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The Impact of Standardized Nursing Terminology Practice Statement

How Data and Information Contribute to Formation of Knowledge in Nursing

Evidence-based practice, which bases choices and interventions on the best information from research, statistics, and clinical experience, is a critical component of the nursing profession. Data and communication contribute to knowledge in nursing in the following ways: Data collection, where Data is gathered in nursing from various sources, including patient evaluations, medical records, diagnostic tests, and monitoring equipment (Macieira et al., 2018). The cornerstone for creating helpful information is this raw data. Also, there is data processing where for raw data to become usable information, it must be structured and processed. Nurses use information entry, coding, and sorting techniques to transform raw data into relevant patterns and trends.

Nurses use information that has been turned from data into trends, patterns, and correlations. The patient’s health state, possible hazards, and efficacy of therapies are all better-understood thanks to this analysis. Evidence-based practice, which combines the finest data from research with clinical knowledge and patient choices, significantly impacts nursing knowledge. Clinical trials and research studies add to the knowledge that informs nursing treatments.

How knowledge of Nursing may differ in various Healthcare Organizations

Healthcare organizations may have different levels of understanding of nursing practice owing to several circumstances. The organization’s purpose, setting, resources, patient base, management team, and specific objective of the healthcare institution can all impact these variations (Health et al., 2017). Different specializations and areas of concentration are frequently seen in healthcare institutions. Particular medical specialties like cardiology, cancer, pediatrics, or geriatrics may be the focus of some organizations (McGonigle & Mastrian, 2021). The patient population and medical circumstances that the nurses who work in these facilities must have particular knowledge and abilities. Each healthcare facility may have procedures and standards for treating patients (Glassman, 2017). Research, evidence-based procedures, and institutional experiences can all impact these standards (Macieira et al., 2018). Nurses must know the organization’s protocols to deliver treatment that complies with the facility’s standards.

How These Differences Contribute to Standards for Nursing

Various healthcare institutions may serve numerous patient populations with various healthcare requirements. For example, a hospital in an urban setting could serve a more culturally diverse community with a greater incidence of chronic illnesses. A rural clinic, on the other hand, would concentrate exclusively on treating agricultural workers and dealing with more occupational health problems. These distinctive patient demographics and specialism will shape the nursing standards in terms of necessary competencies, training, and protocols.

The resources that healthcare organizations have at their disposal significantly impact their ability to deliver care and nurse practice standards. For instance, nurses can use cutting-edge procedures and treatments if they can access the most recent medical research and equipment at an academic medical facility with adequate funding. On the contrary, a more local clinic with fewer financial means could be forced to emphasize preventative care while also prioritizing cost-effective treatment to satisfy its patients’ requirements.

The Importance of Nursing Terminologies

Healthcare practitioners may communicate about patient care more efficiently and precisely thanks to standardized nursing terminology. The danger of miscommunication or mistakes in patient care is decreased when nurses, doctors, and other healthcare staff members communicate using a common language. When nurses utilize standardized nomenclature, it is simpler to transmit patient information and treatment plans between various healthcare facilities or providers. This encourages smooth care sustainability and lessens the possibility that crucial facts would be forgotten during changes.

Standardized nursing terminologies produce organized, consistent data, making analyzing and conducting research easier. Researchers may analyze large datasets to find patterns, results, and guidelines, ultimately resulting in evidence-based advancements in nursing and patient care techniques. Using standardized terminology, nurses can correctly record patient evaluations, treatments, and results. This record is necessary for monitoring treatment outcomes, spotting possible problems, and guaranteeing patient safety.

Benefits and Challenges of Implementing Standardized Nursing Terminologies.

Benefits

Standardized nursing terminology ensures that healthcare providers communicate effectively and have a standard knowledge of patient conditions, treatments, and results. This interoperability is essential in multidisciplinary care settings, where healthcare practitioners work together to offer complete patient care (M.A., 2008). For instance, the Nursing Interventions Classification (NIC) system enables nurses to uniformly define specific interventions, facilitating communication between nursing staff, doctors, and other healthcare providers. By lowering mistakes and increasing the precision of nursing evaluations and actions, standardized nursing terminologies improve patient care and safety (McGonigle & Mastrian, 2021). The Omaha System, for instance, is used to facilitate thorough evaluations, identify patient issues, and plan solutions (Bulechek & McCloskey, 2019). Standardized nursing terminology makes it possible to gather data consistently, which makes it easier to analyze and study nursing practices. Standardized nursing terminologies make it simpler to combine and evaluate data from various healthcare settings, enabling the discovery of patterns, standards of care, and areas for development.

Challenges

The requirement for considerable education and training of nursing professionals is one of the main obstacles to introducing standardized nursing terminology. Learning and acclimating to new terminology takes time and effort, and some nurses might start to resist changes in documentation procedures. A typical issue when establishing standardized nursing terms is resistance to change (Wang et al., 2018). As a result of their familiarity with their abbreviations or commonly accepted words, nurses may resist the shift and make mistakes. This problem may be solved by incorporating nurses in making decisions, explaining why the change is necessary, and emphasizing how standard terminology enhances the safety and care of patients.

References

Bulechek, G. M., & McCloskey, J. C. (2019). Nursing interventions classification (NIC). Medinfo. MEDINFO8 Pt 2, 1368. https://pubmed.ncbi.nlm.nih.gov/8591448/

Glassman, K. (2017, November 8). American Nurse Today Official Journal of the American Nurses Association (ANA). American Nurse. https://www.myamericannurse.com/using-data-nursing-practice/

Health Information Technology. (2017). Standard Nursing Terminologies: A Landscape Analysis MBL Technologies, Clinovations, Contract # GS35F0475X Task Order # HHSP2332015004726. https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf

M.A., R. (2008). Rutherford, M.A. (2008) Standardized Nursing Language What does it mean for nursing practice Online Journal of Issues in Nursing, 13. – References – Scientific Research Publishing. Www.scirp.org. https://www.scirp.org/(S(351jmbntvnsjt1aadkposzje))/reference/references papers. aspx?referenceid=573835

Macieira, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2018). Evidence of Progress in Making Nursing Practice Visible Using Standardized Nursing Data: A Systematic Review. AMIA … Annual Symposium Proceedings. AMIA Symposium2017, 1205–1214. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

McGonigle, D., & Mastrian, K. (2021). Nursing Informatics and the Foundation of Knowledge. In Google Books. Jones & Bartlett Learning. https://books.google.com/books?hl=en&lr=&id=d94XEAAAQBAJ&oi=fnd&pg=PP1&dq=Chapter+25by+Dee+McGonigle+and+Kathleen+MastrianNursing+Informatics+and+theFoundation+of+Knowledge&ots=NjGWBCMDk0&sig=eiUu7AWZIr0IblOMXLdTw8TFzc4

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change126(1), 3–13. https://doi.org/10.1016/j.techfore.2015.12.019

 

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