International Journal of Nursing Knowledge最新文献

{"title":"Development of Linkages of NANDA International Diagnoses-Nursing Outcomes Classification_-Nursing Interventions Classification for People Living with HIV Over 50.","authors":"Juh Hyun Shin, Cheryl Wagner, Elizabeth A Swanson, Mary Clarke, Sue Moorhead, Min Kyoung Han, Prathik Kumar Gaddam, Nidhi Naidu, Hritik Majgaonkar, Karen Dunn Lopez","doi":"10.1177/20473087261486370","DOIUrl":"https://doi.org/10.1177/20473087261486370","url":null,"abstract":"<p><p>PurposeThe purpose of this study was to develop linkages between NANDA International I nursing diagnoses, Nursing Outcomes Classification (NOC) outcomes, and Nursing Interventions Classification (NIC) interventions for people living with human immunodeficiency virus (HIV) aged over 50.MethodsData accrued from 16 experienced nurses specializing in HIV/acquired immunodeficiency syndrome (AIDS) care who evaluated the relevance of 45 NANDA-I nursing diagnoses, 80 NOC outcomes, and 82 NIC interventions specific to older adults living with HIV. A total of 6 nursing experts, including NOC and NIC editors, reviewed and finalized the linkages through consensus.FindingsSixteen core NANDA-I, NOC, and NIC linkages emerged. A total of 80 NOC outcomes were identified to guide nursing care based on NANDA-I diagnoses, and 82 NIC interventions were identified as suggested interventions.ConclusionsThe validated NNN linkages provide a structured, evidence-based framework for nursing care planning for older adults living with HIV by integrating psychosocial and physiological health needs. They also have the potential to strengthen nurses' understanding of the nursing process, facilitate interdisciplinary communication, and address key nursing priorities across the continuum of care.Implications for Nursing PracticeIncorporation of the expert-consensus validated linkages into practice would enhance assessment, care planning,interventions, and outcomes for older people living with HIV. Applying these linkages can improve patient safety, promote functional independence, and address psychosocial factors, ultimately enhancing health outcomes and quality of life for older adults living with HIV.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261486370"},"PeriodicalIF":1.3,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Threat to Masculinity: Introducing a Nursing Diagnosis Grounded in Men's Infertility Experiences.","authors":"Mehrdad Abdullahzadeh","doi":"10.1177/20473087261443254","DOIUrl":"https://doi.org/10.1177/20473087261443254","url":null,"abstract":"<p><p>PurposeThe purpose of this article is to introduce Men's Infertility-Related Threat to Masculinity as a proposed nursing diagnosis that captures the unique psychosocial and identity-related responses of men experiencing infertility.Data SourcesThe analysis draws on two qualitative studies exploring men's experiences of infertility in Iran, supported by international literature on male infertility, stigma, and masculinity.Data SynthesisA concept analysis approach was applied to identify the defining attributes, antecedents, consequences, and empirical referents of Men's Infertility-Related Threat to Masculinity. The findings were synthesized into a diagnostic proposal consistent with the NANDA-I format, including label, definition, defining characteristics, related factors, at-risk populations, associated conditions, outcomes, and interventions. The analysis demonstrated that this phenomenon is distinct from existing nursing diagnoses such as ineffective coping or disturbed self-concept.ConclusionsMen's Infertility-Related Threat to Masculinity represents a culturally embedded and gender-specific human response that is not adequately captured in current nursing taxonomies. Recognizing this diagnosis provides a framework for systematic assessment and intervention, ensuring that men's reproductive health experiences are visible within nursing knowledge.Implications for Nursing PracticeAcknowledging Men's Infertility-Related Threat to Masculinity equips nurses with the diagnostic language to identify and address men's psychosocial struggles in infertility care. It supports culturally sensitive and couple-centered practice, guides targeted interventions such as identity support, stigma reduction, and care coordination with reproductive health specialists, and strengthens nursing's role in promoting holistic well-being.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261443254"},"PeriodicalIF":1.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impaired Adult Ventilatory Weaning Response (00430) Undergoing Cardiac Surgery: A Cross-Sectional Study.","authors":"Tatiana Prisgida De Oliveira Cavalcanti Silva, Mailson Marques de Sousa, Ramon Silva de Sousa, João Victor Batista Cabral, Marcos Venícios De Oliveira Lopes, Francisca Márcia Pereira Linhares, Suzana De Oliveira Mangueira","doi":"10.1177/20473087261486411","DOIUrl":"https://doi.org/10.1177/20473087261486411","url":null,"abstract":"<p><p>ObjectiveTo analyze the clinical validity evidence of the nursing diagnosis Impaired Adult Ventilatory Weaning Response (00430) in adults hospitalized in a cardiothoracic recovery unit following cardiac surgery.MethodA cross-sectional, diagnostic accuracy study was conducted with 115 patients. The prevalence of the nursing diagnosis was estimated, and measures of effect size for its etiological factors and accuracy measures for its clinical indicators were evaluated.ResultsThe estimated prevalence of the nursing diagnosis was 31.53%. Seven clinical indicators demonstrated high specificity: respiratory discomfort (Sp = 0,97), hypercapnia (Sp = 0,96), decreased level of consciousness (Sp = 93), elevated central venous pressure (Sp = 92), alteration of blood pressure relative to baseline parameters (Sp = 0,91), restlessness (Sp = 0,86), and hemodynamic instability (Sp = 0,81). Hemodynamic instability also proved to be a sensitive indicator (Se = 0,72) for determining the presence of the diagnosis. The etiological factors of ineffective airway clearance and metabolic disturbances were associated with odds ratios of 3.53 (95% CI: 1.44-8.63) and 2.53 (95% CI: 1.02-6.29) for developing the outcome, respectively.ConclusionThe evidence gathered can substantiate nursing interventions for Impaired Adult Ventilatory Weaning Response (00430) in this patient population.Implications for nursing practiceThis study has potential to contribute to better encompass the specific characteristics of surgical patients.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261486411"},"PeriodicalIF":1.3,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expertise, Clinical Judgment, and Expert Panels in Nursing Diagnosis Validation: A Methodological Discussion.","authors":"Marcos Venícios De Oliveira Lopes, Viviane Martins Da Silva","doi":"10.1177/20473087261489313","DOIUrl":"https://doi.org/10.1177/20473087261489313","url":null,"abstract":"<p><p>PurposeThis methodological discussion examines how expertise, clinical judgment, and expert panel composition should be understood in studies that seek content validity evidence for nursing diagnoses.ApproachThe discussion integrates literature on expertise, clinical decision making, nursing diagnostic reasoning, content validity, structured expert judgment, and rater-mediated measurement. A targeted update conducted for this revision prioritized literature published from 2021 to 2026 while retaining seminal sources required for the historical and theoretical argument.FindingsExpertise should not be treated as a fixed personal attribute inferred only from academic degree, years of experience, publication record, certification, or professional recognition. These indicators may be useful proxies, but task-specific competence and panel-level adequacy require explicit alignment between the diagnostic judgment task and the expertise represented. We propose an expertise blueprint, optional performance or calibration procedures, deliberate panel complementarity, standardized judgment procedures, evaluation of rating quality and disagreement, and transparent reporting.ConclusionsExpert panels should be designed as measurement systems rather than as collections of prestigious individuals. The proposed framework is methodological and requires empirical testing; it does not establish a universal expert score or justify automatic differential weighting of judgments. Stronger panel design can make content-related validity evidence more credible, reproducible, and interpretable for nursing language development.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261489313"},"PeriodicalIF":1.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Nursing Diagnoses on the Length of Stay for Trauma Patients by Hospitalization Type in South Korea.","authors":"Hyun Kyung Woo, Hye Jin Park, Kyoung Hoon Lim, Eunjoo Lee","doi":"10.1177/20473087261486380","DOIUrl":"https://doi.org/10.1177/20473087261486380","url":null,"abstract":"<p><p>PurposeAs trauma-related hospitalizations increase, the resulting financial burden on patients and national health insurance systems has grown significant. This study aimed to identify the factors most effective at predicting the duration of hospital stay according to hospitalization types (Intensive Care Unit [ICU] vs. General Units) in a trauma center of South Korea.MethodsThis retrospective study analyzed electronic medical records from 7,455 trauma patients admitted to a tertiary hospital trauma center between 2016 and 2020. Data were analyzed using t-tests, ANOVA, and multiple linear regression analysis.ResultsThe most frequent NANDA-I diagnoses were \"risk for falls\" in the ICU and \"acute/chronic pain\" in general units. The average length of stay (LOS) was 26.95 days for ICU patients and 12.89 days for those in general units. For ICU patients, the number of nursing diagnoses (β= .577, <i>p</i> < .001), number of complications (β =.274, <i>p</i> < .001), age (β = -.038, <i>p</i> = .002), and nursing severity (β = .028, <i>p</i> = .037) were significant predictors of LOS. Notably, traditional trauma severity indices (KTAS and ISS) did not significantly predict LOS in the ICU. For general units, predictors included the number of nursing diagnoses (β = .512), complications (β= .227), age (β = -.093), KTAS (β = .061), pressure ulcer risk (β = .055), and nursing severity (β = .044), all at p <.001.ConclusionThe number of nursing diagnoses is a more sensitive predictor of LOS in trauma centers than standard severity indices such as KTAS and ISS. It is crucial to emphasize nursing education that enables practitioners to accurately identify health problems and formulate precise nursing diagnoses to improve care quality and effectively manage hospital stays.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261486380"},"PeriodicalIF":1.3,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity Evidence for the Nursing Diagnosis \"Ineffective Lymphedema Self-Management\" in Women who Underwent Mastectomy.","authors":"Juliana Maria Barbosa Bertho de Oliveira, Marcos Venicios de Oliveira Lopes, Janaína Valadares Guimarães, Flaviana Vely Mendonça Vieira, Agueda Maria Ruiz Zimmer Cavalcante","doi":"10.1177/20473087261476768","DOIUrl":"https://doi.org/10.1177/20473087261476768","url":null,"abstract":"<p><p><b>Aim:</b> To verify the evidence of content validity of the nursing diagnosis \"Ineffective Lymphedema Self-Management\" in women who underwent mastectomy. <b>Design:</b> Methodological study of content validation by expert judges. <b>Method</b>: Content validation was conducted between July and October 2023 through a semi-structured online questionnaire sent to 80 expert judges, of whom 52 participated. The study was approved by the Research Ethics Committee (CAAE No. 63063922.0.0000.5078). Elements identified in a preceding concept analysis were evaluated for relevance using Aiken's V coefficient (V ≥ 0.90) with 95% confidence intervals. Cronbach's alpha was used to assess internal consistency. The sample size (n = 47) was determined using a precision estimation formula for content validity indices. <b>Results:</b> Of the 47 terms submitted for evaluation, 31 were considered valid as defining characteristics and related factors. The terms \"psychological and cognitive limitations\" and \"patients who underwent a mastectomy\" were validated for associated conditions and at-risk population, respectively. Expert judges suggested the inclusion of \"female breast cancer survivors,\" \"access to health services,\" and \"lack of medical information.\" Cronbach's alpha was 0.97 (95% CI: 0.96-0.98). <b>Conclusion:</b> The nursing diagnosis \"Ineffective Lymphedema Self-Management\" was partially validated. New elements were identified that may elevate the evidence level of this diagnosis and refine its applicability in clinical practice. <b>Implications for Nursing Practice:</b> The validated elements provide nurses with a structured framework for identifying and managing lymphedema in women who underwent mastectomy, contributing to early detection and targeted interventions.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261476768"},"PeriodicalIF":1.3,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NANDA-I, NIC, NOC for Successful Aging in Older Adults with Risk for Imbalance Blood Pressure: Cross-Mapping.","authors":"Ricardo Costa da Silva, Clarissa Santos de Lima Araujo, Agueda Maria Ruiz Zimmer Cavalcante","doi":"10.1177/20473087261462595","DOIUrl":"https://doi.org/10.1177/20473087261462595","url":null,"abstract":"<p><p>BackgroundGlobal demographic shifts necessitate effective health management for older adults, with blood pressure variability indicating early adverse outcomes. Nurses require theory-guided care for optimal blood pressure management. This study aims to integrate NANDA-I, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) to support care for older adults diagnosed with \"Risk for imbalanced blood pressure\" from the perspective of the Multidimensional Model of Successful Aging (MMSA).MethodsThis descriptive study utilized an expert nurse consensus process, based on established NANDA-I-NIC-NOC (NNN) linkage recommendations. The multi-step methodology involved analysis of the NANDA-I diagnosis, a preliminary literature review, selection of relevant NOC outcomes, and identification of corresponding NIC interventions. A cross-mapping technique was then applied to compare semantically and conceptually the MMSA domains (physiological, psychological, sociological) with NANDA-I, NOC, and NIC. All linkages were reviewed and validated through expert consensus.ResultsThe NNN integration resulted in NIC interventions and NOC outcomes organized by MMSA domains. NIC interventions identified within the Physiological: Complex Care (57.9%) aligned with the MMSA physiological domain. NIC intervention within the Behavioral (70.0%) aligned with the MMSA psychological domain and corresponded to the MMSA sociological domain. NOC outcomes were primarily distributed between the physiological (48%) and psychological (44.4%) MMSA domains.ConclusionThe integration of NANDA-I, NIC, and NOC for older adults with \"Risk for imbalanced blood pressure\", guided by the MMSA, encompassed all three domains of successful aging. Despite the physiological domain predominated, psychological and sociological elements are essential for promoting overall well-being and reinforcing a biopsychosocial approach to nursing care.Implications for Nursing PracticeNurses must broaden assessments beyond physical parameters to include older adults' subjective aging perceptions, emotional well-being, social engagement, and self-efficacy in managing \"Risk for imbalanced blood pressure\". Systematically utilizing NIC and NOC will enhance care planning, fostering an individualized approach that empowers older adults for quality aging amidst chronic diseases.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261462595"},"PeriodicalIF":1.3,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying NANDA-I, NOC, and NIC Linkages for the <i>Risk for Thrombosis</i> Nursing Diagnosis.","authors":"Silvana Mecheroni, Luca Bertocchi, Giuliana Morsiani, Dania Comparcini, Andreina Saba, Vianella Agostinelli","doi":"10.1177/20473087261462591","DOIUrl":"https://doi.org/10.1177/20473087261462591","url":null,"abstract":"<p><p>AimTo develop linkages using interoperable standardized nursing terminologies - NANDA-International (NANDA-I), Nursing Outcomes Classification (NOC), and Nursing Intervention Classification (NIC) [NNN] - for the <i>Risk for Thrombosis</i> diagnosis.MethodsThe entire process was supported by a literature review to ensure scientific rigor. A team of six nurse experts with clinical and theoretical knowledge developed the linkages using a multi-step approach. In the first step, outcomes aligned with all components of the nursing diagnosis were categorized. Then, relevant nursing interventions were identified.FindingsA total of 61 terms were identified for the nursing diagnosis Risk for Thrombosis. These included five core NOC outcomes addressing the occurrence of thrombosis: <i>Risk Control: Thrombus (1932)</i> and <i>Tissue Perfusion: Peripheral (0407), Tissue Perfusion: Pulmonary (0408), Tissue Perfusion: Cardiac (0405), Tissue Perfusion: Cerebral (0406)</i>. In addition, 20 NOC outcomes addressed related risk factors, 11 outcomes were linked to at-risk populations and associated conditions, and 25 NIC interventions were identified as suggested nursing interventions to guide care.ConclusionsThe NNN linkages provide a structured, evidence-based framework to guide nursing care planning in the prevention of the Risk for Thrombosis. These linkages also enable future integration into clinical decision support systems and electronic health records.Implications for Nursing PracticeThe identified NANDA-I, NOC, and NIC linkages represent a valuable, evidence-based resource to guide nurses' critical thinking in diagnosing <i>Risk for Thrombosis</i> and preventing this serious condition, which can lead to life-threatening events.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261462591"},"PeriodicalIF":1.3,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Creating NANDA, NOC and NIC Linkages for Elder Abuse.","authors":"Cheryl Marie Wagner","doi":"10.1177/20473087261471625","DOIUrl":"https://doi.org/10.1177/20473087261471625","url":null,"abstract":"<p><p>Creating NANDA, NOC, and NIC Linkages for Elder Abuse Care Delivery Abstract Specific Objective: This paper describes evidence-based linkages using concepts from NANDA-International (NANDA-I), Nursing Outcomes Classification (NOC) and Nursing Interventions Classification (NIC) (referred to as NNN) for care delivery for individuals impacted by elder abuse (EA), aligning them with the five types of physical, financial, sexual, psychological, and neglect.</p><p><strong>Methods: </strong>Each EA type contains distinct characteristics and risk factors that profoundly impact EA. Applying the literature, a table was created with signs and symptoms for each EA type, and used to create linkages categorized by EA type. These linkages were further refined and validated by experts.</p><p><strong>Findings: </strong>Twenty-four NANDA-I actual and risk nursing diagnoses were identified, organized by EA type, with NOC and NIC added to create the linkages. A total of 530 NOC and 438 NIC were selected for the linkages, with 200 unique NOC outcomes and 133 unique NIC interventions, with some NOC and NIC labels used repetitively. An interesting finding was that there were no NANDA-I that focused on financial abuse of elders and only one NANDA-I for sexual abuse of elders.</p><p><strong>Conclusions: </strong>Since the structure of NNN allows nurses to move beyond symptom management to identify and address the complex needs of elders experiencing or at risk of abuse, creating NANDA-I diagnoses specific to the five types of EA will aid in problem identification, goal setting, and intervention selection, while facilitating communication among healthcare team members. This work identified that although current NANDA-I are useful for addressing secondary issues from signs and symptoms of EA, work is needed to provide actual, risk, and health-promotion diagnoses addressing each of the five types of EA as areas of nursing concern.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261471625"},"PeriodicalIF":1.3,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of the N ANDA-I/NIC/NOC Nursing Care Plan in Emergency Management of Type 1 and Type 2 Diabetes: A Pilot Study.","authors":"Fatima Ezzahra Fernane, Amal Boutib, Hortensia Castañeda-Hidalgo, Marouane Ouirdani, Ibtissam Youlyouz, Abdeghafour Marfak","doi":"10.1177/20473087261470052","DOIUrl":"https://doi.org/10.1177/20473087261470052","url":null,"abstract":"<p><p>AimTo examine the feasibility and short-term outcomes of implementing a standardized nursing care plan based on NANDA International (NANDA-I) nursing diagnoses, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) in the emergency management of patients with type 1 and type 2 diabetes.DesignQuantitative pre-test/post-test pilot study.MethodsA convenience sample of 40 patients admitted to an emergency department for acute diabetic complications was enrolled. A structured nursing care plan grounded in NANDA-I, NIC, and NOC taxonomies was implemented during the emergency care episode. Nursing outcomes related to glycemia, glucosuria, and ketonuria were measured before and after the intervention using standardized five-point NOC indicators. Pre-post comparisons were analyzed using paired-sample t-tests.ResultsStatistically significant improvements were observed in all nursing-sensitive outcomes following the intervention. Mean glycemia scores increased from 2.05 ± 1.65 to 4.40 ± 0.74 (p < .001), glucosuria scores from 1.98 ± 1.67 to 4.50 ± 0.88 (p < .001), and ketonuria scores from 1.68 ± 1.33 to 4.63 ± 0.93 (p < .001). Post-intervention outcomes demonstrated reduced variability, indicating more consistent clinical stabilization within the emergency timeframe.Conclusion: The implementation of a standardized NANDA-I/NIC/NOC-based nursing care plan in an emergency department was feasible and was associated with significant short-term improvements in key metabolic indicators among patients with acute diabetic complications. However, given the absence of a control group, these findings should be interpreted as preliminary and require confirmation in controlled studies.Relevance to Clinical PracticeThis study supports the use of standardized nursing terminologies to structure nursing clinical judgment, guide targeted interventions, and evaluate nursing-sensitive outcomes in emergency settings. Adoption of NANDA-I, NIC, and NOC may enhance the visibility, consistency, and measurability of nursing contributions to acute diabetes care.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261470052"},"PeriodicalIF":1.3,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}