ApplyingStandardized Technologies in Practice
Standardizednursing terminologies are the terms that are used in the healthcaresector by the healthcare professionals. These terms help thehealthcare professionals do their documentation properly as well astake proper care of the patient information. Each and everyhealthcare professional will understand the terminologies whenevergoing through the health records. They will, therefore, add value tothe growth and development of the nursing profession. The NANDA, NOC,and the NIC will be common in the patient care scenario within thenursing profession. In creating the patient care scenario, there willbe an intensive use of the DIKW. The terminologies are widespread inthe nursing profession especially in the presentation and storage ofthe healthcare data in the Electronic Health Records which will laterbe used for reference purposes. Am going to use a scenario where amale patient had conditions of ED with c/o SOB as well as the CP * 3days. Likewise, the pale and diaphoretic condition was observed inthe Pt.
NANDA,NIC, and NOC elements
Thesole purpose that led to NAND establishment was to refine and promotethe use of terminology within the nursing practice framework so thatthe clinical judgment of the nurses would be ascertained (Azzolin etal., 2013). NANDA had a mission of encouraging the refinement,dispersal, upgrading and use of the nursing standard phrasing. Thefocus of NANDA, therefore, is to make the effective use of theterminologies in communication within the nursing profession so thatthe care of the patients will be enhanced through the evidence-basedpractice and care. NANDA carries out numerous functions including thepublication of the findings of the nursing diagnosis as per thefindings collected from the present evidence. The body funds variousresearch programs that are aimed at providing evidence and alsointegrating the terminologies in use with the evidence gathered. Theclinical judgments and the way nurses communicate globally havebecome uniform through the use the evidence-based terminology. NOCand NIC are other standard classification systems used by nurses inthe nursing profession, and they emerged from NANDA. They weredeveloped to analyze the effects that arose in the healthcareprofession because of the interventions that were suggested by thenurses. In the case of the scenario I selected, the possiblediagnosis would be an excessive volume of the fluid, complications inthe regulatory mechanism, anxiety due to illness and failure tocomply with an early medication made to the patient.
NOCis more complex, and it studies the effect of interventions as theyare provided by the nurses on the grounds of patients’ outcomes.NOC help in the documentation of the health records especially whendealing with the health records that are meant for use in theclinical information system as well as enhancing the knowledge andeducation of the nurses in the healthcare industry (Moorhead et al.,2013). The outcomes are meant for use in the healthcare environmentand are very useful in interventions since they give light on thecondition of the patient during the illness and a given period aftercare. In the scenario at hand, the NOC could be: the volume of thefluid was in excess: the possibility of hydration, fluid balance andthe balance between the electrolyte and the acid-base. Anotherpossible NOC could be fear the fear will give the specificinformation about the state of situation the patient is goingthrough. Anxiety is another possibility, and the patient should beequipped with the mechanisms that will enable him or her cope withthe situation. The BP/HR is indicating the normal parameters, andthis is an indication that the cardiac output is normal.
TheNIC is a research-based classification that is complex, and it isbased on the interventions that the nurses perform within thehealthcare environment (Moorhead et al., 2013). NIC helps nurses inthe reimbursement of the interventions that they perform. NICidentifies that the intervention can either be direct or indirect,and they have a wide range from management to promotion within thehealthcare industry. Nursing practice will depend on making use ofthe skills and experience so that proper judgments can be madeconcerning the patient care. According to the scenario at hand andthe description of the condition of the male patient provided, I willtry to manage his airway as my first intervention. I will do this byusing the non-rebreather mask instead of the nasal cannula (NC). Iwill examine the RR and his O2saturations and report any changes noted to the physician in casefurther protection may be needed. Concerning his lungs, myintervention will be to do the physical assessment on rales in thelungs so that I will take note of the IVF intake. NIC has ensuredthat the recent interventions that are made by the nurses have beenimplemented, and their recognition is made universal so that theywill be part of the nursing languages that is used within thehealthcare industry.
Data,information, knowledge, and wisdom (DIKW)
Whileworking as an Emergency Department (ED) nurse, I got conversantworking with the DIKW. This is an area where critical thinking isparamount though taking the time to analyze the data of the patientand then using wisdom based on knowledge is a distinguished concept.The nursing informatics metastructure requires that data andinformation should be combined and make use of skills and previousteachings to make a judgment based on wisdom (Pedley, 2009). The EDis where we always encounter unexpected occurrences. As nurses, weare forced to make use of the metastructure so that we can rescue thelife of the patients who may otherwise die.
DIKWenrich the nurses with the concepts that they require by providingthem with the appropriate informatics that is put in practice. Thesmallest part of DIKW is the data, and it can take any form. A singlepiece of data is meaningless, but it will make a basis of furthertesting leading to information gathering. The information gatheredwill make application of knowledge simpler, and the result will beunderstood and also answer relevant questions. Wisdom being the lastpart, it is paramount in solving the problems that the patients arefacing. Proceeding from knowledge to wisdom is hard, but wisdom ischaracterized by memorizing and understanding the knowledge. Eachlevel of DIKW, therefore, depends on one another and as you makeprogress from one to the other, there is the need for advancedcritical thinking (Matney et al., 2011).
Sometimesback while I was on duty in the ED, a patient was brought who hadvital signs. He had an elevated HR that was 130, but the BP wasstable, and it measured 123/74. There were shallow and rapidrespirations in the pt while the oxygen measured 96% on the 4L NC.Due to the previous knowledge I had of the patients who I hadattended to with similar signs, I knew that he needed an immediateattention before things got out of control. I performed the physicalexamination to gather more data and information that was necessary atthis stage. I discovered that his lungs had excess fluid and thepatient never understood what condition he was suffering from, and henever followed the directions of the medications he was given. Iassessed him regularly to gather more data while observing himkeenly. The BP started to reduce, but he developed an altered mentalstatus. This was the point where my wisdom was necessary and I calledthe doctor immediately. I started working to help his BP andneglected the intervention as the resident wanted. Based on myknowledge and wisdom I neglected to hang the IVF. I used the data andwisdom I had gained from the previous experiences to treat thispatient. I made proper application of DIKW rescue his life.
NANDA,NIC, NOC, and DIKW are organizations that have worked on the standardterminologies for years and are still working on any upcoming ones.They have helped unify the understanding of interventions as they areused in the nursing profession so that any nurse can have anunderstanding of the terminologies. Efficient and proper use of thesestandardized terminologies has simplified communication among thenursing professional and other medical practitioners in thehealthcare industry. Every nurse can understand previous tastes onthe patient and, therefore, develop common knowledge based on thestandardized terminology.
Azzolin,K., Mussi, C.M., Ruschel, K.B., Nogueira, E., De Fatima, L.A., &Rabelo-Silva, E. (2013). Effectiveness of Nursing Interventions inHeart Failure Patients in Home Care Using NANDA, NIC, and NOC.AppliedNursing Research,26(4), 239-244.http://dx.doi.org/http://dx.doi.org/10.1016/j.apnr.2013.08.003.
Matney,S., Brewster, P., Sward, K., Cloyes, K., Staggers, N. (2011).Philosophical Approaches to the Nursing InformaticsData-Information-Knowledge-Wisdom Framework. Advances in NursingScience. 34(1) p. 6-18. Doi: 10.1097/ANS.0b013e3182071813.
Moorhead,S., Johnson, M., Maas, M., & Swanson, E. (2013). Nursing OutcomesClassification (NOC) (5th ed.). St. Louis, MO: Elsevier.
Pedley,K.S. (2009) Clinical Decision Using Nursing Informatics Metastructureretrieved fromhttp://www.personal.psu.edu/skp5053/blogs/sara_pedley_eportfolio/2009/02/clinical-decision-using-nursing-informatics-metastructure.htmlon March 14, 2016.