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Center for Nursing Classification and Clinical Effectiveness (CNC)

The Center for Nursing Classification and Clinical Effectiveness (CNC), an Iowa Board of Regents-approved Center, was established in 1995 to facilitate the ongoing research and development of the Nursing Interventions Classification (NIC) and the Nursing Outcomes Classification (NOC). NIC and NOC are standardized nursing terminologies focused on nursing treatments and patient outcomes for use across settings and specialties.

The major purposes of the Center are to:

  • conduct the review processes and procedures for expanding and updating the Classifications;
  • develop and publish linkages to other Classifications such as NANDA International;
  • provide terminologies and coding systems for global use in electronic health records;
  • produce and disseminate materials related to the Classifications;
  • provide research and educational opportunities for students, faculty, fellows and visiting professors;
  • provide consultation for implementation and use of the Classifications in clinical practice and educational settings; and
  • assist faculty and students with projects and research using the Classifications.



UI College of Nursing Welcomes Dr. Karen Dunn Lopez, New Director of Research for the Center for Nursing Classification & Clinical Effectiveness

Dr. Karen Dunn LopezDr. Karen Dunn Lopez, PhD, MPH, RN, joined the University of Iowa College of Nursing as an Associate Professor and Director of Research for the Center for Nursing Classification and Clinical Effectiveness in August 2019. She is an internationally recognized nursing informatics scholar whose research seeks to overcome two major barriers in health care today: the difficulty of leveraging complex health record data to improve patient outcomes and the poor usability of health information technologies. Within her program of research, she applies standardized nursing technologies (NANDA-I, NIC, and NOC) in novel ways to develop and test the effectiveness of easy to use decision support technologies that support nurses and patient decision making. Prior to joining the University of Iowa, Dr. Dunn Lopez was a faculty member at the University of Illinois Chicago.

Shortly after joining the CNC, she learned that her 3-year R01 grant titled, Tailored Clinical Decision Support Formats Designed to Improve Palliative Care for Cancer and Chronically Ill Patients: A Pre-Clinical Test, was funded by the National Institute of Nursing Research. She shares this NIH funding with her colleagues, Drs. Gail Keenan and Yingwei Yao at the University of Florida.

NIC 7th and NOC 6th editions translated!

NIC 7th edition has been translated into Indonesian, Japanese, and Spanish, and NOC 6th edition into Japanse and Spanish. 


New Editions!

Nursing Interventions Classification (NIC), 7th edition

Edited by Howard K. Butcher, PhD, RN; Gloria M. Bulechek, PhD, RN, FAAN;
Joanne M. Dochterman, PhD; and Cheryl M. Wagner, PhD, MBA/MSN, RN

Cover of Nursing Interventions Classification (NIC), 7th edition


NEW: 15 interventions

REVISED: 95 interventions

565 NIC interventions included, along with specific activities used to carry out interventions.

Specialty core interventions are provided for 53 specialties.


Published on February 6, 2018

Book (Hard Copy) ISBN: 978-0-323-49770-1

VST eBook ISBN: 978-0-323-49793-0


Nursing Outcomes Classification (NOC): Measurement of Health Outcomes, 6th edition

Edited by Sue Moorhead, PhD, RN, FAAN; Elizabeth Swanson, PhD, RN; Marion Johnson, PhD, RN; and Meridean L. Maas, PhD, RN, FAAN

Cover of Nursing Outcomes Classification (NOC): Measurement of Health Outcomes, 6th edition


NEW: 52 outcomes

REVISED: 55 outcomes

540 NOC outcomes to promote standardization of measurement of health outcomes.

Specialty core outcomes are provided for 45 specialties.

Examples of use of NOC in clinical, educational, and research settings are included.

Published on January 29, 2018

Book (Hard Copy) ISBN: 978-0-323-49764-0

VST eBook ISBN: 978-0-323-49793-0