PURPOSE To analyze actual patient data recorded by nurses within a computerized documentation system using standardized NANDA, NIC, and NOC nursing language in order to validate the linkages of diagnoses, interventions, and outcomes; identify the important variables for risk adjustment; and verify which nursing interventions assist patients to achieve their desired outcomes for patients with pneumonia, congestive heart failure (CHF), and total joint replacement (TJR). METHODS This was a descriptive exploratory study. The study sample consisted of all records of patients admitted with pneumonia, CHF, or TJR. A total of 566 patient records were collected for analysis. The most frequent nursing diagnoses, interventions, and outcomes were identified for each of the populations. Linkages among nursing diagnoses, interventions, and outcomes from the study data were compared with published linkage work. FINDINGS The average number of nursing diagnoses for patients admitted
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