The Impact Of Standardized Nursing Terminology Essay
During the visit, one of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1).The Impact Of Standardized Nursing Terminology Essay
How would you respond to a comment such as this one?
· Review the concepts of informatics as presented in the Resources, particularly Rutherford, M. (2008) Standardized Nursing Language: What Does It Mean for Nursing Practice?
· Reflect on the role of a nurse leader as a knowledge worker.
· Consider how knowledge may be informed by data that is collected/accessed.
In a 2- to 3-page paper, address the following:
· Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.
· Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples.
· Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Walden Library.The Impact Of Standardized Nursing Terminology Essay
Nursing care planning is one of the most impacted areas by standardized nursing terminologies. The standardizing language in nursing here denotes the use of a common language that all nurses can understand in describing care (Rutherford, 2008). A survey conducted on nursing practitioners revealed a myriad of nursing functions including organizing care, interventions generation, and information retrieval on the same terms for many patients, planning care and generating appropriate outcomes as areas highly impacted on by standardized nursing terminologies (Walker, Cleondon & Nelson, 2015). However, as Rutherford (2008) reveals, some nurses are not aware of the need for these terminologies and exhibit ignorance on the critical roles that standardized nursing terminologies play in their practice. This paper delves into the importance of these terminologies as well as the benefits and challenges of implementing them in nursing practice.
Essence of standardizing language in nursing
Rutherford (2008) explores why the standardization of nursing language for documentation is crucial in healthcare and most significantly to the direct care nurses dealing with patients. By documenting planning of care and clinical outcomes in a nursing language that is standardized, nurses benefit the entire profession by contributing immensely towards the improving patient care and also contribute to the evidence-based outcomes that can be shared by all nurses (Rutherford, 2008).The Impact Of Standardized Nursing Terminology Essay
In the era of electronic documentation of health records, peer sharing of information is critical in achieving the highest standards of care. Moreover, details about information across organizations that deal with patient care has been necessitated by the law (Balestra, 2017). The implementation of electronic documentation by any healthcare cannot happen without adopting standardized nursing care as EHR incorporate templates that describe the key components of nursing care. These records ought to be shared and read across all healthcare organizations making it a must for healthcare providers to adopt them (Rutherford, 2008).The Impact Of Standardized Nursing Terminology Essay
Standardized nursing terminology use in nursing care is also crucial in aiding accurate communication of care among nurses and other healthcare providers. Nursing outcomes generated by one nursing practitioner adds to the evidence-based care that helps in easier diagnosis of issues and provision of care. As such, it is important that it is documented in such a manner that they are easy to understand and interpret by other nurses. Also, HIPAA mandates healthcare providers to share patients’ healthcare data needed in the provision of services by other players in the health sector (Olatubi et al., 2018). The use of standard nursing language, in such a case, makes it easier for the sharing of such information as the law dictates.The Impact Of Standardized Nursing Terminology Essay
Benefits and challenges of Standardizing Terminologies in Nursing
First, standardizing terminologies in nursing improves patient care. For a population of surveyed members of the National Association of School Nurses, there was evidence of improved nursing outcomes and interventions for the nurses that adhered to NOC and NIC standards (Rutherford, 2008).
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Standardized nursing terminologies also facilitates in collection of data that is used in evaluating the quality of care outcomes. Standardizing language in nursing offers a consistent means of comparing the quality of care used under the various nursing interventions. Data repositories can also be established when data is stored in the EHR under the standardized nursing language to serve as a benchmarking tool for the profession of nursing (Rutherford, 2008).The Impact Of Standardized Nursing Terminology Essay
It also through the contribution of standardizing language in nursing that has developed better improved engagement among nurses and with other professional in healthcare provision. The sharing of information to improve nursing outcomes as well as document evidence-based practice outcomes has become a vital part of nursing practice today. This is being aided by adopting a standardized nursing language that can be used by nursing from all over the world.
There is also an improved adherence to the standards of care. For instance, the use of NOC and NIC standardized nursing languages that are based on the inputs of the nurses and the standards of care from other professions in health care is reinforced by nurses that have adopted these languages (Rutherford, 2008).The Impact Of Standardized Nursing Terminology Essay
It provides a framework to facilitate assessment of practitioners on account of their competency. Nursing interventions obtained from the standardized languages in nursing may equally be employed as the standard for assessing nurses’ competence in performing the given interventions
As revealed in Rutherford (2008), the ignorance among the nurses on the role that standardizing terminologies in nursing play while attending to patients is the main challenge. The lack of understanding and knowledge on how standard nursing language affects the outcomes in healthcare provision limits the level of exploitation of the benefits conferred by the system. Nurses that are not aware of the capabilities of standardizing terminologies in nursing in the documentation of nursing outcomes are less likely to adopt the use of systems that store health records electronically, which contribute to the overall slow intake of technology in healthcare (Shwiran & Thede, 2011).The Impact Of Standardized Nursing Terminology Essay
In conclusion, standardized nursing technologies play a critical role in the documenting of nursing outcomes. This system is important in the implementation of EHR systems as well as in aiding communication in the nursing profession and with healthcare providers. Benefits of standardizing language in nursing include; the facilitating of assessment of nurses based on competency, ensuring that nursing standards have been adhered to, enhancing data collection that is used in assessing nursing care outcomes and helps in improving patient care. The main challenge to this is the lack of knowledge and understanding of the role that standardized nursing terminologies play in the provision of nursing care.
The health industry is in the process of adopting evidence based interventions. This has lead to the standardization on the mode of communication in the classification of diagnosis, applied interventions and the expected outcomes. In this standardization process, the NANDA, NIC, and NOC elements are the most commonly used and effective systems. The purpose of this paper is to provide a brief overview of these standardized terminologies as they relate to a patient with congestive heart failure, identify the elements of NANDA, NIC and NOC and describe the data,…show more content…
This will include the determination of the kind of diet a patient takes and the degree of exercising together with the knowledge of how various activities affect the heart. The next consideration would be the determination of the body’s fluid levels. This would be followed by the examination of the body and patient’s regulatory systems which affects the body’s fluid level. The next step will then be the evaluation of the disease status of the patient. Other diseases may have a negative effect to the ability of the heart to pump blood to the various parts of the body and this step will enable the nurse to discover which disease is causing a negative effect to the heart. The evaluation of the family status will reveal any conflicts that may be causing the heart failure while at the same time provide an understanding of the degree of effectiveness of therapeutic regimen management. Through this data, the nurse will be in a position to determine the patient’s current status and aid in determining the level of outcomes that is required to manage the disease effectively.The Impact Of Standardized Nursing Terminology Essay
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