The Standardization of Terminologies in Nursing

The Standardization of Terminologies in Nursing

Nursing process, the methodology that nurses apply in decision-making, entails various
stages. The elementary phases of the process include data collection, carrying out the diagnoses,
planning, the application of interventions, as well as the evaluation of the results that the process
achieves. Standardization and the coding of patient data and diagnoses are tools that the nursing
process applies. There is a variety of coding methods and among the most common ones are
NADA, NIC as well as NOC styles (Park, 2010, Pg. 3). The three work jointly at different stages
of the nursing process (Alexander, 2011). They lead to the generation of strategic actions and
efficient communication among clinical practitioners.

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THE STANDARDIZATION OF TERMINOLOGIES IN NURSING
The scenario of interest that the paper uses is the risk that people face against pressure
ulcers infections. The occurrence is among the current areas that nurses and other clinical
practitioners require addressing. The infections are common, and it would be necessary to seek
the best communication methods in discussing them. To the present, pressure ulcers have caused
alarming cases of mortality, poor quality of living, and economic setbacks for patients. The
pathology entails the occurrence of abnormal lesions on skin surfaces that are directly over bony
prominences. There is a variety of situations that place people at the risk of developing the
abnormality. Among them are impaired movement, direct application of physical stress to the
sites, and nutritional deficiencies (Bavaresco & Lucena, 2012, Pg. 1111). Old age, attack by
systemic illnesses, exposure to humidity, and the use of medications such as the anti-
inflammatory agents are common situations that increase the susceptibility of people to pressure
ulcers (Bavaresco & Lucena, 2012, Pg. 1111). The most effective approaches to the condition are
the preventive measures.
Nursing diagnoses for the disorder apply the concepts of NANDA. Nurses use the method
to generate diagnoses such as the identification of the incompetence of the skin and exposure to
injury as the primary risk factors. Nurses also employ the concepts of NANDA when they use
standard diagnostic tools such as the Braden scale (Cox, 2011, Pg. 365). The scale is an
instrument for assessing the vulnerability of people to pressure ulcers. The tool leads to a deep
approach to pressure ulcers when it allows for the determination of the susceptibility of the skin
structure to abnormalities. It does not just focus on establishing the general possibilities of the
occurrence of the condition.
Nurses use NIC when categorizing the approaches to the intervention of the disease
condition (Alexander, 2011). The concept allows practitioners to develop effective interventions

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THE STANDARDIZATION OF TERMINOLOGIES IN NURSING
to the disease. The creation of a healthy milieu is the commonest perspective that nurses and
other practitioners take in the management of the condition. In so doing, the professionals link
their NANDA diagnosis to NIC interventions. The interconnection between the diagnosis and the
intervention sought through the two methods lead to disease elimination. Research data suggest
that patients with a compromised immunological system face the greatest threat of pressure
ulcers infection (Cox, 2011, Pg. 365). In hospitals, critically sick persons are possible victims of
the disease. Again, the risk diagnoses that results from the concepts of NANDA suggest that
unhealthy environment in hospitals predispose patients to pressure ulcers. NIC-generated
interventions focus on improving the condition of the surroundings in clinics, wards and critical
care units. Practitioners pursue the maintenance of cleanliness in the rooms where patients are as
an objective regarding intervention to pressure ulcers. Practitioners take the role of protecting the
patients from pressure ulcers in a variety of ways. For instance, they control the humidity levels
in patients’ wards and rooms. Another common intervention for the condition includes
increasing the mobility of body structures and repositioning organs that could be under physical
pressure. Practitioners advise their patients to keep adjusting their positions and posture to avoid
the ailment. The intervention links to the diagnosis that had described body positioning as a
source of risk to the disease. Also, the NIC strategy leads to the classification of interventions on
the basis of their effectiveness. Those that are most effective are the priority interventions while
others are either suggested or optional. All NIC interventions and decisions should have an
evidence-based element in their structure and application (Park, 2010, pg. 23). Pressure ulcers
occur in various setups including hospital rooms, and the NIC strategy apply to a variety of such
settings. However, there are limitations at the intervention level of pressure ulcers in that the

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THE STANDARDIZATION OF TERMINOLOGIES IN NURSING
number of studies validating the various NIC-generated approaches is small and insufficient
(Bavaresco & Lucena, 2012, Pg. 1111).
NOC categorizes the outcomes of the application of the NANDA diagnosis and NIC
interventions. The strategy leads to an evaluation of the success of the previous activities in
terms of the eventual outcomes. NOC relates to both NANDA and NIC when establishing the
achievements. The goals set in the process of evaluation through NOC relate to the alleviation of
the diagnostic issue that nurses identify using NANDA. The successful eradication of the disease
condition through the NIC-generated interventions serves as a measure of achievements. The
strategy involves listing all the outcomes of the process in terms of the status of the patients. The
expected outcomes in patients with pressure ulcers include the reduction of risk of the illness.
Hospital records serve as the referencing sources when determining the achievements of the
processes. For instance, the rate of infection with modified humidity in the rooms of the patients
within a specified period gives the impression of the effectiveness of the methods. The NOC-
evaluated outcomes could reflect both long-term and short-term achievements of NANDA and
NIC based on the amount of data and the length of time that such information covers (Park,
2010, Pg. 4). In most cases, it is the comparison between the current and previous states of the
patients that establish whether particular interventions to pressure ulcer management are
productive. The concept of NOC requires nurses to take continuous evaluations of the progress
of their patients. Preferably, the monitoring of the success of measures should commence
immediately upon their application.

Conclusion

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THE STANDARDIZATION OF TERMINOLOGIES IN NURSING
The standardization of terminologies applied in nursing practice is essential. It facilitates
communication between professionals. In the management of pressure ulcers, the approach
enhances the understanding of vital concepts and hence drives the decision-making process
(Park, 2010, Pg. 23). Other processes that standardization drives include data collection and
storage. The concept enhances the management of data kept in both paper and electronic media.
The standardization of terminologies also facilitates the translation of concepts into a broad
range of languages (Park, 2010, Pg. 26). The use of instruments in nursing diagnoses for pressure
ulcers, as they apply with NANDA, leads to uniformity in the characterization of specified
diagnoses. NIC interventions could be those of priority, suggestion or optional. NOC outcomes
evaluate the achievements and the effectiveness of previous approaches to practice.

References

Alexander, J. M. (2011). Standardized nursing terminology. OHSU.
Bavaresco, T. & Lucena, A. F. (2012). Nursing Intervention Classifications (NIC) validated for
patients at risk of pressure ulcers. Latino-Am. Enfermagem. 20(6), 1109-1116
Cox, J. (2011). Predictors of pressure ulcers in adult patients in ICU. American Journal of
Critical Care, 20(5), 364-376

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THE STANDARDIZATION OF TERMINOLOGIES IN NURSING
Park, H. J. (2010). NANDA-I, NOC, and NIC linkages in nursing care plans for hospitalized
patients with congestive heart failure. University of Lowa.

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