 Ini adalah fakta yang ditetapkan bahwa proses

keperawatan adalah proses siklus yang terdiri dari

enam langkah. Klasifikasi hasil keperawatan
menempati 2 posisi kunci sepanjang proses;
Identifikasi dan Evaluasi Hasil
 Setelah membahas Diagnosa Keperawatan,
selanjutnya pada SNLs adalah klasifikasi hasil
keperawatan.
 NOC dikembangkan pada tahun 1990-an.
Tujuan
 Di akhir sesi ini, kita akan dapat:
 Tentukan NOC
 Identifikasi format penulisan NOC
 Sebutkan beberapa contoh NOC
 Tautkan NOC dengan segmen lain dari proses
Keperawatan
WHAT IS NOC?
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.
 Seorang individu, pengasuh, keluarga, atau keadaan
masyarakat, perilaku atau persepsi yang diukur
sepanjang kontinum dalam menanggapi intervensi
keperawatan (s).

 Setiap hasil mewakili konsep yang dapat digunakan

untuk mengukur keadaan pasien, pengasuh, keluarga,
atau komunitas sebelum dan sesudah intervensi.
NOC Format
❖ Label name
❖ Definition

❖ Measurement scale(s)

❖ Indicators

❖ References
LEVELS OF NOC TAXONOMY
The taxonomy has five levels:
 Domains – 7
 Classes - 32
 Outcomes – 490
 Indicators
 Measurement scales
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.
 Skala tipe Likert lima poin yang mengkuantifikasi
hasil pasien atau status indikator pada kontinum dari
yang paling tidak diinginkan hingga yang paling
diinginkan dan memberikan peringkat pada suatu
titik waktu
 Ini adalah skala standar, peringkat 5 selalu merupakan
skor terbaik dan peringkat 1 adalah skor terburuk.
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
 Pengukuran hasil intervensi sebelum membantu
perawat menetapkan skor dasar dan kemudian dapat
menilai hasil setelah intervensi diberikan, dan untuk
mengikuti perubahan status pasien.

 Pengukuran akan mencerminkan kontinum seperti 1 =

sangat terganggu, 2 = sangat terganggu, 3 = terganggu
sedang,
 4=sedikit terganggu,5=tidak terganggu
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
 Ini adalah perbedaan antara peringkat dasar dan
peringkat hasil pasca-intervensi.
 Skor perubahan bisa positif (peningkatan hasil)
 Skor perubahan bisa negatif
 Mungkin tidak ada perubahan (nol)
 Skor perubahan mewakili hasil yang dicapai setelah
intervensi
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.
 Jika pasien dinilai 2 sebelum intervensi, dan 4 setelah
intervensi, skor perubahannya adalah +2
 Skor perubahan bisa menjadi nol di mana nol adalah
tujuannya. Saat itulah pasien perlu dipertahankan
pada status sekarang.
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

 NOC NANDA
Juxtaposed Outcomes vs. Problems
❖ Bowel continence ❖ Diarrhea
❖ Parent-infant ❖ Ineffective child-
attachment bearing process
❖ Self-Care Status ❖ Self-Care Deficit
❖ Community health ❖ Ineffective community
status coping
❖ Self esteem ❖ Situational low self
esteem
❖ RiskControl ❖ Risk for: Infection,
Injury
❖ Knowledge: Treatment
Regimen ❖ Knowledge Deficit
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
 Indicators
 050002 Maintains control of stool
passage
 050012 Gets to toilet between urge and
evacuation of stool
 050013 Ingest adequate amount of fluid
 050015 Describes relationship of food
intakes to stool consistency
 050018 Monitors the amount and
consistency of stool
 050019 Toilets independently
 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 2
Sometimes Demonstrated 3
Often Demonstrated 4
Consistently Demonstrated 5
5
• Indicators
150001 Practices healthy behaviors during
pregnancy
150003 Prepares for infant prior birth
150004 Verbalizes positive feelings towards
infant
1500015 Responds to infant cues
1500024 Holds infants for feeding
1500020 Infant responds to parent’s cues

1500021 Infant seeks proximity with parent

 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 1
Fair 2
Good 3
Very good 4
Excellent 5
• Indicators
270101 participation rate in preventive health
care services
270107 Participation rate in community health
programs
270108 Participation rate in school health
programs
270109 Evidence of health protection measures
270117 Compliance with environmental health
standards
2701 27 Health surveillance data system in
place
 SELF ESTEEM - 1205
Definition: Personal judgment of self worth
Outcome Target Rating Maintain at………. Increase
to………….
Outcome overall rating
Never positive 1
Rarely positive 2
Sometimes positive 3
Often positive 4
Consistently positive 5
• Indicators
120501 Verbalization of self acceptance
120502 Acceptance of self limitation
120505 Description of self
120509 Maintenance of grooming and hygiene
120510 Balance of participation and listening
in group
120511 Confidence level
120512 Acceptance of compliment from others
120519 Feeling about self-worth
 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
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.