NURS 6051 Assessment 3 TN003 Data to Information to Knowledge to Wisdom

Standards for Nursing

The divergence in health record systems across healthcare institutions, including the adoption of EHRs, necessitated the establishment of standards for nursing documentation. Prior to the inception of the North American Nursing Diagnosis (NANDA) in 1973, a universal language for conveying nursing care was absent (Rutherford, 2008). Subsequently, various sets of SNTs specific to nursing practice received approval from the American Nurses Association, addressing this gap in standardized nursing language (Rutherford, 2008). Discrepancies in the understanding of nursing practice underscored the imperative for standardizing nursing language, which also serves as a catalyst for nursing research. Consequently, healthcare organizations began integrating SNTs to bolster evidence-based nursing practice (Macieira et al., 2017).

Standardized Nursing Terminologies

SNTs, regarded as “common data elements” within EHRs, hold immense potential for advancing both big data science and the nursing profession (The Office of the National Coordinator for Health Information Technology, 2017; Macieira et al., 2017). By employing SNTs in nursing documentation, a standardized language is cultivated, facilitating seamless data sharing and comparison. This uniform terminology effectively communicates the impact of nursing interventions on patient outcomes, thereby fostering nursing research (Lundberg et al., 2008; Rutherford, 2008). Essentially, the utilization of SNTs in documenting patient care transforms such documentation into retrievable data that embodies nursing practice and clinical judgment. The integration of SNTs is indispensable, as it propels nursing practice research, ultimately enhancing patient outcomes.

Benefits and Challenges of Implementation

One notable benefit of SNT implementation lies in its facilitation of nursing-specific research endeavors. Nursing data encoded with SNTs not only accelerates the advancement of nursing practice knowledge but also streamlines data processing compared to unstructured data formats (Macieira et al., 2017). The adoption of SNTs translates to time and workload savings, enabling swift data retrieval and processing.

Conclusion

As a prospective INS, recognizing the benefits and challenges associated with SNTs and their implementation is paramount. Engaging in the study of nursing informatics and acquainting oneself with prevailing SNT frameworks can significantly benefit both academic pursuits and professional endeavors. Armed with this foundational knowledge, future INSs hold the potential to effect positive transformations within EHR systems.

References

Abdelhak, M., Grostick, S., & Hanken, M. A. (2014). Health information management of a strategic resource. Elsevier Health Sciences.

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11).

Lundberg, C., Warren, J., Brokel, J., Bulechek, G., Butcher, H., McCloskey Dochterman, J., … & Spisla, C. (2008). Selecting a standardized terminology for the electronic health record that reveals the impact of nursing on patient care. Online Journal of Nursing Informatics, 12(2).


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