Adoption of Standardized Terminologies in Practice

Discussion-Adoption of Standardized Terminologies in Practice (graded)
A standardized nursing terminology is going to be implemented in your practice setting
(administration, education, research, practice). Based on your chosen specialty, which
standardized terminology would most likely be adopted and why?
CO 4: Assess the value of standardized terminologies in supporting nursing in all four
practice settings. (POs 5, 11)
When considering the topic of standardized terminology, in this first discussion, consider
your own personal practice. A standardized nursing terminology is going to be
implemented in your practice setting (administration, education, research, or practice).
Based on your chosen specialty or perhaps even the specialty track you have chosen
(education, FNP, administration), which standardized terminology would most likely be
adopted and why?
What evidence exists to guide the choice of this terminology or its use in practice? What are
the specifics of this terminology? Why is it important to your nursing practice? Be sure
that you discuss, describe, and ‘prove’ why the terminology that you have chosen for your
specialty should be chosen (it’s not enough just to describe and discuss, the most important
part of this post is the ‘why’).

Adoption of Standardized Terminologies in Practice

The care health practitioners offer to enable recovery, lighten suffering, maintain life, and
improve health should be well documented in the electronic health record. There should be
proper recording and storage of data in a standardized form to enhance sharing of information
between care settings and clinical disciplines (Hardiker and Nagle, 2015). The best way of
ensuring that patient data is stored in a manner that is not ambiguous is through the use of
standardized terminologies. The field of nursing has several terminologies each developed for
application in certain care settings (Matney and Lundberg, 2013). Institutions should therefore
select and adopt an appropriate terminology that meets their needs.
My field of choice is nursing research. The best nursing terminology that can be used in
this field is the Nursing Interventions Classifications (NIC). This is a detailed set of research-
based interventions that are performed by nurses (Noh and Lee, 2015). NIC use promotes the

STANDARDIZED TERMINOLOGIES
study of the effect of nursing activities on the outcomes of the patient. Computerized
documentation based on NIC can help researchers to use “real-time” data. This data is easily
accessed and retrieved compared to the traditional method that is time consuming as it entails
scrolling through stacks of tables to obtain the desired information.
When bedside nurses record information through NIC, the data is stored in a warehouse
in the hospital. Trends in patient care are uncovered easily when researchers or administrators
access this aggregated data. As a result, best practices of patient care are unlocked, nursing care
efficiency is discovered, and relevant nursing knowledge is built. Stronger implications are also
revealed when nursing research is conducted using large sample sizes enabled by NIC. Adopting
NIC to document patient care can reflect precisely the care given, monitor levels of acuity as
well as forecast appropriate staffing. Use of NIC in documentation can also offer important data
to support reimbursement to a health care agency with regards to the care offer by practicing
nurses.

STANDARDIZED TERMINOLOGIES

References

Hardiker, N. & Nagle, L. (2015). Information and knowledge needs of nurses in the 21st century.
In D. McGonigle & K. Mastrian (Eds.), Nursing informatics and the foundation of
knowledge (3rd ed.). Sudbury, MA: Jones and Bartlett.
Matney, S. & Lundberg, C. (2013). The role of standardized terminology and language in
informatics. In T. Hebda & P. Czar (Eds.), Handbook of informatics for nurses and
healthcare professionals (5th ed.) (pp. 295–323). Upper Saddle River, NJ: Prentice-
Hall, Inc.
Noh, H. K., & Lee, E. (2015). Relationships Among NANDA‐I Diagnoses, Nursing Outcomes
Classification, and Nursing Interventions Classification by Nursing Students for Patients
in Medical‐Surgical Units in Korea.International journal of nursing knowledge, 26(1),
43-51.

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