kel 7 standarized nursing languages basics.ppt

8/14/2019 kel 7 standarized nursing languages basics.ppt

1/16

Standardized Nursing

Languages (SNLs) Basics

By 7th

GroupNovia Angelina Kaope

Dewi Anggraeni

Meike Yunita SoputanSiti Rahmi

I Made Parwata

M. Nasrun


2/16

What is SNLs?Standardized nursing language (SNL) is acommonly-understood set of terms used todescribe the clinical judgments involved in

assessments (nursing diagnoses), along with theinterventions, and outcomes related to thedocumentation of nursing care

SNLs-3 elements of nursing care as defined by

the Nursing Minimum Data Set (NMDS)Diagnoses of human responses (NDxs)

Nursing interventions (NRxs)

Nursing-sensitive patient outcomes (NSPOs)


3/16

Benefits of Standardized

LanguagesThe use of standardized nursing languages has manyadvantages for the direct care/bedside nurse. These

include: better communication among nurses andother health care providers, increased visibility ofnursing interventions, improved patient care,enhanced data collection to evaluate nursing careoutcomes, greater adherence to standards of care,and facilitated assessment of nursing competency.


4/16

I ncreased Visibi l i ty of Nursing

InterventionsInterventions that should be undertaken to in supportnursing judgments and that demonstrate the depth

of nursing judgment are built into the standardizednursing languages. For example, one activity listedunder labor induction in the NIC language is that ofre-evaluating cervical status and verifyingpresentation before initiating further inductionmeasures (McCloskey-Dochterman & Bulechek,2004). This activity guides the nurse to assess thedilatation and effacement of the cervix andpresentation of the fetus, before making a judgment

about continuing the induction procedure.
http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.htmlhttp://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.htmlhttp://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.htmlhttp://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.htmlhttp://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.htmlhttp://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html


5/16

Improved Patient CareThe use of a standardized nursing language canimprove patient care. Cavendish (2001) surveyed

sixty-four members of the National Association ofSchool Nurses to obtain their perceptions of the mostfrequent complaints for abdominal pain. They usedthe NIC and NOC to determine the interventions andoutcomes of children after acute abdomen had beenruled out. Nurses identified the chief complaints ofthe children, the most frequent etiology, the mostfrequent pain management activities from the NIC,and the change in NOC outcomes after intervention.
http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.htmlhttp://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html


6/16

Enhanced Data Collection to

Evaluate Nursing Care Outcomes

The use of a standardized language to recordnursing care can provide the consistency

necessary to compare the quality ofoutcomes for various nursing interventionsacross. Patient outcomes are also related tothe uniqueness of the individual, the caregiven by other health care professionals, andthe environment in which the care isprovided.


7/16

Implications of Standardized Language

for Nursing Education, Research, and

AdministrationIn addition to enhancing the care provided by directcare nurses, standardized language has implications

for nursing education, research, and administration.Nurse educators can use the knowledge inherent instandardized nursing languages to educate futurenurses. Such a system can be used to describe theunique roles of the nurse. Nurse educators can teachstudents to use systems such as the CCC and OmahaSystem when in the community health fields, or theuse of the NANDA, NIC, NOC terminology when inthe acute care setting.


8/16

Why SNLs?SNLs represent pooled nursingknowledge

Use of pooled knowledge helps nursesto plan, interpret, intervene andevaluate

Sciences seek generally usefulvocabularies, ones that produce results

Results = quality of care


9/16

Effects on Nursing Care

of Using SNLsNaming Thoughts Discernment

Communication + Cooperation + Action

Improved Access, Cost Effectiveness, & QualityLunney, 1999


10/16

NANDA International (I)

Nursing diagnosesare human

responses (HRs) to health problems andlife processes for which nurses provideinterventions

Purposes: Name human responses ofconcern to nurses so accuracy can beaddressed and the best NRxs can beselected for positive outcomes


11/16

NANDA I: ExamplesPain

Death Anxiety

Impaired HomeMaintenance

Readiness forEnhancedCommunity CopingHopelessness

Ineffective Breathing

Pattern

Risk for infection

Relocation Stress

Syndrome

Decisional Conflict

Acute Confusion

Effective BreastFeeding


12/16

NIC (Nursing Interventions

Classification [NRxs])NRxsare treatments performed bynurses based on clinical judgment &knowledge in order to achieve positivept. outcomes

Purposes of naming: Consider

appropriateness, communicate withothers for continuity, relate to NDxs andNSPOs


13/16

NIC: ExamplesAcid-BaseManagement

Active ListeningCommunity DisasterPreparedness

CopingEnhancementExercise Promotion

Health Education

Family IntegrityPromotion

Health Education

Health PolicyMonitoring

SurveillancePresence

Social SupportEnhancement


14/16

NOC (Nursing-Sensitive Patient

Outcomes [NSPOs] Classification)

NSPOsdefine general pt. states,

behaviors or perceptions that areinfluenced by & sensitive to NRxs andcan be measured as variables

Purpose of Naming: Determine thequality and effectiveness of nursing care


15/16

NOC: ExamplesCaregiver HomecareReadiness

Knowledge: IllnessCare

Social Support

Mobility level

Risk Control: DrugUse

Neglect Recovery

Activity Tolerance

Self Care: Hygiene

Dialysis AccessIntegrity

Wound Healing:Primary Intention

Acceptance: HealthStatus

Symptom Control


16/16

THANK YOU

Documents

kel 7 standarized nursing languages basics.ppt