Determining critical incident nursing interventions for the critical care setting: a pilot study

Int J Nurs Terminol Classif. 2009 Jul-Sep;20(3):110-21. doi: 10.1111/j.1744-618X.2009.01123.x.

Abstract

Purpose: The purpose of this research survey was to determine which Adult Critical Care Core Nursing Interventions (ACCCNIs) in the Nursing Interventions Classification constitutes a critical incident nursing intervention (CINI). A CINI is defined as any indirect or direct care registered nurse (RN)-initiated treatment performed in response to a life-threatening nursing diagnosis.

Methods: A list of ACCCNIs were sent to 50 critical care RNs in two survey rounds. Responses >80% for each ACCCNI was determined to be a CINI.

Findings: Forty-one ACCCNIs were determined to be CINIs.

Conclusions: It is recommended that CINIs be included as a separate Nursing Intervention Classification category to reflect current nursing practice.

Implications for nursing practice: CINIs can enhance RN competency, education, and vigilance, thereby preventing or decreasing the number of deaths that occur from critical incidents.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • California
  • Critical Care / methods*
  • Female
  • Health Care Surveys
  • Humans
  • Male
  • Middle Aged
  • Nursing Care / classification*
  • Pilot Projects