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Posted: May 13th, 2023
Rutherford (2008 – Affordable Custom Essay Writing Service | Write My Essay from Pro Writers) 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 – Affordable Custom Essay Writing Service | Write My Essay from Pro Writers, 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 – Affordable Custom Essay Writing Service | Write My Essay from Pro Writers) 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.
Write a page paper – 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.
Impact of Standardized Nursing Terminology
Standardized nursing terminology is a set of commonly-understood terms that are used to describe clinical judgments such as diagnoses, interventions, and outcomes in documenting nursing care. I would inform the nurse that standardized nursing terminology facilitates interoperability of health information across health organizations or countries (Rutherford, 2008 – Affordable Custom Essay Writing Service | Write My Essay from Pro Writers). The data of a patient can thus be clearly interpreted in any part of the world since the terminologies are common among nurses worldwide. Patients are thus not limited to where they should access healthcare services since their data on Electronic Health Records can be retrieved and interpreted (Park & Lee, 2015 – Research Paper Writing Help Service). Additionally, nurses can communicate effectively with their counterparts in other hospitals and exchange ideas or collaborate in treating a patient. The reason is that the terminologies they are using are similar.
Healthcare organizations can share data to enhance medical procedures. For example, the shared data could be drawn from research studies or systematic reviews. I would emphasize to the nurse that shared data helps nurses to learn from each other and thus improve the quality of patient care. Shared data is also essential since it improves the preparedness of healthcare facilities to possible health outbreaks (Park & Lee, 2015 – Research Paper Writing Help Service). Standardized nursing terminology is also crucial since it enhances better visibility of nurses and their work. The reason is that they can share their success stories with other healthcare organizations or other interested parties. Rutherford (2008 – Affordable Custom Essay Writing Service | Write My Essay from Pro Writers) indicates that common terminologies are also important in evaluating the progress other hospitals have made. When the reports are shared or published online, it is easier to evaluate their performance, practices, and strategies and compare them with the performance of another health organization. Therefore, standardized nursing terminology is used to promote the universality of healthcare services.
Implementing Standardized Nursing Terminologies
Implementing standardized nursing terminologies has various benefits that enhance the capacity of nurses in terms of developing their skills. It is also crucial to note that the enhanced skills are translated into better healthcare services (McCormick et al., 2015 – Research Paper Writing Help Service). The patients can thus benefit from the common-sets of terminologies in healthcare. However, there are various challenges that hinder the seamless implementation of standardized nursing terminologies. One of the main challenges is the lack of sufficient resources to fund documentation of nursing terminologies. Additionally, the institutions that fund the documentation do not receive the refunds. Health organizations are thus reluctant to publish the terminologies they know can help improve the common terms among nurses (McCormick et al., 2015 – Research Paper Writing Help Service). Another challenge is that in most cases there are discrete data available in the nursing field. It is thus difficult to compile the standardized nursing terminologies.
Documentation of the standardized nursing terminologies requires information to be available in Electronic Health Records. However, most hospitals have not invested in a comprehensive Electronic Health Records system where the common terms are properly documented (Park & Lee, 2015 – Research Paper Writing Help Service). Most of the terminologies are still in hard copies in files. The files are stored poorly in a healthcare organization which does not appreciate interoperability of health information across health organizations. Additionally, the nursing informaticists who are employed to take care of information management, they lack sufficient time to document the huge piles of data into electronic records that can be shared (Rutherford, 2008 – Affordable Custom Essay Writing Service | Write My Essay from Pro Writers). For example, the Omaha System is used by nurses to describe problems, interventions, and expected outcomes. Therefore, standardization of nursing terminologies remains a future goal in most health organizations across the world.
References
McCormick, K., Sensmeier, J., Dykes, P., Grace, E., Matney, S., Schwartz, K., & Weston, M. (2015 – Research Paper Writing Help Service). Exemplars for advancing standardized terminology in nursing to achieve sharable, comparable quality data based upon evidence. On-Line Journal of Nursing Informatics, 19(2).
Park, H., & Lee, E. (2015 – Research Paper Writing Help Service). Incorporating Standardized Nursing Languages into an electronic nursing documentation system in Korea: A Pilot Study. International journal of nursing knowledge, 26(1), 35-42.
Rutherford, M. (2008 – Affordable Custom Essay Writing Service | Write My Essay from Pro Writers). Standardized nursing language: What does it mean for nursing practice? OJIN: The Online Journal of Issues in Nursing, 13(1), 243-50.
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