Standardized Nursing Terminology Sample Paper
Standardized nursing terminology describes a collection of nursing terms that lets all nurses communicate about healthcare systems using commonly acknowledged terminologies (Rutherford, 2008). Standardized nursing terminology provides flexibility in care delivery as the nursing practitioners will easily transfer information on to each other and other residents in the facility thus achieving a better result in the health care system. The examples of universally acknowledged nursing terminologies include NIC, NOC, and NANDA. The popular language criteria among nurses render them readily recognizable and pose them in different tasks specified in the nursing standard terminologies as swift professionals Standardized Nursing Terminology Sample Paper.
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As a nursing leader, I would utilize various strategies to reassure my colleague nurses as well as other medical professionals of the value of standardized nursing terminologies. Firstly, I would consider as my point of reference the organizations that promote the adoption, amendments, and usage of the standardized nursing terminologies. The American Nursing Association acts as an example of a nursing organization and supports the later. The American Nurses Association ( ANA) is at the forefront of promoting the adoption and acknowledgment of standardized terminologies to be utilized in health care delivery (ANA, 2018). The board calls for a standardized terminology in nursing to also be included in nursing informatics. Electronic Healthcare Record is an informatics term that involves the use of standardized nursing terminologies. The rationale is that the usage of nursing terminologies will bring widely accepted terms to healthcare practitioners thus following existing language nursing standards such as NANDA (Rutherford, 2008). Having a standardized nursing language code is essential to efficient communication and exchange of information that can create a successful result for patient care from all nurse categories Standardized Nursing Terminology Sample Paper.
My other means of informing my fellow nurses and other standardized nursing terminology stakeholders would be to use the terminologies in professional terms. The terminologies are utilized in clinical practice and all nurses should learn about them. Significant terminologies in nursing informatics that must be integrated as a component of standardized nursing terminology surpass the sense of preserving electronic healthcare records. Several other terminologies of healthcare informatics appear elusive to different healthcare professionals. The terminologies exist generally in three main categories including minimum data collection terminologies, interface terminologies, and reference terminologies (Strudwick & Hardiker, 2016). The common interface terminologies that form part of standardized nursing terminology diction include alternative billing concepts and codes (ABC), Clinical care classification (CCC), NIC, NOC, and NANDA.
The implementation of standardized nursing terminologies has several advantages (Rutherford, 2008). Improved awareness and integration of nursing care initiatives, improved communication with nurses and other healthcare professionals, and better data collection and analysis in the healthcare sector are the main benefits of implementing standardized nursing terminologies. Besides, standardized nursing terminologies assist nurses to adhere to their professional conduct, improved evaluation of competencies, and an overall improvised result in patient care (Rutherford, 2008). The use of common nursing terminologies in the field of medicine contributes to better healthcare as the nurses, and other healthcare professionals will interact in widely recognized terminologies thereby reducing instances of medical mistakes and breakdown in communication. All healthcare providers must concentrate on the adoption of standardized nursing terminologies in all areas of professional healthcare Standardized Nursing Terminology Sample Paper.
The biggest hurdles in adopting standardized nursing terminologies include the insufficient standardized scope of nursing knowledge and the design creation of EHR and associated healthcare information management systems (Rutherford, 2008). The designs have their locally defined reference charts and tables that may be restricted to local usage, making it much more difficult to execute standardized nursing terminologies in broader coverage of healthcare. Developing standardized terminologies for usage in a global sense requires comprehensive and expensive modeling to identify the curation and maintenance terminologies in use in various local healthcare structures. The modeling is quite daunting as also the terms continue to change with various technological advances in different parts of the world (McGonigle and Mastrian, 2017). Pricing is an important element in defining standardized nursing terminologies. In healthcare, the prices are widely variable; thus, the universal definition of these terms is challenging. Additionally, there is an insufficient electronic record of different patient care processes; therefore, it is difficult to collect these terminologies and enforce them in the stipulated period of urgency Standardized Nursing Terminology Sample Paper.
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Evidently, nurses and other care practitioners ought to be informed about the value of standardized nursing terminologies. Knowledgeable practitioners should stick to what they have discovered regarding the subject matter. A basis of medical knowledge and decision-making is nursing informatics (McGonigle and Mastrian, 2017). Nursing informatics has many terminologies and the definition is useful for reference by health professionals. Nursing informatics integrates information across various fields of medicine. The terms in nursing informatics should be used in clinical skill manuals and electronic systems to improve nursing language on applied informatics systems applications such as EHR (Topaz, 2013). The key benefit of adopting standardized nursing terminologies is to create an efficient and consistent framework for referring to the prices in nursing care. The issue in adopting the above is a variation of standards in nursing care such as pricing, and difficulties in modeling the variations that are apparent in different medical systems Standardized Nursing Terminology Sample Paper.
References
Inclusion of Recognized Terminologies Supporting Nursing Practice within Electronic Health Records and Other Health Information Technology Solutions - ANA Position Statement. ANA. (2019). Retrieved 6 July 2020, from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/.
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice. OJIN: The Online Journal of Issues in Nursing, 13(1), 243-50.
Strudwick, G., & Hardiker, N. R. (2016). Understanding the use of standardized nursing terminology and classification systems in published research: A case study using the International Classification for Nursing Practice®. International journal of medical informatics, 94, 215-221.
Topaz, M. (2013). Invited Editorial: The Hitchhiker’s Guide to nursing informatics theory: using the Data-Knowledge-Information-Wisdom framework to guide informatics research. Online Journal of Nursing Informatics (OJNI), 17(3) Standardized Nursing Terminology Sample Paper
Among the Resources in this module is the Rutherford (2008) article Standardized Nursing Language: What Does It Mean for Nursing Practice? In this article, the author recounts a visit to a local hospital to view the recent implementation of a new coding system. 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). How would you respond to a comment such as this one? To Prepare: 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. The Assignment: 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.