Informatics: The Standardized Nursing Terminologies
Abstract and Introduction
Introduction
This is the fifth column reporting the results of a survey addressing nurses' attitudes and perceptions regarding standardized nursing terminologies, and completed by the authors in the fall of 2011. Prior columns have examined the demographics of our respondents and their familiarity with the American Nurses Association (ANA) standardized nursing terminologies (Schwirian & Thede, 2012); educational preparation for using the terminologies (Thede & Schwirian, 2013b); users perception of confidence in using the terminologies (Thede & Schwirian, 2013c); and effects of documenting with standardized nursing terminologies (Thede & Schwirian, 2013a.)
In this column, we will report users' opinions about the helpfulness of a terminology in actual clinical practice. The findings presented below are from those respondents who answered 'yes' to the following three questions about the terminology: (a) are you familiar with the terminology?, (b) have you used it in some way?, and (c) have you used this particular terminology in actual patient care?
Table 1 and Figure 1 illustrate the percentage of clinical users of a terminology who found the terminology helpful in actual clinical practice.; With the exception of the International Classification of Nursing Practice (ICNP) terminology, for which there were only four responses, more than 60% of clinical users of the nursing-specific terminologies found them helpful in clinical patient care. The Clinical Care Classification (CCC) users and the Omaha System users gave the most positive responses as noted in Table 1. Users of the interdisciplinary terminologies, Logical Observation Identifiers Names and Code (LOINC) and Systematized Nomenclature of Medicine Clinical Terminology (SNOMED CT), had the least positive perceptions regarding the helpfulness of the terminology in clinical practice. For the nursing-specific terminologies, North American Nursing Diagnosis Association, International (NANDA-I) and the Nursing Outcomes Classification (NOC) had relatively high percentages of users who did not find the terminology helpful in clinical practice.
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Figure 1.
Useful in Clinical Practice