INTERVENSI KEPERAWATAN

Elisa, Skep Ns MKep

APA NOC ITU ?
 NOC: Nursing Outcome Classification

 NOC: Standar bahasa untuk kumpulan Outcome

yang sensitif terhadap intervensi keperawatan

 An outcome is “an individual, family or

community state, behavior, or perception, that
is measured along a continuum in response to
nursing intervention” (Moorhead, Johnson &
Maas, 2004, p. 25).
 NOC Level 1: Domains Level 2 Classes
I. Functional health A. Energy maintenance C. Mobility
B. Growth & Development D. Self-Care

II. Physiologic health E. Cardiopulmonary J. Neurocognitive

F. Elimination K. Nutritional
G. Fluid and Electrolytes a. Therapeutic response
H. Immune response L. Tissue integrity
I. Metabolic regulation Y. Sensory function

III. Psychosocial health M. Psychosocial Well-Being O. Self Control

N. Psychosocial Adaptation P. Social interaction

IV. Health knowledge & Q. Health Behavior S. Health knowledge

Behavior R. Health beliefs T. Risk Control & Safety

V. Perceived Health U. Health & Life quality e. Satisfaction with care

V. Symptom severity

VI. Family Health W. Family caregiver Performance d. Parenting

Z. Family member health status
X. Family Well being

VII. Community health b. Community well being

c. Community health protection
CARA MENGIDENTIFIKASI OUTCOME

Review the NOC taxonomy – Berdasarkan

ICRM

Example:
NOC: Respiratory status: Gas exchange
Aggression Self-Control
CODING STRUCTURE OF NOC

Domain – Class – Outcome – Indicator – Scale – Scale value

Psychosocial health: (III)

Self Control (O)

Outcome Aggression self control: (1401)

Indicator 140110

Scale (Never demonstrated to consistently demonstrated)

1-5
III O 1401103
FAKTOR YANG PERLU DIPERTIMBANGKAN DALAM MENYELEKSI PILIHAN
NOC
(MOORHEAD, JOHNSON, MASS, 2004)

 Kondisi kesehatan
 Diagnosa atau masalah kesehatan
 Karakteristik klien (personal,
keparahan penyakit, sumber daya)
 Apa yang lebih disukai klien
 Potensi untuk penanganan
NIC (NURSING INTERVENTION
CLASSIFICATION)
 Terdiri dari :
- Label
- Definisi
- Aktifitas
DOMAIN DALAM NIC
 Basic physiological
 Complex physiological
 Behavior
 Safety
 Family
 Health system
 Community
CONTOH NIC
 Example NIC:
Acid-Base Management: Respiratory alkalosis
 Example NIC: Anger control assistance
BAGAIMANA PENULISAN KODE
NIC?
 NIC: Anger control assistance
 Activity:
1…
17. Identify consequences of inappropriate expression of
anger
Domain 3
18…. (behavioral)

Code: 3P-4640.17
17 = Urutan
aktifitas ke
P = Level 2
4640 = Code NIC 17
clases
(Level
intervention)
FAKTOR DALAM MENYELEKSI
PILIHAN NIC (BULECHEK, BUTCHER, DOCTHERMAN, 2008):

 Desired client outcome

 Characteristic of nursing diagnosis
 Research based on nursing diagnosis –
EVIDENCE BASED
 Feasibility for doing intervention
 Acceptability to the patient
 Capability of nurse