The impact Of standardized nursing terminology.
When you wake in the morning, you may reach for your cell phone to reply to a few texts or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.
From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, and even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.
As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.
To Prepare:
· Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
· Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.
Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.
Among the Resources in this module is the Rutherford (2008) article Standardized Nursing Language: What Does It Mean for Nursing Practice? In this article, the author recounts a visit to a local hospital to view the recent implementation of a new coding system.
During the visit, one of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1).
How would you respond to a comment such as this one?
To Prepare:
· Review the concepts of informatics as presented in the Resources, particularly Rutherford, M. (2008) Standardized Nursing Language: What Does It Mean for Nursing Practice?
· Reflect on the role of a nurse leader as a knowledge worker.
· Consider how knowledge may be informed by data that is collected/accessed.
The Assignment:
In a 2- to 3-page paper, address the following:
- · Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.
- · Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples.
Discussion on Big Data Risks and Rewards
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Discussion on Big Data Risks and Rewards
The Impact of Standardized Nursing Terminology
Big data symbolizes large and complex sets of organized and unorganized data requiring enlightened technologies and methods to process, analyze, and additional valuable insights. Data generated daily has developed markedly, creating opportunities and challenges for organizations due to the increased use of technology and the internet. The rewards of Big Data are improved decision-making, increased productivity, and supplemented customer experience (Niu et al., 2021). The use of Big Data has substantial risks, including privacy breaches, ethical concerns, and data breaches. This essay will explore ways of informing nurses of the importance of standardized nursing terminologies and the benefits and challenges of implementing standardized nursing terminologies in nursing practice.
Ways of Informing Nurses of the Importance of Standardized Nursing Terminologies
Standardized nursing terminologies are essential for improving the quality of patient care and enhancing communication among healthcare professionals. Some nurses may not be aware of the importance of using standardized nursing terminologies in their practice. One way of informing nurses about the importance of standardized nursing terminologies is through education and training, where they can attend seminars, workshops, or online courses on standardized nursing terminologies (Adubi et al., 2018). The training can help nurses acquire the skills to use standardized nursing terminologies effectively. Another way to inform nurses is by providing them with access to resources that support standardized nursing terminologies. This includes resources such as reference books, glossaries, and online databases that contain standardized nursing terminologies. Providing nurses with easy access to these resources can help them familiarize themselves with the terminologies and feel confident using them in their practice.
Organizations inform nurses of the importance of standardized nursing terminologies by incorporating them into the organization’s policies and procedures, and when incorporated into the organizational policies, nurses are most likely to use them consistently. Feedback and performance evaluation can effectively inform nurses about the importance of standardized nursing terminologies (Bukoh & Siah, 2020). Feedback can be provided through audits and evaluations of patient charts, where nurses can see the impact of standardized nursing terminologies on patient outcomes. Performance evaluations can also include assessments of nurses’ ability to use the terminologies correctly, which can reinforce the importance of using them in practice. There are various ways of informing nurses about the importance of standardized nursing terminologies, including education and training, providing access to resources, incorporating them into organizational policies, and providing feedback and performance evaluations. Ensuring nurses know the benefits of using standardized nursing terminologies can improve patient outcomes and enhance communication among healthcare professionals.
Benefits of Implementing Standardized Nursing Terminologies
Implementing standardized nursing terminologies dispenses assorted benefits in the healthcare industry. Standardized nursing terminologies maintain a common language among healthcare professionals improving communication, which leads to improved patient outcomes (Shahid & Thomas, 2018). These terminologies provide a constant war of documenting patient data, minimizing errors, and enabling more accurate data analysis for quality improvement and research reasons. Standardized nursing terminologies facilitate data exchange and interoperability between different electronic health record systems, improving coordination of care and improved decision-making. The use of standardized nursing terminologies enhances the visibility and recognition of the nursing profession, describing the distinctive contributions nurses develop to the healthcare team.
Challenges of Implementing Standardized Nursing Terminologies
Implementing standardized nursing terminologies presents consequential challenges for healthcare organizations. One of the most common challenges is the need for buy-in from all stakeholders, including nurses, administrators, and IT professionals (Carlo et al., 2019). These terminologies desire tremendous workflow changes, documentation practices, and data management systems. This can result in resistance from nurses who are comfortable with their current practice and hesitant to adopt new approaches. Standardized terminologies are complex and require extensive training and education to ensure proper usage. It can be time-consuming and costly and requires significant investment in resources and infrastructure. There are challenges in ensuring consistency and accuracy in patient care documentation using standardized terminologies (De Groot et al., 2019). Nurses use precise terms in describing similar concepts or document the same information differently, leading to confusion and data analysis errors. Challenges may occur in integrating standardized terminologies into existing electronic health record systems requiring significant customization and programming. Even with these challenges, standardized nursing terminologies are essential in ensuring accurate, consistent, and comprehensive patient care documentation and improving healthcare outcomes.
Conclusion
Big data displays both risks and rewards in nursing practice. Big data analytics improves patient outcomes, optimizes resource utilization, and improves decision-making, where it also highlights potential threats to patient privacy and data security. To increase the benefits of big data, nurses must prioritize ethical data management practice and comply with regulatory needs. Implementing standardized nursing terminologies is essential in promoting data consistency, accuracy, and interoperability in healthcare. Standardized terminologies enhance communication, facilitate data exchange, and support decision-making. Implementing standardized terminologies highlights challenges, including training and education, workflow integration, and system compatibility. Educating nurses on the importance of standardized terminologies and collaborating with interdisciplinary teams in overcoming implementation barriers and ensuring successful adoption is essential.
References
Adubi, I. O., Olaogun, A. A., & Adejumo, P. O. (2018). Effect of standardized nursing language continuing education programme on nurses’ documentation of care at University College Hospital, Ibadan. Nursing Open, 5(1), 37-44. https://doi.org/10.1002/nop2.108
Bukoh, M. X., & Siah, C. J. R. (2020). A systematic review on the structured handover interventions between nurses in improving patient safety outcomes. Journal of Nursing Management, 28(3), 744-755. https://doi.org/10.1111/jonm.12936
Carlo, A. D., Corage Baden, A., McCarty, R. L., & Ratzliff, A. D. (2019). Early health system experiences with collaborative care (CoCM) billing codes: A qualitative study of leadership and support staff. Journal of general internal medicine, 34, 2150-2158. https://doi.org/10.1007/s11606-019-05195-0
De Groot, K., Triemstra, M., Paans, W., & Francke, A. L. (2019). Quality criteria, instruments, and requirements for nursing documentation: A systematic review of systematic reviews. Journal of advanced nursing, 75(7), 1379-1393. https://doi.org/10.1111/jan.13919
Niu, Y., Ying, L., Yang, J., Bao, M., & Sivaparthipan, C. B. (2021). Organizational business intelligence and decision-making using big data analytics. Information Processing & Management, 58(6), 102725. https://doi.org/10.1016/j.ipm.2021.102725
Shahid, S., & Thomas, S. (2018). Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care–a narrative review. Safety in Health, 4(1), 1-9. https://doi.org/10.1186/s40886-018-0073-1
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