Measuring the Outcomes (NOC)

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Hi Everybody,

How are you measuring the outcomes (NOC) in nursing practice?

  • Have you got an example-form for me;
  • if you use a computerprogram: Can you make a 'printscreen'? (Press 'PrtSc' - and 'paste' in "Paint");
  • or discribe it.

You can use the PM-system.

I'm curious how you practice nursing in America and elswhere. Because more than half of the books we had to buy for school was coming from America or a translation of American books.

Thanks, from the Netherlands

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Specializes in Trauma/ED.

I'm not sure what you are asking...to me "NOC" means "night shift, or 3rd shift"...maybe someone else understands your question or possibly you can explain it further...

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NOC means Nursing Outcomes Classification

You have:

- Nursing Diagnoses

- Nursing Interventions Classification

- Nursing Outcomes Classification

I want to know how you register the outcomes. How are you evaluate the care?

I am sorry for my bad American / English writing.

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Specializes in ICU, telemetry, LTAC.

I call it a good outcome if they're all alive, clean, medicated and halfway happy when I leave. Amazing that this can take all night to accomplish, especially if they need to get some sleep as well.

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amazing that this can take all night to accomplish, especially if they need to get some sleep as well.

when you sleep, our breakfast is ready... the world is big, you know?!

i believe you don't get the question, eather...hmmm...

....it seems that i have a problem:beercuphe

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Specializes in ICU, telemetry, LTAC.

I get the question. I'm just illustrating that I don't measure outcomes using NOC classification. I didn't even have a book on that in nursing school; we had to word the goal such that it was a yes or no as to whether or not the outcome was met. Like, pt will have above 92% O2 sat for the entirety of the shift. Was the goal met? Yes, or no. So if our objectives weren't specific enough, we wouldn't have any way of telling if they were met or not.

In the actual job, we generalize when leaving the floor: "whew. They're all alive, it was a good night" and us new grads are thrilled that we don't have to go home and write a paper about it. But I do, indeed, remember feeling some of your pain. Good luck in school!

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There are actually two books - the NIC - Nursing Interventions Cl assification( Moorhead,Johnson & Maas 2004) and NOC - Nursing Outcomes Classification(McCloskey & Bulechek 2004) that are to be used in tandem. The NOC book uses a 5 point Likert type scale that allows you to provide a rating for your outcomes at a moment in time. For example:

1= severaly compromised

2= substantailly compromised

3= moderately compromised

4= mildly compromised

5= not compromised

Outcomes are not goals, not a nursing diagnosis and not an assessment. As you tell by previous posters this system is not yet well known in the US, but it is the future.

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...this system is not yet well known in the US, but it is the future.

I didn't know that.

We have, in Holland, a translation of Johnson & Maas and Bulechek & McCloskey (1999).

Thanks anyway I am going to check the links...

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The 2004 editions are of course the latest with many more interventions and outcomes listed.

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Specializes in Trauma/ED.

Outcomes are not goals, not a nursing diagnosis and not an assessment. As you tell by previous posters this system is not yet well known in the US, but it is the future.

Wonderful...:crying2: So we will have to chart a full head-to-toe assessment our NIC's and soon our NOC's too...I need a personal secretary to help with charting so I can actually "nurse" my patients....grrrrrrrrrrrr:angryfire

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