Linking nursing outcomes classification to the self- and family management framework

Area of Science:

• Nursing
• Health Services Research
• Chronic Disease Management

Background:

• Effective self- and family management are crucial for patients with chronic conditions.
• The Self- and Family Management Framework provides a structure for understanding these management processes.
• The Nursing Outcomes Classification (NOC) offers standardized nursing outcomes.

Purpose of the Study:

• To establish linkages between the Self- and Family Management Framework and the Nursing Outcomes Classification.
• To evaluate the comprehensiveness of NOC outcomes in addressing self- and family management.
• To identify opportunities for enhancing nursing care in chronic disease management.

Main Methods:

• A descriptive study utilizing a six-step expert-driven process.
• Involved preliminary and comprehensive mapping of relevant nursing outcomes to the framework.
• Included checklist development, inter-rater reliability establishment, and author discussions.

Main Results:

• 363 nursing outcomes were identified as relevant to chronic disease management.
• Outcomes predominantly addressed patient self-management (n=336), with fewer related to family functioning (n=16) and family caregivers (n=11).
• Demonstrated comprehensive coverage of self-management within the NOC.

Conclusions:

• The Nursing Outcomes Classification comprehensively addresses self-management, with less extensive coverage for family functioning and caregivers.
• Established linkages facilitate nurses' tracking and support of patient and family management outcomes.
• This work supports goal setting, measurement of nursing care, and quantification of nursing's contribution to chronic disease self- and family management.