Research utilization: an organizational process that enhances quality of care.
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Biomedical subjects
Publications and source records attributed to G M Bulechek.
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A research team at the University of Iowa has been working for 5 years to develop a classification of nursing interventions. Conceptual work to clarify the nature of a nursing intervention was needed. An inductive approach was taken to group discrete nursing activities and attach a conceptual label. Fehring's methodology was adapted for soliciting input from nurse experts for the 134 labels described in this issue. These labels are a part of the standardized language in the Iowa classification.
The Classification of Nursing Interventions research team at The University of Iowa, College of Nursing is building a taxonomy of nursing interventions that will include all of the direct care treatment activities that nurses perform on behalf of patients. This report describes the study in which 12 nursing interventions and their associated activities for care of the integument were extracted from a large database and validated through a two-round Delphi survey. Using an adaptation of Fehring's model for determining diagnostic content validity of nursing diagnoses, a definition, critical activities, and supporting activities were developed for each of the following interventions: Bathing, Bedrest Care, Hair Care, Nail Care, Oral Health Maintenance, Oral Health Promotion, Oral Health Restoration, Positioning, Pressure Management, Skin Care--Topical Treatments, Skin Surveillance, and Wound Care. Further research is needed to validate supporting activities and to continue classifying interventions and activities that nurses use in treating impaired skin integrity (potential and actual) and altered oral mucous membrane integrity (potential and actual).