Importance of Standardized Terminologies
To review, standardized terminology in nursing provides a common form of communication amongst all nurses across the country and even the globe. No matter the definition found for standardize terminology in nursing, the definitions all convey the sense of consistence and agreeance through “assessment, interventions, and outcomes related to documentation of nursing care.” Through the generalized acceptance of the standardize terminology used in the nursing profession today, nurses from different areas and fields of nursing practice can easily understand and identify the specific problem or intervention implied and the outcome observed. This is only achieved through commonly understood terminology such
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The standardize terminology fosters “better communication among nurse and other health care providers” with improved and enhanced communication of the care being implemented to a particular patient offering quality and consistent care to the patient (Rutherford, 2008). This process of standardize communication “increases visibility of nursing interventions” through exact documentation of what the nurse did for the patient during their shift instead of relying on “word-of-mouth” made at shift change (Rutherford, 2008). This type of verbal documentation of care from one nurse to another makes the work conducted by the nurse invisible if not documented appropriately. Through standardized terminology, documentation is easier and clearer making the work of the nurse known and easily accessed by all persons concerned in the patients care. “Enhanced data collection to evaluate nursing care outcomes” is also achieved through this form of terminology usage as well as “greater adherence to standards of care, and facilitated assessment of nursing competency” (Rutherford, …show more content…
For a particular patient, several nursing diagnoses, interventions, and outcomes are possible. This makes the nurse overall acquire more work through intervening and documenting when the nurse in most situations has more than one patient at a time. Though as a nursing student one is taught to use critical thinking, judgement, and reasoning to assign priority to the most pertinent problem of a particular patient or client, just one nursing diagnosis or just a few nursing interventions is not always the easiest even when implementing these critical thinking skills. The standardize terminology must, also be utilized in all facilities that involve nursing which is not the case and is cause of concern when implementing any new practice or
Association, A. N. (2010). Nursing Scope and Standards of Practice. (2nd ed.) Maryland: American Nurses Association. Retrieved January 20, 2014 from http://media.wix.com/ugd/8c99f2_4fde86431966e34f2e03bbb137edfee3.pdf
Nursing is an ever-changing and growing profession. Tools such as, the scope and standards for nursing, state nursing legal regulations, code of ethics, and general principles of philosophy are used to set standards and promote growth within the profession. I use these principles and standards daily in my career as a registered nurse (RN). In this paper I will discuss the importance of these factors in my career, and how they all contribute to making outcomes successful for all involved.
The role of a Registered Nurse cannot be neglected in the provision of quality and safe care to patients and adopt procedures adequate for the condition of the patients because they work at the front line level; moreover, they have direct dealing with patients and integration of personal and professional skills is necessary. Therefore, there are certain attributes that are necessary to be present in a Registered Nurse for accurately performing various tasks. These include; Workload management, leadership qualities, interpersonal skills, control of practice, professional development, effective communication skills and organi zational loyalty (Daly & Carnwell 2003, pp. 158-167). These attributes hold significance in terms of obtaining positive outcome for not only the Registered Nurse but also the organization and the patient. Workload should be managed in such a way that the care process is not affected. Registered Nurse should have leadership qualities to help, motivate and inspire other nurses. Similarly, a Registered nurse should also enable and promote learning opportunities for other nurses. A Registered Nurse has responsibilities towards the subordinates, patients and most importantly to the organization. Effective communication skills can allow Registered nurses to establish a trusting relationship with patients identifying their problems and needs. The code of ethics and principles of practice must be followed and the practice of the nurse should be in the line of the organization’s working principles. The responsibility should be met as accountability factors must be considered significant in healthcare setting (Cornenwett, et al, 2007, pp.122-131; Bradshaw et al 2012, pp.13-14). ...
Nurses have many different roles which include promoting health, preventing illness, and the daily care of patients in all different kinds of settings. It is important for nurses to treat the whole patient and address not only the acute concern but all factors that contribute to the patients’ health and well-being. We are each responsible for our health, and it is the role of the nurse to help their patients be accountable for their health. Nurses have also to ensure
How nurses view the patients and the kinds of problems that the nurses manage in practice while they engage in patient care? They need to be certain, precise and just in front of the patients. Their reasoning is sufficient for their expected purpose. All reasoning can be assessed considering these standards, plus as nurses reflect upon their quality of their thinking, they begin to detect when they are being imprecise, unclear, inaccurate or vague. Nurses utilize language to lucidly communicate exhaustive information, which is substantial to nursing care. Therefore, they cannot be focused upon the irrelevant or trivial. Nurses, who think critically, wage all their reasoning and views to these principles, and the assertions of others in that the nurse's thinking quality improves throughout time, therefore, eliminating ambiguity and confusion in the understanding and presentation of ...
Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia, PA: Lippincott Williams & Wilkins
Over the past few decades, the necessity for this relationship between patient and nurse has increased immensely. In recent years, the health-care industry has emphasized on the provision of patient-centered care to generate effective care, to furthermore increase the satisfaction of the patient. The capability to convey patient centered care is recognized as a fundamental characteristic of expert nursing.
The purpose of this paper is to analyze a concept on order to identify an inconsistency and area for practical research. A clinical experience will be used to illustrate a core curriculum concept. Consistency with our text will be explored. Next inconsistencies will be identified to provide the basis for a relevant research question in PICO format. The process of conducting research using the hierarchy of evidence will be discussed. A summary of research findings will be provided and used to support modifications in future nursing practice.
Nursing is the balance between art and science. Caring is an important aspect that patients expect but also is knowledge in current practices. Integrating current practices into care improves quality outcomes. Evidence-based practice is the best approach in planning care for patients, it is the basis for proven, factual outcomes that we expect. Experience and personal opinions are great assets but are not sound ideals to provide safe and effective care. Evidence-based practice uses clinical judgment with selective research to deliver the most effective, cost-efficient outcomes (Wilkinson et al., 2014). Standards are held to the highest of quality, helping to reduce or eliminate errors. Standardizing healthcare to science and evidence-based practice helps to reduce variations among facilities (Stevens, 2013). All healthcare professionals need to adopt this practice in order for its success. With more participation, quality of care increases, the patient is the core
Spark Ralph, S. & Taylor, C. M. (2011). Nursing diagnosis reference manual (8th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
ANA describes “The Scope of Nursing Practice (as) the “who,” “what,” “where,” “when,” “why,” and “how’ (8).’ In other words, it is the responsibility of the nurse to know who their patient is, what the patient’s diagnosis and treatment are, where it is they will be delivering treatment, the rationale behind their actions, and how they will deliver the care. By following the scope of practice, nurses reduce avoidable errors and are aware of the liability their actions entail. The ANA also puts forth a nursing process to guide nurses in treatment. The constantly evolving process is currently assessment, diagnosis, identification of outcomes, planning, implementation, and evaluation (ANA 9). Though this method has dramatically improved nursing care, it may be necessary to repeat steps to adapt to a patient’s changing needs and pathologies. By following guidelines set by the ANA, nurses are able to better connect with their patients and instill the image of professionalism to the public while also optimizing safety
Nursing is a multidisciplinary career that encompasses many different aspects into one to be able to provide the best care possible for all patients. Nurses are caregivers, counselors, advisors, teachers, and more, but to be able to do the job of a nurse one must put into perspective the person or patient, the environment, health, and the nurse. These four concepts together create the Nursing Metaparadigm. These concepts directly influence how a nurse will perform care to a patient and the type of nursing practice that will be demonstrated by that nurse. Each concept above may vary from one theorist to another, but they are the most common concepts in all of the nursing theories. While some concepts are more important each concept will influence
The medical community has changed since the 1980s, as positions and duties has changed. Each position contains specific duties to help with patient care and outcome. Just like a pyramid, each position holds a superior rank to the other. The doctors are at the peak and control the patient care. They make the decisions based on the information provided to them by the nurses. The registered nurse (RN) is at the next level and communicates between the doctors and the supporting staff. The supporting staff, the final level, assist the patients on a one on one basis. This pyramid of positions alters depending on the specialty or facility that an individual is employed, and condition of the patient. One without the other is an impossible task...
One of the many challenges in being a nurse is demonstrating the professional responsibilities of ones own practice in order to provide proper care to the patients and their families. It is crucial that nurses are in a healthy mental and physical state in order to provide adequate care for the patient. An example of Standard 1, professional responsibility and accountability, Indicator
Potter, P., Perry, A., Stockert, P., Hall, A. (2013). Fundamentals of Nursing, (8th Ed.). St. Louis, MO: Elsevier Mosby.