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KMID : 0350819980120010015
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Seoul Journal of Nursing
1998 Volume.12 No. 1 p.15 ~ p.31
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Comparative Analysis of the Classification Systems of Nursing Diagnosis, Nursing Intervention and Nursing Outcomes
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Park Hyeoun-Ae
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Abstract
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The purpose of this review study is to describe and to compare the classification systems currently utilized or being developed to classify the nursing care elements. The review is limited to three elements only, namely client status, nursing intervention, and client outcome. In client status, the NANDA Taxonomy I, Saba’s Home Health Care Classification System, the Omaha Classification System were reviewed. In nursing intervention, the Nursing Intervention Classification, Saba’s Home Health Care Classification intervention scheme, the Omaha intervention scheme were reviewed. In client outcome, Nursing Outcome Classification, Marek and Lang’s Classification of Patient Outcomes, the Omaha System : Problem Rating Scale and the Client Focused Outcome Measurement System Tool was reviewed. In order to describe and compare the classification for each element, background information for development was examined, characteristics of each classification was reviewed and classification systems were compared. After reviewing the classification systems for the elements of client status, nursing interventions and client outcomes, it is concluded that there is no single classification system adequate for all of the elements. The classification systems for all the elements, particularly client outcomes, are in their beginning stage and require considerable development. Further research is necessary to determine whether or not one system can be expanded to collect client focused data in all of the settings in which nurses practice, or whether it is possible to merge these existing classification systems to create an integrated system this is sufficiently comprehensive to meet the requirements of a client focused, cross-sectoral database.
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KEYWORD
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Comparative analysis, classification system of nursing diagnosis, nursing intervention, nursing outcomes
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