PURPOSE: This study was done to identify the Domains, Classes, labels and nursing activities of nursing interventions used with 117 patients who were admitted to orthopedic nursing units. METHOD: Data were collected in January and February, 2004 using a computerized nursing process program that contained nursing diagnosis-outcome-intervention (NNN) linkages. The program was developed by the researcher. Frequencies and percentages were used in the analysis. RESULTS: Sixty-five nursing intervention labels were identified. The Domains of the nursing interventions showed higher percentages for 'physiological: basic' (75.9%), 'physiological: complex' (12.9%), 'behavioral' (7.8%) 'family' (1.3%), and 'safety' (1.1%). The Classes of nursing interventions showed higher percentages for 'activity and exercise management' (30.8%), 'physical comfort promotion' (19.3%), 'immobility management' (14.5%), 'drug management' (8.1%), and 'coping assistance' (5.6%). Nursing intervention labels showed higher percentages for 'pain management' (14.7%), 'body mechanics promotion' (8.0%), 'exercise therapy : ambulation' (7.2%), 'splinting' (5.4%), and 'positioning' (5.1%). In the comparison of numbers between performed nursing activities and nursing activities of NIC according to nursing intervention label, the mean of combined rate was 52.3%. CONCLUSION: These findings will help in building of a standardized language for orthopedic nursing units and enhance the quality of nursing care.
Humans ; Mechanics ; Nursing Care ; Nursing Process ; Nursing* ; Orthopedic Nursing* ; Orthopedics*

PURPOSE: The purpose of this study was to develop and to apply the NANDA, NOC, and NIC (NNN) linkages into a computerized nursing process program using the classification systems of nursing diagnoses, nursing outcomes and nursing interventions. METHOD: The program was developed with planning, analysis, design and performance stages. The program was applied to 117 patients who were admitted to orthopedic surgery nursing units from January to February, 2004. RESULTS: Thirty-five of fifty-three nursing diagnoses were identified. Five nursing diagnoses in order of frequency were: Acute pain (28.4%), Impaired physical mobility (15.6%), Impaired walking (8.7%), Chronic pain (5.5%) and Risk for disuse syndrome (5.0%). The nursing outcomes of the 'Acute pain' nursing diagnosis tended to have higher frequencies (cumulative) in order of Pain management (95.2%), Comfort level (35.5%) and Pain level (17.7%). The nursing interventions of the 'Acute pain' nursing diagnosis tended to have higher frequencies (cumulative) in order of Pain management (71.0%), Splinting (24.2%) and Analgesic administration (17.7%). In comparison of outcome indicator scores between before and after the intervention according to the 61 nursing outcomes, the mean scores of 52 outcome indicators after the intervention were significantly higher than before the intervention. CONCLUSION: It is expected that this program will help nurses perform their nursing processes more efficiently.
*Software ; Outcome Assessment (Health Care) ; Orthopedic Procedures/*nursing ; Nursing Staff, Hospital ; *Nursing Process ; *Nursing Assessment ; Middle Aged ; Male ; Humans ; Female ; Adult

Adult ; Aged ; Female ; Humans ; Lower Extremity ; injuries ; Male ; Middle Aged ; Multiple Trauma ; complications ; nursing ; surgery ; Orthopedic Procedures ; Shock ; nursing