Posted: January 17th, 2023
Standardized Coding Systems Essay Paper
Respond by Expanding this disussion postings by providing additional insights or contrasting perspectives based on readings and evidence, Please the following 3 refereneces and 1 more APA 6th ed within 3 years. Thanks Westra, B. L., Subramanian, A., Hart, C. M., Matney, S. A., Wilson, P. S., Huff, S. M., … Delaney, C. W. (2010). Achieving “meaningful use” of electronic health records through the integration of the Nursing Management Minimum Data Set. The Journal of Nursing Administration, 40(7–8), 336–343. American Nurses Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.). Silver Springs, MD: Author. “Metastructures, Concepts, and Tools of Nursing Informatics” Matney, S., Brewster, P. J., Sward, K. A., Cloyes, K. G., & Staggers, N. (2011). Standardized Coding Systems Essay Paper. Philosophical approaches to the nursing informatics data-information-knowledge-wisdom framework. Advances in Nursing Science, 34(1), 6–18. THIS THE DISCUSSION Standardized Coding Systems Standardized coding systems is essential because it can provide nurses with direction and guidance on a patient’s outcomes and intervention. Patients typically receive care from numerous nurses if they have a prolonged admission stay at the hospital. When there is standardized coding available, it can provide consistency even if the nurses change day to day. Each nurse can enter objective data regarding if the patient’s intervention is resulting in an improvement, no change, or decline. The definition of objective is, “not influenced by personal beliefs or feelings; fair or real: an objective opinion” (Objective, n.d.) Nursing Specialty, Terminologies, and Importance “Standardized terminologies have become a significant vehicle for facilitating interoperability between different concepts, nomenclatures, and information systems” (American Nurses Association, 2015). There are many specialties within nursing and patients can receive care from a variety of departments. When there are standards of terminology within nursing, this can provide a platform to decrease the variability between nursing patient care. Assessment of patient’s symptoms and documentation can result in different interventions ordered. This has vital importance because patient care can be affected and the difference between good quality care and high-quality care received. Standardized Coding Systems Essay Paper. The determined terminologies and data element sets that would play a role in the pediatric intensive care unit would be clinical care classification system because this involves all nursing care, other health care professionals addressing diagnoses, interventions, and outcomes (see Table 2, American Nurses Association, 2015). Terminologies Standards Value and Examples Terminology standards played a critical part within the pediatric population.
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The pediatric population that I worked with, in a pediatric intensive care unit, could not always verbally describe what was occurring or how they are feeling. The value of standard terminology was significant because I as the nurse would have to provide an objective assessment, critically think and determine if all findings warranted intervention. For example, the utilization of the face, legs, activity, cry, and consolability (FLACC) scale measured pain for individuals who were cognitively and or verbally impaired. “Accurate pain assessment is essential for proper analgesia during medical procedures in pediatric patients… FLACC scale has previously been shown to be a valid and reliable tool for assessing pediatric procedural pain in research labs” (Shen, Giles, Kurtovic, Fabia, Besner, Wheeler, and Groner, 2017, p. 114). Terminology standards facilitated guidance for pediatric pain assessment contributed to intervention selection, which results in the patient receiving the appropriate highest quality of care. References American Nurses Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.). Silver Springs, MD: Author. Objective. (n.d) in Cambridge dictionary. Standardized Coding Systems Essay Paper. Retrieved from https://dictionary.cambridge.org/us/dictionary/english/objective Shen, J., Giles, S. A., Kurtovic, K., Fabia, R., Besner, G. E., Wheeler, K. K., Groner, J. I. (2017). Evaluation of nurse accuracy in rating procedural pain among pediatric burn patients using the Face, Legs, Activity, Cry, Consolability (FLACC) Scale. Burns, 43, 114–120. Retrieved from https://doi-
Standardized coding systems
The discussion contends that standardized coding systems are important because of their capacity to offer direction, guidance and consistency in nursing care delivery. While this statement is true, there are other insights that can be offered to further denote the importance of these systems. This is noted by Matney et al. (2011) who add to the discussion by mentioning that these standards are informatics frameworks that act as data, information, knowledge and wisdom repositories to facilitate professional exchanges. Through standardizing the systems, nursing personnel are able to communicate amongst themselves, as long as they are able to correctly code the information when sending and correctly decode it when receiving the information. American Nursing Association (2015) further adds that although the core of these systems is intended to improve care outcomes, this objective revolves around effective and efficient communication whereby the systems facilitate communication by presenting a unique professional language that allows nursing personnel to communicate with each other. Westra et al. (2010) similarly adds to the discussion by noting that similar to any other language intended for communication, the systems evolve over time to address new nursing situations, circumstances, technologies, and knowledge. Black (2016) supports the presented views of coding systems, but adds that they are not restricted to simply improving care outcomes. Standardized Coding Systems Essay Paper. To be more precise, it notes that these systems can play an important role in ensuring the safety of nursing personnel while improving the quality of professional services they offer. Overall, it is important to note that while these systems are intended to improve care outcomes, they are focused on knowledge management to reduce administrative burdens while enhancing the meaningful use of nursing data.
American Nurses Association. (2015). Nursing informatics: scope & standards of practice (2nd ed.). Silver Springs, MD: Author.
Black, B. (2016). Professional nursing-e-book: concepts & challenges. Amsterdam: Elsevier Health Sciences.
Matney, S., Brewster, P. J., Sward, K. A., Cloyes, K. G., & Staggers, N. (2011). Philosophical approaches to the nursing informatics data-information-knowledge-wisdom framework. Advances in Nursing Science, 34(1), 6–18.
Westra, B. L., Subramanian, A., Hart, C. M., Matney, S. A., Wilson, P. S., Huff, S. M., … Delaney, C. W. (2010). Achieving “meaningful use” of electronic health records through the integration of the Nursing Management Minimum Data Set. The Journal of Nursing Administration, 40(7–8), 336–343. Standardized Coding Systems Essay Paper
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