Components

The CCC 21 Care Components represent a free coded standardized framework for classifying each of the three interrelated CCC terminologies: CCC of Nursing Diagnoses, CCC of Nursing Interventions/Actions, and CCC of Nursing Outcomes. They are used to code and classify the six steps/ standards of the ANA Nursing Process: Assessment, Diagnosis, Outcome Identification (CCC Expected Outcomes) Planning, Implementation (CCC-Interventions Action Types), and Evaluation (CCC-Actual Outcomes).

Nursing Process Model
Nursing Process Model

 

Nursing Process Model and CCC
Nursing Process Model and CCC

Definition

A Care Component is defined “A cluster of elements that represent 4 unique patterns of clinical nursing practice: a) Health Behavioral, b) Functional, c) Physiological, and d) Psychological.”

Description

CCC Components
CCC Components

The CCC System’s Care Components were empirically developed by statistical clustering the clinical care concepts from the two original relevant problems / diagnoses and interventions/ services vocabulary lists.  Each cluster consists of sufficient clinical and statistical data/concepts that warranted a separate Care Component Class and represented clinical nursing practice.  The 21 Care Components: Activity,  Bowel/Gastric, Cardiac, Cognitive/Neuro, Coping, Fluid Volume, Health Behavior, Life Cycle, Medication, Metabolic, Nutritional, Physical Regulation, Respiratory, Role Relationship, Safety, Self Care, Self Concept, Sensory, Skin Integrity, Tissue Perfusion, Urinary, are further categorized by four Health Patterns listed above.

Each Care Component represents a cluster of elements designed to classify the terminological concepts used to document, facilitate computer processing, and statistical analyze nursing practice for an episode of illness.  They are also used to predict care requirements, determine resources, measure outcomes, as well as link and map the terminologies to each other and to other health-related classifications.  They were found to be the most clinically relevant assessment classes, best predictors of health resources, most appropriate standardized framework, and 99 % compliant for coding and classifying nursing practice regardless of setting (Holzemer et al., 1997).  They can be used to track and measure patient care holistically over time, across healthcare settings, population groups, and geographic locations.

Online Table

The table below contains the  21 Care Components in the CCC System v2.5, sorted alphabetically by Code. Note that the sort order may be changed by clicking on the column headings in the table.

 

CompLetter CompName CompDescription
A Activity Cluster of elements that involve the use of energy in carrying out musculoskeletal and bodily actions.
B Bowel/Gastric Cluster of elements that involve the gastrointestinal system.
C Cardiac Cluster of elements that involve the heart and blood vessels.
D Cognitive/Neuro Cluster of elements that involve the cognitive, mental, cerebral, and neurological processes.
E Coping Cluster of elements that involve the ability to deal with responsibilities, problems, or difficulties.
F Fluid Volume Cluster of elements that involve liquid consumption.
G Health Behavioral Cluster of elements that involve actions to sustain, maintain, or regain health.
H Medication Cluster of elements that involve medicinal substances.
I Metabolic Cluster of elements that involve the endocrine and immunological processes.
J Nutritional Cluster of elements that involve the intake of food and nutrients.
K Physical Regulation Cluster of elements that involve bodily processes.
L Respiratory Cluster of elements that involve breathing and the pulmonary system
M Role Relationship Cluster of elements involving interpersonal, work, social, family, and sexual interactions.
N Safety Cluster of elements that involve prevention of injury, danger, loss, or abuse.
O Self-Care Cluster of elements that involve the ability to carry out activities to maintain oneself.
P Self-Concept Cluster of elements that involve an individual's mental image of oneself.
Q Sensory Cluster of elements that involve the senses including pain.
R Skin Integrity Cluster of elements that involve the mucous membrane, corneal, integumentary, or subcutaneous structures of the body.
S Tissue Perfusion Cluster of elements that involve the oxygenation of tissues, including the circulatory and vascular systems.
T Urinary Elimination Cluster of elements that involve the genitourinary system.
U Life Cycle Cluster of elements that involve the life span of individuals.
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