Implementation of Nursing Standardized Languages: NANDA, NIC & NOC

Mary Clarke, MA, RN


The use of nursing standardized languages in an acute care community hospital began in the mid to late 1970s. In the early years, the use of the North American Nursing Diagnosis Association (NANDA) classification was the impetus for evolutionary changes in both nursing standards and practice. With the addition of the Nursing Interventions Classification (NIC) and the Nursing Outcomes Classification (NOC), nursing standardized language use has transcended the changes occurring in health care delivery including case management, clinical pathways, and the multi disciplinary focus of patient care delivery. This article will trace these changes that have occurred starting with the use of nursing diagnosis and the integration of other nursing classification systems in the patient plan of care, the introduction of a competency based orientation program, and the development of clinical pathways.


Keywords: standardized languages, classification, nursing diagnosis, nursing intervention, nursing outcome.