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Using NANDA, NIC, and NOC (NNN) language for clinical reasoning with the Outcome-Present State-Test (OPT) model
Donald D Kautz1, Ruthanne Kuiper, Daniel J Pesut
1University of North Carolina, Greensboro, Greensboro, NC, USA. ddkautz@uncg.edu
Summary
Baccalaureate nursing students inconsistently used standardized nursing language, including NANDA, NIC, and NOC terms, in their clinical practicum worksheets. Greater emphasis on these standardized terminologies is needed to advance nursing knowledge.
Area of Science:
- Nursing Education
- Clinical Practice
- Standardized Nursing Language
Background:
- Standardized nursing languages are crucial for advancing nursing knowledge and ensuring consistent communication.
- The Outcome-Present State-Test (OPT) model is a framework used in clinical practicums.
- Understanding student utilization of standardized language within this model is important for curriculum development.
Purpose of the Study:
- To evaluate the extent to which baccalaureate nursing students utilized standardized nursing language within the Outcome-Present State-Test (OPT) model during clinical practicums.
- To assess the application of NANDA, NIC, and NOC terminology in student worksheets.
Main Methods:
- Development of a scoring instrument for analysis.
- Retrospective analysis of 100 student-completed OPT model worksheets.
- Assessment of the correct statement of NANDA nursing diagnoses, explicit/implied statement of NOC outcomes, and matching of NIC interventions.
Main Results:
- NANDA nursing diagnoses were correctly stated in 92% of analyzed OPT models.
- Nursing Outcomes Classification (NOC) outcomes were explicitly stated in 22% and implied in 72% of cases.
- Interventions aligned with Nursing Interventions Classification (NIC) activities in 61% of instances.
Conclusions:
- Students demonstrated inconsistent use of NANDA, NIC, and NOC (NNN) language in their clinical worksheets.
- Effective advancement of nursing knowledge through NNN language requires promotion, curriculum integration, and active student use.
- Further educational research is necessary to identify facilitators and barriers to the consistent application of standardized nursing language.
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