Applying Standardized Terminology in Nursing
Chamberlain College of Nursing
NR 512: Nursing Informatics
As a result of the introduction of computer technology and the combination of evidence-based practice in nursing; standardization of terminologies has become imperative in the classification of nursing diagnosis, interventions and expected outcomes. The most popular and successful systems are the North American Nursing Diagnosis Association International (NANDA-I), Nursing Outcomes Classification (NOC), and Nursing Intervention Classification (NIC) (de Lima Lopes, de Barros, & Marlene Michel, 2009). This paper aims to provide a brief outline of these standardized terminologies (STs) as they relate to a …show more content…
Family members and caretakers will be an essential part of the plan of care. Education of both the patient and family will be the focus in order to modify a lifetime of learned behavior (Sewell & Thede, 2013). The disease state and underlying abnormality of the heart needs to be examined at length to determine the stage of CHF and whether it includes the pulmonary and renal system as well (Jenkins & Kirk, 2010). Appropriate medications for treatment and diet for maintenance will require nutritional counseling for prescribed diet teaching and weight management as well as pharmacological teaching for prescribed medications. A program focusing on cardiac rehabilitation will allow for activities aimed at improving activity tolerance by reducing overall oxygen requirements of the body tissues. In order to enhance patient outcomes and ensure successful maintenance of the disease process of CHF, nursing interventions must be based upon the knowledge, clinical judgment, critical thinking, and wisdom of the nurse (Johnson et al., 2012).
With the aging population and technology enhanced healthcare; patient care is becoming so much more complex. There is an increased need for standardized nursing language in hospital electronic charting to reflect the provision of safe, quality and evidence-based nursing care. NANDA-I supplies nurses with a flexible and adaptable worldwide standardized language. Through the NANDA-I specifications, nurses are