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Standardized Nursing Language : A Nursing Vocabulary

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INFORMATION SYSTEMS PAPER 2 Standardized Nursing Language: A Nursing Vocabulary Bridgette Rodriguez Chamberlain College of Nursing NR361: RN Information Systems in Healthcare July 2017 Running head: INFORMATION SYSTEMS PAPER 1 INFORMATION SYSTEMS PAPER 6 Standardized Nursing Language: A Nursing Vocabulary The National Association of School Nurses (NASN) states that standard nursing languages (SNL) are essential communication tools to assist in the planning, delivery and the evaluation of quality nursing care (Lundberg, 2008). Using a standardized nursing language for documenting nursing care is important to both the nursing profession and to the nurse’s …show more content…

(Rutherford, 2008). A strong standard language provides the RN with diagnostic terms, their associated signs and symptoms, as well as the scientific research. How the Tool is Applied Nursing needs to describe exactly the scope of practice and measure its contribution to patient care. Without trusted and acceptable clinical data, no one would think that nurses make a difference. Using standardized language for nursing diagnosis and nursing interventions allows nurses ' activities to be described next to medical diagnoses and medical interventions, and their impact is measured in relation to patient outcomes. For example, chronic renal failure is a medical diagnosis identified by ICD-9 code #585 (CMS.GOV, 2012). Chronic renal failure is linked with the following nursing diagnoses: activity intolerance, decreased cardiac output, excess fluid volume, fatigue, imbalanced nutrition, impaired comfort, impaired urinary elimination, ineffective coping, the risk for infection, the risk for injury and the risk for noncompliance (CMS.GOV, 2012). Each North American Nursing Diagnosis Association nursing diagnosis can be connected to a series of Nursing Interventions Classification (NIC) nursing interventions. Each nursing intervention can be evaluated based on the available evidence and its appropriateness to the

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