1. NURSING OUTCOMES CLASSIFICATION (NOC)
Presented by
Esther K. AFOLABI
RN, MSc. FWACN .

2. Introduction
It is a laid down fact that nursing process is a cyclical process consisting of six steps. Nursing outcome classification occupies 2 key positions along the process; Outcome Identification and Evaluation
Having discussed the Nursing diagnosis, the next on the SNLs is the nursing outcome classification.
The NOC was developed in the 1990’s.

3. Learning Objectives At the end of this session, we will be able to :
Define the NOC
Identify the format for writing the NOC
List out some examples of NOC
Link the NOC with other segments of the Nursing process

4. Nursing Outcomes Classification (NOC) Fifth Edition
107 new
123 revised
2 retired

5. WHAT IS NOC?

6. NURSING OUTCOME CLASSIFICATION( NOC)
An individual, caregiver, family, or community state, behavior or perception that is measured along a continuum in response to a nursing intervention(s).
Each outcome represents a concept that can be used to measure the state of a patient, caregiver, family, or community before and after intervention.

7. NOC Format Label name Definition Measurement scale(s) Indicators
References

8. LEVELS OF NOC TAXONOMY The taxonomy has five levels: Domains – 7
Classes
Outcomes – 490
Indicators
Measurement scales

9. NOC Measurement Scales
A five-point Likert type scale that quantifies a patient outcome or indicator status on a continuum from least to most desirable and provides a rating at a point in time
It is a standardized scale, a rating of 5 is always the best possible score and a rating of 1 is the worst score.

10. NOC Measurement scale contd.
Measurement of the outcome prior intervention helps the nurse establish a baseline score and can then rate the outcome after the intervention is provided, and to follow changes in patient’s status.
Measurement will reflect a continuum such as 1 =severely compromised, 2= substantially compromised,3 = moderately compromised,
4=mildly compromised,5 =not compromised

11. Change score
This is the difference between a baseline rating and post-intervention rating of the outcome.
The change score can be positive (increased outcome)
The change score can be negative
There may be no change (zero)
The change score represents the outcome achieved following an intervention

12. Change score cont’d
If a patient is rated 2 prior intervention, and 4 after intervention, the change score is +2
A change score can be zero where zero is the goal. That is when the patient needs to be maintained at the present status.

13. Times To Measure Outcomes
Measure the outcome when:
Outcome is selected
Patient is transferred to another unit
Patient’s status changes
Patient is discharged from care episode
Other times as determined by policy
* Always consider the outcome characteristics

14. Juxtaposed Outcomes vs. Problems
NOC NANDA
Bowel continence
Parent-infant attachment
Self-Care Status
Community health status
Self esteem
Risk Control
Knowledge: Treatment Regimen
Diarrhea
Ineffective child-bearing process
Self-Care Deficit
Ineffective community coping
Situational low self esteem
Risk for: Infection, Injury
Knowledge Deficit

15. BOWEL CONTINENCE- 0500
Definition: Control of passage of stool from the bowel
Outcome Target Rating Maintain at….. Increase to……
Outcome overall rating
Never demonstrated 1
Rarely Demonstrated 2
Sometimes Demonstrated 3
Often Demonstrated 4
Consistently Demonstrated 5

16. 050002 Maintains control of stool passage
Indicators
Maintains control of stool passage
Gets to toilet between urge and evacuation of stool
Ingest adequate amount of fluid
Describes relationship of food intakes to stool consistency
Monitors the amount and consistency of stool
Toilets independently

17. PARENT-INFANT ATTACHMENT - 1500
Definition: Parent and infant behaviors that demonstrate an enduring affectionate bond
Outcome Target Rating Maintain at………. Increase to………….
Outcome overall rating
Never demonstrated 1
Rarely Demonstrated
Sometimes Demonstrated 3
Often Demonstrated 4
Consistently Demonstrated 5 5

18. Indicators
Practices healthy behaviors during pregnancy
Prepares for infant prior birth
Verbalizes positive feelings towards infant
Responds to infant cues
Holds infants for feeding
Infant responds to parent’s cues
Infant seeks proximity with parent

19. COMMUNITY HEALTH STATUS- 2701
Definition: General state of wellbeing of a community or population
Outcome Target Rating Maintain at………. Increase to………….
Outcome overall rating
Poor
Fair
Good
Very good
Excellent

20. Indicators
participation rate in preventive health care services
Participation rate in community health programs
Participation rate in school health programs
Evidence of health protection measures
Compliance with environmental health standards
Health surveillance data system in place

21. SELF ESTEEM - 1205 Never positive 1 Rarely positive 2
Definition: Personal judgment of self worth
Outcome Target Rating Maintain at………. Increase to………….
Outcome overall rating
Never positive
Rarely positive
Sometimes positive
Often positive
Consistently positive

22. Indicators
Verbalization of self acceptance
Acceptance of self limitation
Description of self
Maintenance of grooming and hygiene
Balance of participation and listening in group
Confidence level
Acceptance of compliment from others
Feeling about self-worth

23. NOC Outcomes NOC -Outcome for individualsActivity Tolerance
e.g. Self care deficit
NOC -Outcomes for Families
e.g. Family Integrity
NOC -Outcomes for Communities e.g. Community Risk Control: Chronic Disease

24. Conclusion
As nurses the NOC with its likert scale measure helps in measuring the achievement / progress made in the care of our clients. And it aids evaluation of the clients’ care.

25. THANK YOU FOR LISTENING