Classification of Nursing Interventions for Care of the Integument

Marita G. Titler, Debra Pettit, Gloria M. Bulechek, Joanne C. McCloskey, Martha J. Craft, Marlene Z. Cohen, John D. Crossley, Janice A. Denehy, Orpha J. Glick, Thomas W. Kruckeberg, Meridean L. Maas, Colleen M. Prophet, Toni Tripp–Reimer

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


The Classification of Nursing Interventions research team at The University of Iowa, College of Nursing is building a taxonomy of nursing interventions that will include all of the direct care treatment activities that nurses perform on behalf of patients. This report describes the study in which 12 nursing interventions and their associated activities for care of the integument were extracted from a large database and validated through a two‐round Delphi survey. Using an adaptation of Fehring's model for determining diagnostic content validity of nursing diagnoses, a definition, critical activities, and supporting activities were developed for each of the following interventions: Bathing, Bedrest Care, Hair Care, Nail Care, Oral Health Maintenance, Oral Health Promotion, Oral Health Restoration, Positioning, Pressure Management, Skin Care–Topical Treatments, Skin Surveillance, and Wound Care. Further research is needed to validate supporting activities and to continue classifying interventions and activities that nurses use in treating impaired skin integrity (potential and actual) and altered oral mucous membrane integrity (potential and actual).

Original languageEnglish (US)
Pages (from-to)45-56
Number of pages12
JournalInternational Journal of Nursing Terminologies and Classifications
Issue number2
StatePublished - Apr 1991
Externally publishedYes


  • altered oral mucous membranes
  • impaired skin integrity
  • nursing diagnosi
  • nursing orders
  • oral hygiene
  • skin care

ASJC Scopus subject areas

  • Fundamentals and skills
  • Nursing (miscellaneous)


Dive into the research topics of 'Classification of Nursing Interventions for Care of the Integument'. Together they form a unique fingerprint.

Cite this