Nursing practitioners should be equipped with information regarding the importance of documenting care by use of standardized nursing languages, particularly because an increasing number of institutions are shifting to the electronic data recording and processing. It is difficult for healthcare professionals to implement the use of electronic documentation without the utilization of standardized terminologies to explain crucial sections of healthcare services. It is significant to comprehend several methods in which the use of standardized terminologies will offer benefits to the nursing profession and subsequently patient care. Processes need to be named first before they can be taught, financed or implemented into public guidelines hence the importance for the use of terminologies (Korda & Eldridge, 2011).
Standardized nursing terminologies ought to be appropriately explained so that the care practices are effectively communicated among nurses and other staff. This paper seeks to offer an in depth analysis of the utilization of the standardized language in the provision of care and evaluate the applications in the care service and illustrate the advantages of the linguistics. The standardized linguistics impacts different sectors such as training, research and general management. Presently, there are seven languages available for nursing profession recognized by the American Nurses Association (Jones, Schilling & Pesut, 2011). Some of them include: the Omaha System, the Nursing Interventions Classification and Nursing Outcomes Classification. This research will pay attention to two languages, Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC). NIC is available in the fourth edition (Cruz, Bonfim, Gaidzinski, Fugulin & Laus, 2014). The most recent NOC edition is the third edition. The above languages are applied in multiple setups.
Benefits of Nursing Standardized Terminology
The utilization of standard terminologies has enhanced the level of patient care services. According to the study conducted by the National Association of School Nurses this happens in order to derive their perception of the common abdominal pain symptoms. NOC and NIC were used to predict the treatment of children and its possible results after exempting acute abdominal conditions. The major complaints, common causes, common management practices from the NIC were pointed out. The main symptoms were nausea, headache and vomiting; pain description was mild or moderate and the most common causes were psychosocial, viral syndromes and association with menstruation. Psychosocial problems were test anxiety, withdraw anxiety and relationship problems. Poor diet was for the cause of a massive number of complaints. The chief pain management practices from NIC were observing pain signs, carrying out complete pain tests regarding the site, features, a period of time, quality and severity, and decreasing or eradication of elements that increase pain, such as fear and ignorance (Jensen, Johnson, Gertz, Galer & Gammaitoni, 2013).
The survey demonstrated a reduction in complaints, according to the NOC severity indicators after management. Symptom intensity reduced by 6.25%, symptom duration reduced by 4.69 and symptom occurrence reduced by 6.25% and the related pain reduced by 41.06%. The survey is a source of evidence that particular nursing interventions promote patient outcomes.
Additionally, the languages have been associated with the degree of compliance with the standards of patient care. NIC and NOC depend on the input of nursing practitioners and the standards of care for different professional institutions. An illustration is that of NIC intervention in electronic fetal assessment which is supported by scientists of fetal assessment and by Standards of care bodies connected with women health and Neonatal nurses (Cruz, Bonfim, Gaidzinski, Fugulin & Laus, 2014). The initial practice in intrapartum is the assessment of maternal and fetal heart rates prior to monitoring, which is considered to be a crucial standard for intrapartum. When the heart rates are assessed, the fetal and maternal rates should be distinguished. Additionally, it is critical to determine the exact fetus position before placing the assessment transducer. The above example demonstrates how the significant standards are implemented by the NIC practices.
The body that acknowledges the standardized terminologies, which develop the nursing activities, is the American Nurses Association. The body of ANA, known as the Nursing Information and Data Evaluation Center (NIDSEC), is tasked with the recognition and approval of the terminologies submitted (Pearson, 2011). The body evaluates the parts of the terminologies. The developers willingly submit the languages to NIDSEC in order to be approved. Approval means that the standardized terminology is in line with the nursing care and complies with the standards of the electronic documentation.
The procedure applied by ANA to analyze the language depends on the vocabulary used, how terms are linked, how it enables easy and fast storage and retrieval and how the level of security and privacy of documents are maintained. Approval is used for three years, after which a fresh application is submitted.
Support of Data Collection for Utilization of Nursing Care
Standardized Nursing language is utilized in the recording nursing care, offering the consistency required for comparison of the level of outcomes for different nursing interventions. More institutions are shifting to digital documentation and digital recording. When the nursing practice information stored in the computers is in a standardized language, any kind of data can be developed that will enhance benchmarking with other institutions that offer nursing care. Patient outcomes are linked to the uniqueness of the person, the service offered and the surrounding. National Center for Nursing Quality maintains information for quality indicators. This enables the comparison of the data from different organizations of the same size. The practice also enhances longitudinal benchmarking. The NOC system results are nurse-related and the most recent NOC edition monitors the implication of nursing care on the patient, relatives and society at large (Pearson, 2011).
Benefits and Barriers of Standardized Nursing Terminology
The benefits accrued to the utilization of Standardized Language are enhanced exchange of information among nursing practitioners and other care professionals, and the promotion of better patient care (Fasoli, Fincke & Haddock, 2011). Moreover, there is an improved information collection for care analysis results, better compliance to the levels of care, enhanced monitoring of competence and heightened clarity of nursing interventions. The benefits are achieved via the enhancement of interventions, treatment and practices such as observation decision making.
There is a challenge to the development of the standardized language that can be utilized by all nurses. The International Classification for Nursing Practice has been established in an effort to develop a common terminology. There is a massive terminology combination that encompasses vocabularies, classifications and local terminologies (Jansen, Molstad, Marek & Naess, 2011). The vast terminology combination slows down the development of the terminology.
The Need for Standardized Nursing Language
Standardized Nursing Language should be available since the nursing practice has always been related to clinical assessments. Nurses require unique terminology to appropriately initiate and develop standards and determine the guidelines that dictate their line of duty (Fasoli, Fincke & Haddock, 2011). Nurses globally can exchange information with their colleagues, subsequently promoting care for clients worldwide. The language has a fundamental impact on nursing training, administration and research.
The NOC and NIC were initiated as complementary languages. They have connections to different nursing terminologies such as; Omaha System and NANDA. NOC and NIC are involved in the Systematized Nomenclature of Medicine's, a multiple subject record system. NIC and NOC were translated into nine and seven foreign languages respectively. By utilizing a common standardized nursing language, nurses will be able to pass the critical duties they perform ensuring that the profession is visible. Enhanced communication will consequently promote the level of healthcare services extended to the patients around the world.
- Cruz, C., Bonfim, D., Gaidzinski, R., Fugulin, F., & Laus, A. (2014). The Use of Nursing Interventions Classification (NIC) in Identifying the Workload of Nursing: An Integrative Review. International Journal Of Nursing Knowledge, 25(3), 154-160. doi:10.1111/2047-3095.12031.
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- Jensen, M., Johnson, L., Gertz, K., Galer, B., & Gammaitoni, A. (2013). The words patients use to describe chronic pain: Implications for measuring pain quality. PAIN®, 154(12), 2722-2728. doi:10.1016/j.pain.2013.08.003.
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