1. I did my CINHAL search with the nursing terminology from chapter 7 “North American Nursing
Diagnosis Association (NANDA) International”. When I did my search I found an article that also used
other terms NIC and NOC from chapter 7 since they are often linked together. The article discussed a
study conducted regarding the use of NANDA-I in other countries related to heart failure patients in a
home care setting. The study found that NANDA is used often in publications; however, it is not often
used in nursing practice. During the study they used nursing diagnoses from NANDA and combined it
was NIC and NOC. After the interventions were completed, the outcomes were measured and
documented. The question for the study was whether using NANDA, NIC, and NOC together leads to
effective interventions in the home care setting. The study revealed that care was more effective and
outcomes were better when standardized tools like NANDA were used to diagnose and treat patients.
As mentioned, the use of NANDA with NIC and NOC is effective in the home care setting caring
for patients with heart failure. However, in a hospital setting nursing diagnoses are not always used. At
my current job, the care plan uses interventions and outcomes while NANDA is not used. While
completing care plans in nursing school some students understand the use of NANDA and the
interventions and outcomes. However, those that did not understand concept mapping using NANDA
may still have excellent clinical skills. I believe there is a large difference between the home care setting
and the hospital (acute care) setting. The home care setting focuses on prevention of further disease
and prevention of re-hospitalization or complications. However, in a hospital the focus is on treating a
current medical problem and educating the patient while they are in crisis.
Azzolin, K., Mussi, C.M., Ruschel, K.B., de Souza, E.N., de Fatima Lucena, A., & Rabelo-Silva, E.R. (2013,
August). Effectiveness of nursing interventions in heart failure patients in home care using
NANDA-I, NIC, and NOC. Applied Nursing Research. 26(4). 239-244.
doi:10.1016/j.apnr.2013.08.003