Thursday, January 26, 2017

NURSES NIC/NOC FOR IT, A STANDARDIZED LANGUAGE OF QUALITY



Communication is key in every organization but more important in healthcare. Why? Without communication, errors can be made, important information can be missed, opportunities to educate patients will be missed, patient satisfaction will decrease and worse, patient outcomes will suffer. Standardization is important in how and what is communicated. This is true in healthcare. In order to have effective communication to increase patient satisfaction and patient outcomes, nurses need to communicate in a language that is common to all. What language did you ask? During undergrad years, we have all heard our instructors telling us to use NIC/NOC! YES, those. I know, you just rolled your eyes and trust me, I have done my fair share of eye-rolling. Now fast forward, you graduated, and I bet you celebrated because you did not have to worry about that NIC/NOC thing again whatever that is, right? Then there was more celebration because you passed your boards and got your dream nursing job. So now why are you not celebrating anymore? Don't tell me, I think I know what is going on in your work setting. All your manager and that annoying patient advocates talk about are patient satisfaction and patient outcomes. Yeah....pain right? Well, guess what, now you can put to use the beautiful things you learned during your undergrad level. You can create an individual care plan and document in the computer in a language that all nurses and healthcare team speaks using NIC/NOC. You are welcome!


WHAT IS NIC/NOC?. Show off, I know you already know it but let me break it down in any easy way for those who chewed, poured, passed and forgot. But first, let us watch this video.




WHY IS STANDARDIZATION IMPORTANT?





   COMPONENTS OF NURSING LANGUAGE: 

 
NANDA NURSING DIAGNOSIS:  A Nursing diagnosis is the first step in identifying how we should plan nursing care for a patient to improve the patient outcomes for which the nurse is held accountable, a very critical component in the nursing process. This step helps with the prioritization in the care of the patient.                                


                                              VARIATIONS OF NURSING DIAGNOSIS

                                
COMPONENTS OF NURSING DIAGNOSIS:





  

NOC outcomes
provide a quantitative measure of the patient's progress, from the negative to the positive that is easy for all health care providers to understand and use.Each nursing Diagnosis is followed by a list of suggested outcomes to measure whether the chosen interventions are helping the identified problem   Each outcome can be individualized to the patient or family by choosing the appropriate indicators or adding additional indicators as necessary.


 BENEFITS OF STANDARDIZATION:

 
The use of healthcare informatics is widespread throughout the entire healthcare. Nursing is the largest contributor in healthcare. Nurses spend the most time with the patient from admission to discharge. And as key contributors to the delivery of healthcare, nurses depends on some type of healthcare information system such as electronic documentation, right at the bedside, scanning of patients and medication bar codes to prevent medication errors and for patient identification, we track patients flow from the ED to the various units via tele tracking and bed boards, we monitor patients in  and transfer data through tele monitors and masimos, we transfer, access, and receive various health records though health links without missing time to spend with the patient or to implement an intervention, as well as follow up care. All  this various task can only be accomplished with healthcare IT which helps in the delivery of quality care to our patients in a cost effective safe manner. 

 Without a standardized language, it will be impossible

   
to describe the components of the nursing care process,

    gather clinical information involved in an Administrative decision,

    support to improve patient care and safety,

     better communication among nurses and other healthcare providers,

     increased visibility of nursing interventions,

    improved patient care,

    enhance data collection to evaluate nursing care outcomes,

     greater adherence to standards of care,

    facilitate assessments competencies,

    as well as nursing research.


We need more Nurses to lead the implementation of health care QUALITY, and we need to learn to lead at the national level communicating in a standardized language. YES! Nurses do really speak IT!

                                                                    

Now this is HOT Topic




  References

 Center for Nursing Classification & Clinical Effectiveness
The University of Iowa, College of Nursing


About: This is for anyone who is interested in accelerating the measurable and continual progressing of the clinical data gathering by the use of computer and technology in Nursing IT World to improve patient safety and outcome.


Rules: I enjoy hearing feedback, but please stay respectful and on topic. Thank you.




73 comments:

  1. Nice start Lovelace. Be sure to submit the link in the classroom and be sure to keep all blog posts in this one blog. This blog is for all the blog posts due in the next four weeks.

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  3. Wow, great piece! One thing for sure, now I know some nursing lingo!

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    1. Thank you sis, I am still learning as well. Once again, thank you.

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  4. Thank you, so much Jackie, coming from you, means a lot!

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  5. Awesome.Good job.I am proud of you sis

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  6. This is very well said and is needed for long term learning in the nursing field! Keep it coming!❤

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    1. Thank you so much! It is important to have Standardization.

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  9. Great piece,Lovelace. This is a very important reminder to all nurses and future nurses as well. Communication is always the key especially in the field of nursing. Thank u for sharing and congratulations.

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    1. Thank you! Nurses communicate to improve the care they deliver.

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  10. Great information and well written. I look forward to learning more from your posts.

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    1. Thank you! Please check the site in a week for my new post. Thank you, once again.

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  11. This is very powerful Lovelace.
    I really LOVE this! This is a must read. Continue the great job you are doing. God bless you.

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  12. Well written and very informative, Lovelace. As someone outside the medical profession I definitely learned new things about how nurses communicate! As a person with chronic health conditions it is valuable to me as a patient when there is clear communication among the medical team treating me. Thank you for all you do to improve yourself and those around you.

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    1. Thank you so much. Patient safety is a priority. Healthcare organizations are rewarded for their quality care. Quality improvement can be costly, but organizations not up to date with current CMS reforms loss money . The cost of labor is the driving force behind the need for management to evaluate their cost per unit of service; looking both at direct and indirect patient care and meeting benchmark goals. Once again, thank you, for your feedback.

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  13. A job well done Miss Quarshie, I'm impressed with your article. Great information and and well written. U I love it.

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  15. What a wonderful blog. Very informative, concise, and interesting. So proud of you Lovelace.
    -Theresa

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    1. Thank you, Mrs. Morgan! Thank you, for the encouragement. I am grateful!

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  16. A job well done Miss Quarshie, I'm impressed with your article. Great information and well written. Kudos!!

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  17. A job well done Miss Quarshie, I'm impressed with your article. Great information and well written. Kudos!!

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    1. Thank you, so much. It is my first and hoping to improve with time. Once again, thank you.

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  18. Excellent, This is a masterpiece and you hit the nail right on the head. Keep up the good work and we are learning from you as well

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  19. This is very informative and a real masterpiece. Thanks for impacting me with your know how, Lovelace. Keep the good fire burning positivity.
    Great job well done

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    1. Thank you! We nurses work hard to improve the care we deliver in a safe, cost effective way. Once again, thank you.

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  20. Great blog. It was informative and easy for non- nurses to comprehend. After reading this blog, and from personal experiences. I would agree that a standardized language should be used in healthcare, to help keep clear and concise communication between nurses to provide better care for patients. Do you think other health care professionals ( doctors and social workers) working with nurses would benefit from learning and using standardized language?

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    1. Thank you, so much my social worker! You are totally right. As part of the healthcare team, we need to collaborate with the other interdisciplinary team members in the care we deliver and without standardization, there will be confusions and break in communication. Once again, thank you for taking the time to give me a feedback.I am grateful.

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  21. Super! The Nursing Community needs something like this. Great work!

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    1. Thank you! We are using technology to make our work easy, error proof and to improve patient satisfaction. Once again, thank you.

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  22. Wooow! The content is amazing. I have learnt a lot from this blog. Keep it up

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    1. Thank you! I am so glad you learned something. Helping patient to be in charge of the care that is delivered to them by using computers and technology is what Quality care is all about. Once again, thank you.

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  23. This is extraordinary Lovelace! Good communication is the key to success. I love this blog. Thanks for the information, I am so proud of you!

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    1. Thank you, Tina! I will keep learning and growing to impact the healthcare in a positive way. Once again, I am grateful.

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  24. Hi Lovelace! This is Kristi! So I finally found a web based system that would let me comment on your blog. I had it all types out once and it didn't complete, so here we go again! I think that this is a great source of information, and that this explains a lot of what was so hard to understand in nursing school. So thank you for this! My only constructive criticism for this would be to include a real life example of how a report should be that we give on a daily basis.For example, this is patient John Doe he presented to the ER with right sided weakness and the worst headache in his life. On CT they noted a clot in the (insert brain part here) and TPA within first 30 minutes presenting to emergency room. It appeared to be working and patient now has such and such deficits. Grips are equal but right arm is uncoordinated at times. BLE are slightly weak, so he is an absolute one assist or a supervision with rolling Walker. Move onto allergies, diet, diabetic or not, dysphagia, etc etc. And end with the patients goals for the day that are attainable. Using the NIC/NOC ideas, this should make a report via nurse to nurse and nurse to doc flawless! Thank you for explaining such a hard topic to understand while I was in nursing school, great job! :)

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    1. Thank you Kristen for the feedback! I love your contribution and yes, I will try and include examples that can be real to connect to what I am trying to convey. This though is about Standardized language and its importance in healthcare IT. But I get it, I can make it more interesting, and also easy to connect. I am really grateful for your feedback and will continue to improve!Once again, thank you for your positive feedback.

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  25. Nice piece Lovelace, I never knew of these standardized terms for communication but this is good information. And Yes, communication is key!

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    1. Thank you, so much miss Mandy! Yes, communication is important. Without that, it will be difficult for nurses to communicate what they do and to transcribe that into Healthcare IT for payment purposes. Once again, thank you!

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  26. Good job my love,you really reminded all the nurses what they should be doing to increase patient safet, since it had been a challenge in decades.However, charity begins at home . You should be a role model for such a significant activity in healthcare places.The more you create awareness in patients' safety in our daily patient care , the more healthcare system in the united states , and even the whole world will have an end to sudden death in our health sethings and communities. I Cecilia Ahenkan, the best permanent charge nurse ever, strongly sude withn you that, communication is the key to open the doors of patient safety. Bravo.

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    1. Thank you, Cecilia, I am grateful. Yes, as our permanent charge nurse, you will agree that we use various forms of technology to improve our patient care and improve safety. This unfortunately will be impossible if the right language of nursing is not in place. We as nurses need to involve ourselves in research and healthcare IT to improve the quality of our patients through data collection. Once again, thank you for your feedback. I feel really blessed to be surrounded by wonderful, strong women in leadership roles creating awareness in healthcare and impacting it in the most positive way. Quality initiatives is what its all about, and technology is helping it happen. Thank you, my friend.

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  27. Great work and very informative. Standardised and quality flow of information is very critical is this field of work. Good job Lovelace!

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    1. Thank you, Christian, It is all about quality patient outcomes and we nurses work hard to meet those standards. Thank you once again friend.

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  28. Very brilliant keep up the good work

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  29. I enjoyed reading your blog. And especially liked the systematic procedure you provided on the components of the nursing care process. The video you posted was very helpful to me in understanding the differences between NIC and NOC. This is very educative! Great job done!

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    1. Thank you so much Sarah! Nurses sure follow a systematic procedure to facilitate quality patient care. The standardized language help in healthcare informatics as well, to better communicate what we do. Once again, thank your for your feedback and contribution.

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  30. Great write up and straight to the point. Better communication between nurses and patient will definitely increase trust between parties. Great job on the clarification as well.

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    1. Thank you Patrick. Forming and rapport with your patient is important in healthcare. Without trust, patient can decide to hold back and this can actually cause a breakdown in communication. How the language we speak help in terms of trust in healthcare IT is by delivery the safest care possible, and making sure we keep their information private and preserving their rights. Once again, thank you so much for your contribution.

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  31. This is so true. Standardized nursing language is so important in communicating with other nurses. It will definitely improve patient safety and satisfaction.
    Great work, Lovelace.

    -Laura

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    1. Thank you Laura, protecting patient involves research, and yes, standardization is a valuable resource to society. We nurses need to be accountable for the care we deliver and patient safety should ALWAYS be our number one priority. Thank you once again.

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  32. Lovelace you really hone in on the importance of using standardized nursing language in our everyday practice. Without communication we are unable to do our job effectively and the patient in turn suffers. Great post!!

    Sara B

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    1. Thank you so much! Communication really helps with data collection and improving the safety of our patients. Thank you so much once again.

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  33. An awesome heads up! Giving the real clue about what to expect and what not. A very great piece, Lovelace! Time well spent, knowledgeable and incredible as well... Kudos...

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    1. Thank you, Sylvia, and you are welcome! Please feel free to call me with any question that is nursing related and if it within my scope of practice, I will be glad to help. Once again, thank you so much.

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  34. Lovelace, great job on the article. knowledge is power as well as effective communication. To be a successful nurse, excellent communication skills are required. The ability to communicate and connect with patients and health care professionals can help build relationships, prevent mistakes and provide a higher level of care.
    Looking forward to more articles.

    Lady P

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    1. Thank you, lady P! Yassssss!!! Please feel free to visit my blog page for weekly updates. I am more than excited to impact my community and the healthcare as a whole with the knowledge that I have acquired in the past and the new opportunities and knowledge I am acquiring as I continue with my education. Technology is a beautiful thing, it is really what is connecting various people as well as patients, to the other part of the world, such as e health. Imagine all the things that technology enable us to achieve daily, which would have being impossible without it. Once again, thank you for your contribution.

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  35. A well structured and very informative article you wrote. You touched every aspect of communication in the work place.Good job!!

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  36. Thank you, Rudo! Coming from a Nurse Administrator means a lot to me. Once again, thank you.

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  37. Similar to nursing, pharmacy also has communication standardizations, whether established by individual institutions or the Joint commission. Your post serves as a great reminder that communication plays a vital role in all health professions.

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    1. Thank you, Dorcas. Communication is the heartbeat of healthcare. Thank you once again.

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  38. I really enjoyed reading this. It was very informative and I learned many new things. I like how the material is presented in a conversion format which is suitable for blogs (thumbs up for that!). Overall, this is great and very well structured. Good job, Lovelace

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    1. Thank you, Michelle, I am glad you enjoyed reading it. Once again, thank you.

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  39. Awesome job. Very true about the communication of nursing

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