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Doody's Review ServiceReviewer: Jean O'Neil, EdD, RN, C (Boston College School of Nursing)
Description: This report describes project staff, funding, and validation, survey participants, background, rationale, and research methods used to develop nursing-sensitive outcomes and indicators. The report describes 190 outcomes and encourages additions to and moderation of current formulations.
Purpose: The editors respond to the current emphasis on outcome measurement in managed care and health policy decisions by disseminating research on nursing-sensitive patient outcomes and inviting nurses' responses.
Audience: The report is addressed to nurses in general, and it will be valuable for the beginning professional nursing student as well as the advanced practice nurse.
Features: Early chapters clarify the aim, background, and process of the project. The major portion of the book deals with the Nursing Outcomes Classification (NOC), including a presentation of each outcome with indicators, rating, and relevant references, including medical and nursing research and ACHPR guidelines. Appendixes offer illustrations of linkages between NANDA nursing diagnoses and nursing outcomes, use of NOC in a critical pathway and in a case study by graduate students, and guidelines for readers to give feedback to project staff.
Assessment: This first report of the Iowa Outcomes Project is a welcome addition the literature on nursing care planning, valuable for practice, education, and research. The NOC builds upon prior work in classifying nursing diagnoses and nursing interventions.