Evaluation of the Use of NANDA-I nursing diagnoses, Nursing Outcome Classification and Nursing Intervention Classification for Documentation of Care in Primary Health Centres, Ijebu Ode

Background: Documentation of nursing care is core to the Nursing profession and to share information on patients/clients with other nurses and between clinical disciplines and care settings, data needs to be recorded and stored in a standardized form. Therefore, to make the care nurses give to be visible, NANDA-I, NIC & NOC was endorsed to be used for documentation. Purpose: The purpose of the study was to evaluate whether NANDA-I, NIC, & NOC was used for documentation of care at the maternal and infant welfare units of selected Primary Health Centres (PHCs). Methodology: A retrospective descriptive research design was adopted in this study. Random sampling technique was used to select 5 PHCs. All patient nursing care plan records documented with NANDA-I, NIC & NOC was utilized for data analysis. Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 17.0 for both descriptive and inferential statistics. Results: Findings revealed that nursing care was documented using NNN. There was no significant difference in the NANDA-I nursing diagnoses, NIC & NOC used as the t calculated value of -1.00 was lesser than the critical value of 1.96, which was not significant at 0.05 alpha levels. Conclusion: This study has evaluated the documentation of care using NNN in PHCs. It is imperative to state that using NNN for documentation of care is a way of showing evidence-based practice. The researcher therefore recommends that the use and documentation quality of the NNN be evaluated periodically, and corresponding feedbacks given to nurses.