PURPOSE
The purpose of this study was to construct, develop, and apply a nursing information system (NIS) using NANDA-NOC-NIC linkage in medical-surgical nursing units.
METHODS
This study consisted of three phases which were the construction of the database, development of the NIS, and application of the NIS. To construct the database, a questionnaire and nursing record review by an expert group were used. Collected data were analyzed by the SPSS/WIN 13.0 program.
RESULTS
In first phase, the database was made up of 50 nursing diagnoses, 127 nursing outcomes and 300 nursing interventions. In the second phase, NIS was developed according to its flow diagram and then tested. In the third phase, the developed NIS was applied to 130 inpatients. Nursing diagnoses frequently used were acute pain, delayed surgical recovery, and deficient knowledge (specify). Nursing outcomes for a nursing diagnosis of 'acute pain' were identified as pain control, pain level and comfort level. Nursing interventions for the nursing outcome 'pain control' were pain management, patient controlled analgesia assistance and medication management.
CONCLUSION
The results of this study will facilitate the use of the newly proposed NIS in nursing practice and provide a guideline for evidence-based nursing.

Citations

• Configuring a computer‑based nursing process form to support nursing diagnosis in rural healthcare clinics in Nigeria
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  Journal of Public Health in Africa.2023; 14(10): 9.     CrossRef
• Effectiveness of Nursing Interventions using Standardized Nursing Terminologies: An Integrative Review
  Sena Chae, Hyunkyoung Oh, Sue Moorhead
  Western Journal of Nursing Research.2020; 42(11): 963.     CrossRef
• Identification of Nursing Diagnosis–Outcome–Intervention Linkages for Inpatients in the Obstetrics Department Nursing Unit in South Korea
  Min Ji Yang, Hye Young Kim, Eun Ko, Hyun Kyung Kim
  International Journal of Nursing Knowledge.2019; 30(1): 12.     CrossRef
• Identification of Nursing Diagnosis-Outcome-Intervention Linkages for Inpatients in Gynecology Department Nursing Units
  Min Ji Yang, Hye Young Kim
  Korean Journal of Women Health Nursing.2016; 22(3): 170.     CrossRef
• Analysis of Nursing Diagnoses Applied to Emergency Room Patients - Using the NANDA Nursing Diagnosis Classification -*
  Young A Kim, Soon Hee Choi
  Journal of Korean Academy of Fundamentals of Nursing.2015; 22(1): 16.     CrossRef
• Identification of Major Nursing Diagnosis, Nursing Outcomes, and Nursing Interventions (NNN) Linkage for Cancer Patients Undergoing Chemotherapy
  Su Mi Song, Hyangsook So, Minjeong An
  Korean Journal of Adult Nursing.2014; 26(4): 413.     CrossRef

The purpose of this study was to develop and test the validity of the standardized Korean nomenclature of Nursing Outcomes Classification (NOC), developed by Johnson &Maas at the University of Iowa. The four phases of the study were: (1) translation of the NOC into Korean by the research team, (2) four nursing professors and eight nurses with various clinical backgrounds reviewed each nomenclature taking into consideration definitions and nursing activities. The modified Delphi method was used to determine the most appropriate nomenclature for each term; (3) Twenty four academic and clinical experts in nursing were given a questionnaire to rate each Korean nomenclature using a 5 point Likert scale ranging from very inappropriate to very appropriate; (4) the team determined the most appropriate Korean nomenclature for each class of the NOC. The mean validity score of 190 items was 4.54, but several nursing outcome had a score lower than 4.0. They included 'adherence behavior(3.3)', 'ambulation : walking(3.57)', 'transfer performance (3.57)', 'caregiving endurance potential(3.57)'.

This study was intended to examine the effects of providing nursing information about surgery in a surgical ward over a 50 day period from September, 1st to October 20th, 1998 in K University Hospital in Seoul. This quasiexperimental study used only a nonequivalent control group and an adopted post-test. A total of 54 patients were assigned to the control and experimental groups according to their admission dates to the hospital. Those who entered from September, 1st to 20th were selected as the control group, while those patients admitted from September 21th to October 20th were chosen as the experimental group. The experimental group consisted of 27 patients and received planned nursing information using a booklet. The twenty seven patients in the control group received the usual pre-operative (pre-op) care. The patient's satisfaction was measured on the 4th day after surgery with a post-operative (post-op) Satisfaction Scale. The scale was developed by Lee, Yoon Hee(1995) and modified by the present researchers. No significant general characteristic differences were found between the control and the experimental groups. The booklet included information on tests and treatment about the operation and preventive methods for post-op complications, such as deep breathing and coughing, position change, lower extremity exercise, early ambulation, aseptic technique, observation of bleeding, use of equipment, and proper food management. Data was analyzed using the x2-test, t-test, ANOVA, and Pearson correlation coefficient through an SPSS computer program. The results were as follows: 1. The hypothesis that the patients who were provided with planned nursing information would have a higher satisfaction level than those who received usual nursing care was supported(t=8.48, P=0.0004). 2. The mean score of the Satisfaction Scale was higher in experimental group than that of the control group. In particular, the experimental group was highly satisfied with the items such as 'nurse has patience' and 'skillful injection giving'. The control group showed the highest score with the item of 'nurse co-works treatment with medical team'. Both groups revealed the lowest score with the item of 'explanation about test results'. 3. No significant correlation was observed between the patients' satisfaction and their general characteristics. Those satisfaction scores measured before and after the operation did not correlate significantly (r=0.097, P=0.790). The above findings indicate that the provision of planned nursing information before surgery improved patient's satisfaction after abdominal surgery. Accordingly, nurses should provide information about the operation before surgery to increase patient's satisfaction, which in turn promotes the quality of their nursing care.