Week 3: Knowledge and Information Management
Week 3: Information Management
How do you characterize pain? What do your peers say about pain? Do all patients use the same adjectives to describe their pain? Consider the issues these variances can cause while evaluating a patient’s health.
The use of health information technology has considerably expanded the ability to share meaningful data and information across health care systems; nonetheless, it is critical that patient data be input in a way that permits it to remain useful across systems. Nurses must grasp how data and information may be standardized and arranged to fully utilize health information technology.
Week two: standardized terminology in informatics. You will also learn about the continuum of data, information, knowledge, and wisdom, and the ingredients of each level.
Standardized Coding Systems
Due to the fragmented nature of the health care system, medical specialists have evolved their own sets of language to communicate within their speciality. Codifying methods to make them understandable and usable across disciplines or information technology systems has received little attention in the past. As a result, nurses and other healthcare providers must be ready to use standardized codes for the new system. Why are coding standards crucial for quality care?
Improved communication with other nurses, health care providers, and institutional administrators is a primary benefit of employing standardized nursing terminology, according to Rutherford (2008, para. 15). This Assignment help – Discussion examines the rationale for and value of standardized codification.
to plan
Study Nursing Informatics: Scope and Standards of Practice. Determine which terms apply to your field of expertise.
Consider the value of consistency in terminology and coding.
This article describes a visit to a local hospital to observe the introduction of a new coding system. “We document our treatment using standardized nursing terminology, but we don’t completely understand why,” one nurse said (Rutherford, 2008, para. 1). Assist this nurse (and others like her) in understanding the value of conventional nursing terminology.
Consider the benefits of utilizing a standard nursing language. Consider whether standardization may be limited to a specialization or if it is required for all nursing practice. Then look for examples of standardization in your own field. Do more study on standardization of nursing terminology at the Walden Library.
Answers to questions
(1) Explain why nurses should use standardized nursing languages and whether this standardization should be limited to speciality areas or should be universal.
2.Back up your response with examples from your own specialization or area of expertise and at least one other Walden Library resource.
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Using standardized nursing languages to document care
First, using a standardized language improves communication between nurses and other health care workers (ANA, 2015). This system makes nurse interventions more visible. Various studies show that standardizing language improves patient outcomes (ANA, 2015). Nursing language is a reliable network that supports patient care and standardization. By generating data on patient care, standardized nursing languages and documentation helps develop a consistent nursing research base
Nursing diagnoses and therapies are also standardised. Thus, nurses’ activities can complement medical diagnoses and improve patient outcomes. A patient with chronic renal failure is a good illustration. The ICD-9 code for this illness is #585. (ANA, 2015). Normal nursing diagnosis links renal failure with symptoms including weariness, exercise intolerance, excess fluid, risk of injury and infection, death anxiety, and so on. Nurses can easily access the finest evidence-based information system by clicking on the ideal diagnosis language and intervention.
Should Nursing Standardized Language Be Limited?
McGonigle & Mastrian (2015) state that all nurses should use standardized terminology. The practice’s efficacy should motivate all health care organizations to embrace it for better health care. As stated previously, using nursing terminologies improves patient outcomes and increases visibility in nursing interventions. Many initiatives exist to capture nurse work using codes and computerized formats. This means that the medical industry is taking advantage of the chance to computerize nursing terminology (McGonigle & Mastrian, 2015). Despite the high cost of implementing nursing code, administrators and clinical nurses are attempting to standardize language.
Self-reflection
As a registered nurse, nursing language helps me communicate with other nurses and doctors. The terms and features of nursing care become easier to understand and explain. Standardized terminology used in health care helps to clarify medical issues. As a result, greater caregiving and patient safety (McGonigle & Mastrian, 2015). Standardized nursing terminology is one way a health care provider can lessen difficulties when making a diagnosis. As a result, caregiving becomes faster.
Conclusion
Using nursing terminologies has many advantages. The use of codes in nursing is now visible. Despite the high expense of adoption, the practice must continue to improve health care. Standardized terminology helps reduce medical errors. However, nursing terminology must be founded on research. It’s also worth noting the distinctions in nursing terminology. It is up to the nurses to choose the appropriate terminology. Otherwise, uniform language promotes accurate diagnosis and better patient outcomes.
References
ANA (2015). Guidelines for nursing informatics, 2nd ed.
Author, Silver Springs, MD.
McGonigle, D., & K. G. (2015). Nursing informatics and the knowledge base
3e ed. Jones and Bartlett Learning.
Edwards JS. Where knowledge management and information management meet: Research directions. International Journal of Information Management. 2022 Apr 1;63:102458.
