Linkages of NANDA International, NIC and NOC for People Living with HIV Over 50

TL;DR

This paper creates a structured nursing care framework for older adults with HIV by linking NANDA, NIC, and NOC systems.

Contribution

It provides validated linkages between NANDA, NIC, and NOC for holistic care of older adults living with HIV.

Findings

Sixteen NANDA diagnoses were validated as critical for older adults with HIV.

Linkages were established between NANDA, NOC, and NIC for nursing care planning.

The framework supports individualized care by integrating psychosocial and physiological needs.

Abstract

Despite advancements in HIV treatment, nursing care for older adults living with HIV (OPLWH) remains insufficiently structured to address their complex, age-related needs. The purpose was to develop linkages between NANDA International, Nursing Outcomes Classification, and Nursing Interventions Classification for older adults living with HIV aged over 50. Data were collected from 16 experienced nurses specializing HIV/AIDS care, who evaluated the relevance of 45 NANDA International, 79 Nursing Outcomes Classification, and 82 Nursing Interventions Classification specific to older adults living with HIV. A table was developed to present frequently used 16 NANDA-I diagnoses in the as critical (relevance ratio ≥0.80) or supplemental (0.60–0.79). The Nursing Outcomes Classifications were linked according to the core components of the selected NANDA-I, followed by Nursing Interventions Classification. Finally, we achieved consensus among experts based on clinical judgment, experience, and established NOC/NIC knowledge. Sixteen core NANDA International were validated as critical, including (i) Risk for Excessive Loneliness linked with Loneliness Severity and Emotional Support; (ii) Risk for Infection linked with Infection Severity and Infection Control; (iii) Inadequate Nutritional Intake linked with Nutritional Status: Nutrient Intake and Nutrition Management; (iv) Impaired Tissue Integrity linked with Tissue Integrity: Skin and Mucous Membranes and Wound Care; and (v) Impaired Memory linked with Memory and Cognitive Stimulation. The validated linkages provide a structured, evidence-based framework for nursing care planning for older adults living with human immunodeficiency virus, emphasizing the integration of psychosocial and physiological health needs. This linkage system supports holistic, individualized nursing care.