What are NANDA, NIC and NOC?

The Nursing Care Systematization (SAE) is the methodological tool that organizes nursing care. NANDA, NIC and NOC are standardized languages essential for effective SAE implementation, ensuring evidence-based care and clear communication among professionals.

What are NANDA, NIC and NOC?

In our calculators you will see the NANDA, NIC and NOC button next to the calculate and generate PDF buttons. This button generates a personalized Google search combining the scale score + generate NANDA nursing diagnosis, generate NIC nursing interventions, and generate NOC outcomes observation. It helps professionals find scientific data to implement SAE. These three classifications are fundamental pillars in the nursing process and SAE, allowing nurses to think critically and document their clinical reasoning in a standardized way.

NANDA International (NANDA-I)

NANDA stands for North American Nursing Diagnosis Association.

What it is: It is the classification for Nursing Diagnoses. A nursing diagnosis is a clinical judgment about the responses of an individual, family, or community to actual or potential health problems/life processes.

Importance: Allows the nurse to identify the patient's specific needs and formulate health problems that they, as a nurse, can treat and manage.

Practical example:

• Patient with pneumonia has difficulty breathing.
• The nurse, upon assessment, may diagnose: "Ineffective Breathing Pattern" (NANDA).
• Another example: Bedridden patient with redness in the sacral region: "Risk for Impaired Skin Integrity" (NANDA).

NIC (Nursing Interventions Classification)

NIC stands for Nursing Interventions Classification.

What it is: It is a comprehensive classification of nursing interventions, that is, all actions a nurse performs to achieve the expected outcomes for the patient. Each intervention has a definition and a list of activities the nurse can perform.

Importance: Standardizes nursing actions, facilitating care planning, communication, and evaluation of intervention effectiveness.

Practical example:

• For the diagnosis "Ineffective Breathing Pattern" (NANDA), the nurse may plan the intervention "Airway Management" (NIC).
• Activities related to this intervention may include: monitoring respiratory rate and rhythm, positioning the patient to optimize ventilation, providing oxygen therapy, etc.
• For "Risk for Impaired Skin Integrity", the intervention may be "Skin Care: Topical Treatment" (NIC), with activities such as: inspecting the skin, applying barrier cream, repositioning.

NOC (Nursing Outcomes Classification)

NOC stands for Nursing Outcomes Classification.

What it is: It is a classification of patient outcomes, which are measurable states, behaviors, or perceptions of the individual, family, or community influenced by nursing interventions. Each outcome has a definition, indicators, and a measurement scale.

Importance: Allows the nurse to evaluate the effectiveness of implemented interventions and the patient's progress toward care goals. It is essential to demonstrate the impact of nursing care.

Practical example:

• For the diagnosis "Ineffective Breathing Pattern" and the intervention "Airway Management", the expected outcome may be "Respiratory Status: Ventilation" (NOC).
• Indicators would include: respiratory rate (from 1- severely compromised to 5- not compromised), depth of breathing, oxygen saturation.
• For "Risk for Impaired Skin Integrity", the outcome may be "Tissue Integrity: Skin and Mucous Membranes" (NOC), with indicators such as: skin hydration, skin color, absence of lesions.

The Importance of NANDA, NIC and NOC in SAE

The Nursing Care Systematization (SAE) is a scientific method that organizes nursing care in steps. NANDA, NIC and NOC fit perfectly into these steps, providing a common language and a clear roadmap:

• Data Collection: The nurse collects information about the patient.
• Nursing Diagnosis: Based on the data, the nurse formulates a NANDA diagnosis. Ex: "Acute Pain".
• Planning: For each NANDA diagnosis, the nurse establishes expected outcomes (NOC) and plans interventions (NIC). For "Acute Pain" (NANDA): Expected outcome (NOC): "Pain Control", with indicators such as "Referred pain" and "Facial expressions of pain" on a scale from 1 to 5 (severe to none). Intervention (NIC): "Pain Management", with activities such as: "administer analgesics as prescribed", "perform massage", "teach relaxation techniques".
• Implementation: The nurse carries out the planned NIC interventions.
• Evaluation: The nurse assesses whether the NOC outcomes were achieved, checking the patient's improvement through the indicators.

Using NANDA, NIC and NOC in SAE provides:

• Standardization: A universal language that all nurses understand.
• Visibility: Makes nursing care more visible and measurable.
• Quality: Improves patient quality and safety, as care is systematically planned and evaluated.
• Research: Facilitates nursing research, allowing analysis of the effectiveness of different interventions.
• Autonomy: Reinforces the nurse's professional autonomy.

In summary, NANDA, NIC and NOC are not just "lists" or "catalogs", but dynamic tools that empower nurses to provide more qualified, individualized, and outcome-focused care, being indispensable in the practice of Nursing Care Systematization.

References:

• Herdman, T. H., & Kamitsuru, S. (Eds.). (2018). NANDA-I Nursing Diagnoses: Definitions and Classification 2018-2020. Thieme Medical Publishers.
• Bulechek, G. M., Butcher, H. K., Dochterman, J. M., & Wagner, C. M. (Eds.). (2018). Nursing Interventions Classification (NIC). Elsevier Health Sciences.
• Moorhead, S., Johnson, M., Maas, M. L., & Swanson, E. (Eds.). (2018). Nursing Outcomes Classification (NOC). Elsevier Health Sciences.