nursing Process • Assessing • Diagnosing (NANDA-I) • Outcome Identification (NOC) • Planning • Implementing ( NIC) • Evaluating the Outcomes (NOC)

19. Conclusion • Using the three concepts will pave way for better understanding of Nursing and documentation of care.

20. Thank You For LISTENING

21. Any Question ???