Nursing Diagnoses and Interventions used in Homecare in Korea

Abstract

PURPOSE : To identify and classify nursing diagnoses and nursing interventions used in homecare in Korea. METHODS : Interventions for nursing diagnoses used with 223 homecare clients were compared to the Nursing Interventions Classification (NIC) to determine the appropriateness of NIC for use in homecare in Korea. FINDINGS. Many of the interventions used with the diagnoses zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA impaired skin integrity, risk for infection, altered nutrition: less than body requirements, pain, and knowledge deficit matched with NIC. Interventions that did not match included Positioning and Bathing used as Skin/ Wound Management, Perineal Care, Urinary Tube Care, Tube Care and Cough Enhancement, all used as Risk Management, and IV Therapy used as Nutrition Support. CONCLUSIONS : Most of the nursing interventions were in the physiological domain of NIC. Dificulties in identifying which intervention was intended were related to the inclusion of activities in more than one intewention in NIC, and the language used on the records. Korean customs also accounted for differ- ences in the intended use of some interventions. With modifications to account for Korean culture, NIC has promise for use in nursing in Korea