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Development of a nursing outcome for a percutaneous procedure
Rejane Reich1,2, Eneida Rejane Rabelo-Silva1,2, Elizabeth Swanson3
1School of Nursing, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
International Journal of Nursing Knowledge
|June 9, 2021
Summary
A new nursing outcome, Tissue Injury Severity: Percutaneous Procedure, was developed to evaluate percutaneous procedure access sites. This outcome helps nurses identify potential complications and refine the nursing Outcomes Classification (NOC) taxonomy.
Area of Science:
- Nursing
- Clinical Assessment
- Healthcare Informatics
Background:
- Standardized nursing outcomes are crucial for consistent patient care and research.
- The nursing Outcomes Classification (NOC) provides a framework for these outcomes.
- Evaluating percutaneous procedure access sites requires a specific, validated nursing outcome.
Purpose of the Study:
- To develop a new nursing outcome for the nursing Outcomes Classification (NOC) system.
- The outcome aims to specifically evaluate the access site following percutaneous procedures.
- To ensure the outcome aligns with the standardized NOC format, including label, definition, and clinical indicators.
Main Methods:
- Concept analysis utilizing a scoping review approach.
- Recruitment of content experts for consensus validation of proposed outcome indicators.
- Review and refinement of the outcome label and definition by nursing Outcomes Classification (NOC) editors for taxonomic consistency.
Main Results:
- The outcome was refined from 'Vascular Status: Percutaneous Procedure Access' to 'Tissue Injury Severity: Percutaneous Procedure'.
- The definition was updated to 'Severity of complications from a needle-puncture access through the skin and into deeper tissues'.
- The finalized outcome includes 11 clinical indicators for target rating formulation.
Conclusions:
- The developed nursing outcome, 'Tissue Injury Severity: Percutaneous Procedure', aids nurses in assessing percutaneous procedure access sites.
- This outcome facilitates the identification of potential complications.
- The research contributes to the refinement of the nursing Outcomes Classification (NOC) taxonomy, meeting clinical practice needs.
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