NURS 120 Quiz 4
Why is there an absence of nursing data from the national and regional databases? -
answer- not a result of discrimination against nursing
-b/c a failure to agree upon . and offer a set of defined, valid, reliable, and standardized
data
-transition to EHR charting has made this problem worse b/c nursing cant agree on
standard language to describe care
invisibility of nursing data - answer- often studied by looking at negative outcomes
-assumed through medical diagnoses such as UTI's, skin pressure ulcers, pneumonia,
shock, GI bleeding, length of stay
nursing language - answer-common language, readily understood by all nurses, to
describe care
-a standardized nursing terminology is a terminology approved by an authority or by
general consent
standardized nursing languages examples - answer1. NANDA-I
2. Nursing Interventions Classification System (NIC)
3. Nursing Outcomes Classification (NOC)
4. Clinical Care Classification System (CCC)
5. Omaha System
6. Nursing Management Minimum Data Set (MNMMDS)
7. Nursing Minimum Data Set (NMDS)
8. PeriOperative Nursing Data Set ABC Codes (PNDS)
9. SNOMED CT
10. International Classification for Nursing Practice (ICNP)
11. ABC Codes
12. Logical Observation Identifiers Names and Codes (LOINC)
13. International Statistical Classification of Diseases and Related Health Problems
(ICD-10)
14. Current Procedural Terminology (CPT codes)
15. Health Level 7
16. RxNorm- Standardized language for clinical drugs and drug delivery services
17. Unified Medical Language System (UMLS)
18. International Medical Terminology
19. Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
Why, despite extensive work, is the vocab problem not solved yet? - answer-too many
languages, formats, and confusion
reasons for the nursing language problem - answer-overlapping content
, -no content
-large numbers of codes and terms
-codes designed for human interpretation, not computer
-lack of congruence between data needs of nursing and requirements of computerized
system
-lack of understanding among nurses and lack of organizational support
-one terminology would eliminate confusion but it would be difficult to reflect the entire
scope of nursing practice
Why is a standardized nursing language necessary? - answer- because every nurse is
affected by a need for: accountability, clinical effectiveness, avoidance of litigation
-managerial decisions are frequently based on info on the computer
invisibility of nursing charting on EHR - answer-nurses spend a lot of time charting but
few care providers are reviewing this info
-leads to pt. safety issues and diminished the ability of nurses to research nursing care
nomenclatures - answer-"pick lists" of terms or labels for describing concepts in nursing
examples:
-diagnosis
-intervention
-outcome
classification - answer-ordering of nomenclatures into groups or classes on basis of
similarities
e.g the term "acute pain" can be studied as part of a larger classification of "pain"
taxonomy - answerstudy of classifications
standardized nomenclatures - answer-provide a legal record of pt. care
-support clinical decision making
-facilitate financial procedures
-accumulate info for research
-exchange data with internal and external systems for research
*we use standardized language so that we can all understand and communicate info
about nursing care, and so our care becomes visible and valued*
nursing nomenclatures, vocabularies, classifications, and taxonomies - answer-offer
systematic standardized ways of describing nursing practices
-used interchangeably in most writing
*terms all mean slightly different things but are often used interchangeably in many
writings on nursing lang*
six levels of the EHR competency model - answer1. personal effectiveness
competencies
2. academic competencies
Why is there an absence of nursing data from the national and regional databases? -
answer- not a result of discrimination against nursing
-b/c a failure to agree upon . and offer a set of defined, valid, reliable, and standardized
data
-transition to EHR charting has made this problem worse b/c nursing cant agree on
standard language to describe care
invisibility of nursing data - answer- often studied by looking at negative outcomes
-assumed through medical diagnoses such as UTI's, skin pressure ulcers, pneumonia,
shock, GI bleeding, length of stay
nursing language - answer-common language, readily understood by all nurses, to
describe care
-a standardized nursing terminology is a terminology approved by an authority or by
general consent
standardized nursing languages examples - answer1. NANDA-I
2. Nursing Interventions Classification System (NIC)
3. Nursing Outcomes Classification (NOC)
4. Clinical Care Classification System (CCC)
5. Omaha System
6. Nursing Management Minimum Data Set (MNMMDS)
7. Nursing Minimum Data Set (NMDS)
8. PeriOperative Nursing Data Set ABC Codes (PNDS)
9. SNOMED CT
10. International Classification for Nursing Practice (ICNP)
11. ABC Codes
12. Logical Observation Identifiers Names and Codes (LOINC)
13. International Statistical Classification of Diseases and Related Health Problems
(ICD-10)
14. Current Procedural Terminology (CPT codes)
15. Health Level 7
16. RxNorm- Standardized language for clinical drugs and drug delivery services
17. Unified Medical Language System (UMLS)
18. International Medical Terminology
19. Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
Why, despite extensive work, is the vocab problem not solved yet? - answer-too many
languages, formats, and confusion
reasons for the nursing language problem - answer-overlapping content
, -no content
-large numbers of codes and terms
-codes designed for human interpretation, not computer
-lack of congruence between data needs of nursing and requirements of computerized
system
-lack of understanding among nurses and lack of organizational support
-one terminology would eliminate confusion but it would be difficult to reflect the entire
scope of nursing practice
Why is a standardized nursing language necessary? - answer- because every nurse is
affected by a need for: accountability, clinical effectiveness, avoidance of litigation
-managerial decisions are frequently based on info on the computer
invisibility of nursing charting on EHR - answer-nurses spend a lot of time charting but
few care providers are reviewing this info
-leads to pt. safety issues and diminished the ability of nurses to research nursing care
nomenclatures - answer-"pick lists" of terms or labels for describing concepts in nursing
examples:
-diagnosis
-intervention
-outcome
classification - answer-ordering of nomenclatures into groups or classes on basis of
similarities
e.g the term "acute pain" can be studied as part of a larger classification of "pain"
taxonomy - answerstudy of classifications
standardized nomenclatures - answer-provide a legal record of pt. care
-support clinical decision making
-facilitate financial procedures
-accumulate info for research
-exchange data with internal and external systems for research
*we use standardized language so that we can all understand and communicate info
about nursing care, and so our care becomes visible and valued*
nursing nomenclatures, vocabularies, classifications, and taxonomies - answer-offer
systematic standardized ways of describing nursing practices
-used interchangeably in most writing
*terms all mean slightly different things but are often used interchangeably in many
writings on nursing lang*
six levels of the EHR competency model - answer1. personal effectiveness
competencies
2. academic competencies
