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Pages:
1 page/≈275 words
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2 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
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MS Word
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Standarderized Coding Systems Research Assignment

Essay Instructions:

Discussion: Standardized Coding Systems
As a result of the fragmented nature of the health care system, professionals in various specialty areas of medicine have developed their own unique sets of terminology to communicate within that specialty. In the past, limited attention has been given to codifying practices in order for them to be understood and utilized across disciplines or through different information technology systems. The implementation of a federally mandated electronic medical records system, therefore, poses a challenge to nursing professionals and others who must be prepared to utilize standardized codes for the new system. Why are coding standards important for promoting consistent, high-quality care?
According to Rutherford (2008, para. 15), “Improved communication with other nurses, health care professionals, and administrators of the institution in which nurses work is a key benefit of using a standardized nursing language.” In this Discussion you consider the reasoning behind and the value of standardized codification.
To prepare
•Review the information in Nursing Informatics: Scope and Standards of Practice. Determine which set of terminologies are appropriate for your specialty or area of expertise.
•Reflect on the importance of continuity in terminology and coding systems.
•In the article, “Standardized Nursing Language: What Does It Mean for Nursing Practice?” the author recounts a visit to a local hospital to view its implementation of a new coding system. One of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1). Consider how you would inform this nurse (and others like her) of the importance of standardized nursing terminologies.
•Reflect on the value of using a standard language in nursing practice. Consider if standardization can be limited to a specialty area or if one standard language is needed across all nursing practice. Then, identify examples of standardization in your own specialty or area of expertise. Conduct additional research using the Walden Library that supports your thoughts on standardization of nursing terminology. 

Essay Sample Content Preview:

STANDARDIZED CODING SYSTEMS
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According to Parker and Seagondollar (2013), the set terminologies for an entry-level informatics nurse are (i) The North American Nursing Diagnosis Association – International (NANDA – I), (ii) The Nursing Interventions Classification (NIC), and (iii) The Nursing Outcomes Classification terminologies. These terminologies form the basis of an informatics nurse as well as an informatics specialist nurse.
The relevance and importance of continuity in terminologies and coding systems is because of their usefulness in the specialties they aim to serve. For example, the NNN (NANDA – I; NIC; and NOC) terminologies address tasks to do with planning care, generating appropriate interventions and also generating appropriate outcomes. This way, the continuity of these terminologies and coding systems is helpful in effectively addressing challenges that are evident in every sector of the healthcare system.
A standardized nursing terminology and coding system is useful to nurses in providing them with a “common mea...
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