The nursing outcomes taxonomy: development and coding

Area of Science:

• Nursing Science
• Healthcare Informatics

Background:

• Growing interest in nursing's theoretical knowledgebase over 25 years.
• Focus on middle-range theory development to define nursing's essence.
• Need for standardized structures in nursing practice.

Purpose of the Study:

• To describe the creation of a three-level taxonomy and coding structure for the Nursing Outcomes Classification (NOC).
• To adapt methods from the Nursing Interventions Classification (NIC) for NOC development.
• To present a model emphasizing standardized nursing data for practice and accountability.

Main Methods:

• Development of a three-level taxonomy.
• Application of coding structures based on NIC methodologies.
• Presentation of a conceptual model for nursing practice.

Main Results:

• A structured taxonomy and coding system for the Nursing Outcomes Classification (NOC).
• A model illustrating the integration of nursing diagnoses, interventions, and outcomes.
• Foundation for enhanced nursing accountability and practice development.

Conclusions:

• The developed taxonomy provides a structured approach to nursing outcomes.
• Standardized nursing data (diagnoses, interventions, outcomes) are crucial for the substantive component of nursing.
• The framework enables nurses to be more accountable for client care.