What Nurses Think of SNTs

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What Nurses Think of SNTs

Standardized Nursing Technologies aren't commonly used

By Elizabeth Hanink, RN, BSN, PHN
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As nursing science and care becomes more complex, two perennial challenges continue to face the profession: how to distinguish nursing care from medical care, and how to capture the significance of that nursing care for the well-being of the patient in the medical record. Increasing use of electronic medical records (EMRs) highlights the problems. For many in the know, standardized nursing terminologies (SNTs) seem to be the way to go.

Two nurses, Linda Thede, Ph.D., RN-BC, and Patricia Schwiran Ph.D, RN, have recently studied how nurses view this standardized language and what their experiences have been.

The participants were self-selected through nursing focused LISTSERVs and other sources. They were asked to complete a questionnaire developed by the authors utilizing Survey Monkey. The survey was posted for seven weeks and 1,268 usable surveys were collected, all of them anonymous. Twelve SNT systems were evaluated including NANDA, the Omaha System, Nursing Outcomes Classifi-cation (NOC), and the Nursing Inter-vention Classification (NIC).

Don’t Know, Don’t Use

What the authors found was this: most of the nurses had no experience with, or knowledge of, standardized nursing terminology. Of those who were familiar with a particular nursing language system, the highest percentage were indifferent to its use in their practice. NANDA was the most recognized, with a third of the respondents saying they had used it in school but not since.         

Overall clinical nurses (about two-thirds of the respondents) and academic nurses showed no statistical difference in their responses. For informatics nurses or those nurses who said informatics was part of their practice, only the knowledge of NOC terminology was significantly higher.

The primary differences in terms of experience with a system were noted in those nurses licensed before 1990 and after; but even in the post 90s group, use of the most well-known, NANDA, was still less than half.

This article is from workingnurse.com.

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