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The nursing outcomes classification: its relevance to school nursing
R Cavendish1, M Lunney, B K Luise
1Department of Nursing, College of Staten Island, Staten Island, NY, USA.
Summary
School nurses find many Nursing Outcomes Classification (NOC) outcomes relevant to their practice. These NOC outcomes can effectively document nursing interventions and improve health outcomes for students and families.
Area of Science:
- Nursing
- Public Health
- Health Outcomes
Background:
- The Nursing Outcomes Classification (NOC) provides standardized outcomes for nursing practice.
- School nursing encompasses a wide range of health services for students and families.
- Assessing the relevance of existing nursing outcomes to school nursing is crucial for evidence-based practice.
Purpose of the Study:
- To determine school nurses' perceptions of the relevance of 190 NOC outcomes to school nursing practice.
- To identify which NOC outcomes are most applicable to the school setting.
- To evaluate the utility of NOC outcomes for documenting the effectiveness of school nursing interventions.
Main Methods:
- Two surveys were conducted with school nurses.
- The first survey used a national random sample of National Association of School Nurses members.
- The second survey targeted state representatives using a revised instrument with a 0-10 relevance scale.
Main Results:
- In the first survey, 90 NOC outcomes were relevant for 30% or more of children/families, with 8 relevant for 50% or more.
- In the second survey, the mean relevance rating for 172 out of 190 outcomes exceeded the median (5).
- Both surveys indicated a substantial number of NOC outcomes are useful in school settings.
Conclusions:
- A significant portion of NOC outcomes are perceived as relevant and useful by school nurses.
- NOC outcomes can support the documentation of school nursing interventions and their impact.
- These findings support the integration of NOC into school nursing practice for improved care and outcomes.
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