Creating NANDA, NOC and NIC Linkages for Elder Abuse
1Nursing Faculty, The University of Iowa College of Nursing, Iowa City, USA.
International Journal of Nursing Knowledge
|August 6, 2026
Summary
This study developed evidence-based nursing diagnoses and interventions for elder abuse care. It identified gaps in current NANDA-I diagnoses for financial and sexual abuse, recommending new ones for comprehensive elder abuse care.
Area of Science:
- Nursing
- Gerontology
- Public Health
Background:
- Elder abuse (EA) presents complex challenges in healthcare delivery.
- Existing nursing terminologies may not fully address the specific needs of elder abuse victims.
- A standardized approach is needed to improve care for individuals experiencing EA.
Purpose of the Study:
- To create evidence-based linkages using NANDA-International (NANDA-I), Nursing Outcomes Classification (NOC), and Nursing Interventions Classification (NIC) for elder abuse care.
- To align these linkages with the five types of elder abuse: physical, financial, sexual, psychological, and neglect.
Main Methods:
- Literature review to identify signs and symptoms for each EA type.
- Creation of a table linking signs and symptoms to NANDA-I diagnoses, NOC outcomes, and NIC interventions.
- Expert validation of the developed linkages.
Main Results:
- Twenty-four NANDA-I diagnoses were identified and linked with NOC and NIC classifications.
- A total of 530 NOC and 438 NIC were selected, including 200 unique NOC outcomes and 133 unique NIC interventions.
- A significant finding was the lack of NANDA-I diagnoses specifically for financial and sexual elder abuse.
Conclusions:
- The developed NNN linkages facilitate identification and management of complex elder abuse needs beyond symptom management.
- Creating specific NANDA-I diagnoses for the five types of EA will enhance problem identification, goal setting, and intervention selection.
- Further development of NANDA-I diagnoses is needed to comprehensively address all aspects of elder abuse as nursing concerns.
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