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Using nursing intervention classification in an advance practice registered nurse-led preventive model for adults
1Eta Iota, Associate Professor, Department of Nursing, College of Health and Human Services, University of New Hampshire, Durham, NH, USA.
Summary
Advance practice registered nurses (APRNs) use five key Nursing Intervention Classification (NIC) interventions for adults aging with developmental disabilities. Health education is central, complemented by weight management, nutrition, screening, and behavior management for preventive care.
Area of Science:
- Gerontology
- Developmental Disabilities Nursing
- Preventive Healthcare
Background:
- Adults with developmental disabilities face unique challenges in healthy aging.
- In-home preventive models led by advanced practice registered nurses (APRNs) are crucial for this population.
- Standardized nursing interventions are needed to guide care.
Purpose of the Study:
- To identify and describe the most frequent and central nursing interventions.
- To analyze interventions within an APRN-led in-home preventive model for adults aging with developmental disabilities.
- To utilize the Nursing Intervention Classification (NIC) system for standardized reporting.
Main Methods:
- Descriptive data and market basket analysis of de-identified nursing intervention data.
- Data collected from two home visits by nurse practitioners (NPs) for 80 community-dwelling adults.
- Participants aged 29-68 years with developmental disabilities, from October 2010 to June 2012.
Main Results:
- An average of 4.7 interventions were reported in the first visit and 6.0 in the second.
- 85% of participants received Health Education; 45 different NIC interventions were reported.
- Market basket analysis identified frequent intervention combinations: Health Education, Weight Management, Nutrition Management, Health Screening, and Behavior Management.
Conclusions:
- Five core NIC interventions form the foundation of this APRN-led preventive model.
- Health education, weight/nutrition management, behavior management, and health screening are key.
- Tailoring interventions to individual needs is essential for effective prevention and reducing health disparities.
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