NR 361 Week 3: Standardized Terminology and Language in Informatics (graded)
Chamberlain University NR 361 Week 3: Standardized Terminology and Language in Informatics (graded)– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 361 Week 3: Standardized Terminology and Language in Informatics (graded) assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 361 Week 3: Standardized Terminology and Language in Informatics (graded)
Whether one passes or fails an academic assignment such as the Chamberlain University NR 361 Week 3: Standardized Terminology and Language in Informatics (graded) depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 361 Week 3: Standardized Terminology and Language in Informatics (graded)
The introduction for the Chamberlain University NR 361 Week 3: Standardized Terminology and Language in Informatics (graded) is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NR 361 Week 3: Standardized Terminology and Language in Informatics (graded)
After the introduction, move into the main part of the NR 361 Week 3: Standardized Terminology and Language in Informatics (graded) assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 361 Week 3: Standardized Terminology and Language in Informatics (graded)
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 361 Week 3: Standardized Terminology and Language in Informatics (graded)
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NR 361 Week 3: Standardized Terminology and Language in Informatics (graded)
What is the impact of Centers for Medicare and Medicaid Services (CMS) payment denial on the healthcare system?
- What are the implications for our nursing practice related to use of standardized terminology for documentation?
- How do evidence-based practice guidelines impact patient outcomes and necessitate improved practice care?
One standardized terminology that is very crucial in healthcare is the term Interoperability. Hebda, Hunter, and Czar define interoperability as “the ability to exchange information across systems” (Hebda, Hunter, & Czar, 2019, p. 156). I believe this especially important when caring for patients in a hospital setting, because so many members of the healthcare team need to document on the care provided. Many disease processes require multidisciplinary teams to treat and care for those patients. One example of this is the care for a stroke (CVA) patient. Once on an inpatient unit, members of the care team include attending physician, Neurology physician, nurses, pharmacist, physical therapist, occupational therapist, speech language pathologist, case manager, and possibly operating room nurses and Neurosurgeons or interventional radiology physicians and nurses (Clarke & Foster, 2015). At my hospital for example, all of these disciplines do not use the same program for charting. My hospital uses Cerner as their EMR system, but each discipline uses their own version. PT, OT, and SLP all use different forms for their charting, which are all accessible for nursing staff to view, but it is not as streamline as one would hope. The forms that PT, OT, and SLP use all include ICD coding, that us nurses are not taught to identify. OR and IR nurses use different charting programs that do not easily cross-over to inpatient nursing documentation. For this reason, many nursing interventions done in the OR or IR are not properly documented, such as new IV placements and indwelling catheter insertions. I believe interoperability in healthcare informatics definitely has room for improvement. The shift to all electronic medical records has greatly enhanced the outcomes for patients. Making all this documentation easy to read and more streamline would help inpatient nurses like me to connect the dots when doing research on my patients. Understanding what each discipline is doing will help the healthcare team members work better together.
References
Clarke, D. J., & Foster, A. (2015). Improving post-stroke recovery: the role of the multidisciplinary health care team. Journal of multidisciplinary healthcare, 8, 433-442. https://doi.org/10.2147/JMDH.S68764
Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.
Sample Answer 2 for NR 361 Week 3: Standardized Terminology and Language in Informatics (graded)
North American Nursing Diagnosis International (NANDA) is one of the first terminologies used in nursing practice. In order to treat patients a nursing diagnosis has to be made first. “A nursing diagnosis is a clinical judgment about individual, family, or community experiences and responses to actual or potential health problems and life processes” (Hebda, Hunter, & Czar, 2019 p.304). A nursing diagnosis identifies patient reactions to health promotion, risk, and disease. In my understanding NANDA has 13 domains with two or more classes that will help identify a patient’s diagnosis. The nursing diagnoses are designed to focus the nurse’s care in relation to the patient’s needs. A nursing diagnosis includes a description, a definition, and defining characteristics. Manifestations, signs, and symptoms are defining characteristics that are used to help nurses to determine and assign the correct diagnosis for their patients. Nursing Interventions Classification (NIC), Nursing Outcomes Classification (NOC), and NANDA are associated together to standardized terminologies. The standard terminology for nurses was implemented into the nursing practice of planning and documentation so that nurses everywhere are using the same language to describe the care they are providing their patients. NANDA, NIC, and NOC help to document nursing problems, interventions, and outcomes which will improve in the care provided by all nurses.
In the detox nursing practice I work with several nurses. I think the standardized terminology helps nurses work together more efficiently. It also makes it easier to understand for everyone and it avoids miscommunication and errors. All nurses think differently so the standardization makes it clear across the board. “Standardized nursing language will facilitate communication among nurses and between nurses and other healthcare providers, provide inclusion of nurses work in clinical information systems, provide easy access to evidence-based knowledge stored in national and international databases, increase visibility of nursing interventions and improve patient care among others”(Gusen, Goshit, Dauda, Williams, & Danye, 2017, p.22).
References
GUSEN, N. J., GOSHIT, J. D., DAUDA, R., WILLIAMS, A. J., & DANYE, R. (2017). Nurses’ Knowledge Attitude and Practice of Standardized Nursing Language in Pssh, Jos. West African Journal of Nursing, 28(1), 21–31. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125017004&site=eds-live&scope=siteLinks to an external site.
Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.
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Sample Answer 3 for NR 361 Week 3: Standardized Terminology and Language in Informatics (graded)
I would like to talk about usability in my practice. Usability simply explained by the ability to be used. “Good usability is critical for the adoption and safe use of health-information products…Concepts about usability guide informaticists in creating and purchasing technologies that users find effective, efficient, and satisfying to use.” (Hebda, 2019, P. 168.) Poor usability can result in decrease in productivity, errors, delayed treatment and decision, user frustration, underutilization of systems, deinstallations, and need for extra support. (Hebda, 2019)
In my opinion, electronic clinical documentation can improve the usability to reach the goal of effectiveness, efficiency, and satisfaction. “Evidently, the implementation of electronic clinical documentation is essential to enhance the provision of safe, ethical, and effective nursing care. Previous research presented that electronic documentation improved the completeness, quality of nursing documentation and quality of care. Another benefit of electronic documentation are nurses no longer have to waste time consulting with one another, trying to decipher someone’s dreadful handwriting, and fewer errors related to misinterpreted orders should follow.” (Harivati&Tutik, 2020) Point Click Care (PCC) was introduced to my rehab center two years ago. PCC absolutely plays a critical role to improve efficiency of nursing care. For example of the assessment of bowel movement and dehydration. With paper charting, I need to review every page for each patient to see when they have bowel movement and in&out to figure out if they need treatment. It normally took me about 30 minutes for 20 patients. With PCC, I just need to search key words “bowel movement” and sort result by patient’s name or room number or anything that is convenience for me. In this way, I just need up to 5 minutes to find the result.
References
Hariyati, Rr Tutik Sri, et al. “Usability and Satisfaction of Using Electronic Nursing Documentation, Lesson-Learned from New System Implementation at a Hospital in Indonesia.” International Journal of Healthcare Management, vol. 13, no. 1, Apr. 2020, pp. 45–52.
Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.
Sample Answer 4 for NR 361 Week 3: Standardized Terminology and Language in Informatics (graded)
I would like to talk about usability in my practice. Usability simply explained by the ability to be used. “Good usability is critical for the adoption and safe use of health-information products…Concepts about usability guide informaticists in creating and purchasing technologies that users find effective, efficient, and satisfying to use.” (Hebda, 2019, P. 168.) Poor usability can result in decrease in productivity, errors, delayed treatment and decision, user frustration, underutilization of systems, deinstallations, and need for extra support. (Hebda, 2019)
In my opinion, electronic clinical documentation can improve the usability to reach the goal of effectiveness, efficiency, and satisfaction. “Evidently, the implementation of electronic clinical documentation is essential to enhance the provision of safe, ethical, and effective nursing care. Previous research presented that electronic documentation improved the completeness, quality of nursing documentation and quality of care. Another benefit of electronic documentation are nurses no longer have to waste time consulting with one another, trying to decipher someone’s dreadful handwriting, and fewer errors related to misinterpreted orders should follow.” (Harivati&Tutik, 2020) Point Click Care (PCC) was introduced to my rehab center two years ago. PCC absolutely plays a critical role to improve efficiency of nursing care. For example of the assessment of bowel movement and dehydration. With paper charting, I need to review every page for each patient to see when they have bowel movement and in&out to figure out if they need treatment. It normally took me about 30 minutes for 20 patients. With PCC, I just need to search key words “bowel movement” and sort result by patient’s name or room number or anything that is convenience for me. In this way, I just need up to 5 minutes to find the result.
References
Hariyati, Rr Tutik Sri, et al. “Usability and Satisfaction of Using Electronic Nursing Documentation, Lesson-Learned from New System Implementation at a Hospital in Indonesia.” International Journal of Healthcare Management, vol. 13, no. 1, Apr. 2020, pp. 45–52.
Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate
program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☐ The title page is present. APA format is applied correctly. There are no errors.
☐ The introduction is present. APA format is applied correctly. There are no errors.
☐ Topic is well defined.
☐ Strong thesis statement is included in the introduction of the paper.
☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☐ All sources are cited. APA style and format are correctly applied and are free from error.
☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.