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Development of the Nursing Outcome (NOC) label: hyperactivity level
Carol L Caldwell1, Dianne Wasson, Mary Ann Anderson
1Adult Psych/Mental Health Nursing Psychology Associates,Ltd, IA, USA. ccaldwell@eicc.edu
Insights
This study defines and measures childhood hyperactivity, a condition impacting development and daily life. It introduces a new Nursing Outcomes Classification (NOC) for Hyperactivity Level with 23 indicators.
Area of Science:
- Nursing
- Developmental Psychology
- Child Psychiatry
Background:
- Childhood hyperactivity is a severe pattern of inattention and impulsivity.
- It significantly impairs functioning across developmental domains, affecting academic, social, and familial interactions.
Observation:
- Hyperactivity manifests as short attention span, low frustration tolerance, impulsivity, distractibility, and excessive physical activity.
- Management requires monitoring responses from multiple environmental sources.
- A focus group approach was used to develop a Nursing Outcomes Classification (NOC) label for Hyperactivity Level.
Findings:
- Literature review and content analysis conceptualized hyperactivity at multiple levels.
- Twenty-three measurable indicators were formulated and refined into coherent outcomes for Hyperactivity Level.
- The clinical relevance and utility of these indicators were demonstrated via case studies.
Implications:
- The developed NOC provides a standardized framework for assessing and managing childhood hyperactivity.
- This contributes to improved clinical practice and research in pediatric behavioral health.
- Enhanced understanding and measurement can lead to more targeted interventions for affected children.
Topic:
Hyperactivity, a persistent, severe pattern of inattention or impulsivity, places children at risk for impaired functioning in many developmental areas. This behavior is characterized by short attention span, low frustration tolerance, impulsivity, distractibility, and increased physical activity. Responses from multiple sources in the child's environment must be monitored to manage childhood hyperactivity.
Purpose:
Success at school, in peer relationships, and parent-child interactions is frequently affected by hyperactivity. Using a focus group approach, a Nursing Outcomes Classification (NOC) label, definition, and indicators were developed for Hyperactivity Level.
Sources:
Review of the literature allowed for a content analysis approach and conceptualization of hyperactivity at several levels.
Conclusion:
Twenty three (23) measurable indicators were formulated and refined into conceptually and clinically coherent outcomes. Clinical relevance and utility were presented through a case study approach.
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