Nursing Nomenclature and Terminologies and Using Your Knowledge

Nursing Nomenclature and Terminologies and Using Your Knowledge

 

Nursing Nomenclature and Terminologies and Using Your Knowledge

Nurses remain a critical component of effective and quality care delivery process as they position themselves to meet the increasing demand for healthcare services across care and patient continuum. Dues to the breadth and depth of the role that nurses play; effective communication is an imperative as they must share patient information and data with other providers like colleagues, physicians and healthcare professionals (Balestra, 2017). To attain this, the profession developed an innovative approach of using standardized languages (SNLs). Standardized nursing languages are terms and terminologies agreed upon for clinical assessments and enable these providers and practitioners to deliver swift, clear and effective communication for better care delivery. The purpose of this essay is to discuss how nurses can implement SNLs in their facility, the types of standardized languages they can have, and benefits accruing from them.

Implementing a Standardized Nursing Language in My Facility

Standardized nursing language denote commonly-understood set of terms that nurse practitioners use to describe clinical judgment involved in assessments or nursing diagnoses, along with interventions, and outcomes associated with documentation of nursing care.  The American Nurses Association supports the development and use of SNL to communicate the increasingly essential role of nurses in health care, promote research, and offer the standardized terminology required for use in electronic health records and other emerging technologies as well as attaining compliance with Health Insurance Portability and Accountability (HIPAA) mandates (Fennelly et al., 2021). Implementing standardized nursing language is an innovative way of enhancing quality care delivery and allowing nurses to interact better with patients and their families.

The implementation of a standardized nursing language in any facility requires one to use an effective approach and method that will enhance understanding, acceptance, and lead to the desired outcomes. In this case, the implementation requires seeking approval and commitment from the management and leaders in the organization to roll out the initiative as a change process for improved communication and better patient outcomes. The implementation will require change agents, especially nurses, to lead the need for change through use of SNL to improve care (Walden University, 2022). The facility can start with an experimental learning program through a nurse consultant.

The implementation should be nurse-oriented with theoretical classes focused on the analysis of real clinical scenarios with the aim of generating new knowledge for better development of necessary terms. The learning should be reflective in nurses’ conceptual schemes and incorporate the most appropriate SNL based on the unique needs and types of patients handled in the facility (Fennelly et al., 2021). The implementation will also entail having relevant courses in the facility to ensure that the terms align with its functions and the nature of patients that it handles. The facility should them have an evaluation board to assess the success and effectiveness of the program, and barriers that may impact overall adoption and use of the selected languages.

Selected Languages

The development of standardized nursing languages (SNLs) have been evolutionary with many focused on the core aspect of enhancing communication leading to better patient outcomes. The use of different SNLs may arise due to the complexity of care continuum and diversity in population served by the facility. In their study, Fennelly et al. (2021) posit that nursing facilities should use nursing-specific SNLs for better integration and communication among the different providers. In this case, the most common nursing specific SNLs for the facility include North American Nursing Diagnosis (NANDA), Nursing Intervention Classification (NIC), Nursing Outcome Classification (NOC), and Omaha System. For instance, the Omaha System is designed for documentation and improvement of nursing practice and was developed initially for multidisciplinary staff members in home care, public health and for educators. The system is used by nurses, therapists and physicians among other healthcare providers. The selected SNLs are essential in the facility as they target nurses and can be integrated to enhance communication with other providers.

Benefits of Standardized Nursing Languages

The implementation of SNLs in the facility will offer the organization a host of benefits that include effective and accurate communication among nurses as they will use one approach to patient management and care delivery. The second benefit of SNLs for nurse is enhanced visibility of nursing interventions as nurses should express what they are doing for patients (Walden University, 2022). For instance, the use of computerized nursing documentation systems located near patients leads to more patient-centered and regular documentation (Ziebarth, 2018). Further, the use of SNLs improves patient care as providers, especially nurses can identify patient complaints, especially the common aspects of such events for better care provision.

The development of nomenclature for nurses is aided through the use of standardized nursing languages (SNLs). Nurses, physicians and other healthcare professionals will derive the most benefits from the implementation of the SNLs in the facility. Further, the management and patients, and inter-professional and multidisciplinary teams will be at the forefront of attaining most of these benefits.

Technical Issues, Determination of Success and Using Course Concepts

The implementation of SNLs may encounter technical issues that include incompatibility with organizational information technology systems like the EHRs system, ineffective interoperability, and possible documentation challenges related to the integration with different organizational processes and procedures. The success of the implementation will be determined through effective and seamless integration of the SNLs by nurses in care provision and communication with colleagues and patients to improve outcomes. The success will also be determined by conscious efforts by the management to develop a policy that mandates the use of SNLs among the staff.

The concepts from this course are critical in identification, guidance, and evaluation of the final MSN practicum project because they offer material and foundation for the program. The concepts will be integrated through their application to identify an appropriate topic for research for the MSN practicum project. The concepts will also be instrumental in developing interventions to enhance quality provision in the practicum project.

Conclusion

Standardized nursing languages (SNLs) are essential to improved care provision, nursing performance, and quality patient outcomes. The SNLs offer a host of benefits to providers and facilities that include better and effective communication, improved patient care, and increased nursing care visibility. Therefore, integration of the SNLs in the facility will be a critical step in improving overall patient care provision.

ORDER A PLAGIARISM-FREE PAPER HERE

References

Balestra, M. L. (2017). Electronic Health Records: Patient Care and Ethical and Legal

Implications for Nurse Practitioners. The Journal of Nursing Practitioners, 105-111. https://doi.org/10.1016/j.nurpra.2016.09.010

Fennelly, O., Grogan, L., Reed, A., & Hardiker, N. R. (2021). Use of standardized terminologies

in clinical practice: A scoping review. International Journal of Medical Informatics, 149, 104431. https://doi.org/10.1016/j.ijmedinf.2021.104431

Walden University (2022). The Advantages of Using Standardized Nursing Language.

https://www.waldenu.edu/online-masters-programs/master-of-science-in-nursing/resource/the-advantages-of-using-standardized-nursing-language

 

Ziebarth, D. J. (2018). Exploring Standardized Nursing Languages: Moving Toward a

Faith Community Nursing Intervention. International Journal of Faith Community Nursing, 4(1) Article 2. https://digitalcommons.wku.edu/ijfcn/vol4/iss1/2

 

Please answer all parts of the question. How would you go about implementing a standardized nursing language (SNL) at your facility? What language(s) that you would select? What, if any, benefits are associated with the implementation of the SNL(s)? Who would derive the most benefits? What, if any, technical issues must be considered? How you would determine success? How will you use the concepts in this course to identify, guide and evaluate the final MSN practicum project?