{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T19:04:23Z","timestamp":1783969463548,"version":"3.55.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Nursing Knowledge"],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To identify linkages using interoperable standardized nursing terminologies of NANDA-International (NANDA-I), Nursing Outcomes Classification (NOC), and Nursing Intervention Classification (NIC) - for the \u201cImpaired End-of-Life Comfort Syndrome\u201d nursing diagnosis for guiding nurses\u2019 decision-making in promoting comfort in end-of-life care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a consensus process, a research group of six experts with clinical and theoretical expertise developed the NANDA-I, NOC, and NIC (NNN) linkages in a multistep process. In the first step, for each nursing diagnosis, outcomes aligned with all its components were categorized. Then, relevant nursing interventions were identified. The whole process was supported by a preliminary literature review to inform the consensus process and support decision-making during linkage development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      A total of 46 NOC nursing outcomes were identified to guide care based on the syndrome, and 29 NIC interventions were identified as suggested interventions for the management of\n                      <jats:italic toggle=\"yes\">Impaired End-of-Life Comfort Syndrome<\/jats:italic>\n                      , reflecting the multidimensional nature of end-of-life comfort.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The NNN linkages selected provide a solid foundation for consensus-derived framework to support person-centered nursing care planning, offer an opportunity to make nursing care visible, and promote comfort in end-of-life care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Practice<\/jats:title>\n                    <jats:p>The identified linkages between NANDA-I, NOC, and NIC provide a consensus-derived framework to support nursing care decision-making and promote comfort in end-of-life care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20473087261460966","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T18:09:08Z","timestamp":1783966148000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Identification of Linkages Between the NANDA-I Nursing Diagnosis Impaired End-of-Life Comfort Syndrome, NOC, and NIC for Individuals in End-of-Life Care"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3698-1700","authenticated-orcid":false,"given":"Andreina","family":"Saba","sequence":"first","affiliation":[{"name":"Reggio Emilia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8263-8419","authenticated-orcid":false,"given":"Luca","family":"Bertocchi","sequence":"additional","affiliation":[{"name":"Trieste University Hospital (ASUGI)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2474-2776","authenticated-orcid":false,"given":"Giuliana","family":"Morsiani","sequence":"additional","affiliation":[{"name":"Public Health Local Trust in Modena"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3622-6370","authenticated-orcid":false,"given":"Dania","family":"Comparcini","sequence":"additional","affiliation":[{"name":"Aldo Moro University of Bari"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6686-0101","authenticated-orcid":false,"given":"Silvana","family":"Mecheroni","sequence":"additional","affiliation":[{"name":"Public Health Local Trust in Grosseto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7820-9299","authenticated-orcid":false,"given":"Vianella","family":"Agostinelli","sequence":"additional","affiliation":[{"name":"Nurse and Midwifery Department in public health local trust in Arezzo"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"e_1_3_3_2_1","volume-title":"Ackley and Ladwig\u2019s nursing diagnosis handbook: An evidence-based guide to planning care","author":"Ackley B. 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