Virtual Learning Environments
Online learning is considered a virtual learning environment (VLE); however there are other types of VLE that you may have used or heard about. Please discuss one of the following VLE’s and your experience with using it:
• Virtual simulation
• Edutainment
• Three dimensional virtual environment or world
• Augmented-reality games (ARGs)
• Virtual Reality devices
Then discuss how you, as the advanced practice nurse, would use this in your practice.
his week, we look at standardized terminologies that can be used to support nursing in different practice venues. While there are many different standardized terminologies, nomenclatures, and languages, our focus here is on nursing languages inclusive of purpose, process, characteristics, benefits, integration into information systems, and the role of the master’s-prepared nurse in the adoption and use of standardized terminologies.
Outcomes
Explore the roles, competencies and skills, including cultural humility, associated with nursing informatics while collaborating as part of the healthcare team. (PO 3, 5)
Weekly Objectives
• Support role expectations for the master’s-prepared nurse.
• Develop strategies to improve informatics competencies among nurses and other healthcare professionals.
• Explore the concept of nurses as knowledge worker.
• Appraise expected informatics competencies for the master’s-prepared nurse.
• Examine the relationship between work that nurses perform and transformation of healthcare delivery.
Explore trends and issues in NI and their impact on nursing practice in all domains, including cultural humility and person-centered care. (PO1, 3)
Weekly Objectives
• Discuss the application of informatics skills in practice.
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Standardized Terminologies (ST) in Practice
Table of Contents
Introduction
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Get Help Now!Standardized terminologies (STs) contribute to the development of knowledge because they ensure that all nurses share the same understanding or meaning of a given concept, ensuring that everyone is on “the same page.” This clarifies communication, facilitates research, provides structure for decision support tools and EHRs. As you look at the Foundation of Knowledge model, STs support knowledge acquisition, dissemination, generation, and processing. Now let’s discuss what “makes” a ST, some current STs, benefits of adoption and use, the process for acceptance and of revision of STs, associated issues, and your role in adopting and using STs.
Background
STs are structured, controlled languages developed to represent concepts in a given domain in a clear, unambiguous fashion that conveys the exact same meaning for data, information, and knowledge across settings, regions, and even different countries. This consistency affords access to information and knowledge when it is needed without regard to the current model or period of care. STs are key to the development of an EHR in order to represent, communicate, exchange, reuse, and report data, information, and knowledge, including Meaningful Use criteria (Matney & Lundberg, 2013). In addition to vocabularies, terminology standards also include nomenclatures, classification systems, data sets, and code sets. Each will be discussed briefly.
While your initial response may be that you never knew that there were standardized languages,think again. Remember those nursing care-planning books that listed nursing diagnoses and defining cues? Those books were based on NANDA, which originally stood for both the organization entitled North American Nursing Diagnosis Association and the terminology of the same name— the first ST recognized by the American Nurses Association.
Defining Characteristics
Guidelines for the development of standard terminologies were established during the late 1990s and remain in use today (Cimino as cited in Matney & Lundberg, 2013). Cimino’s guidelines included 12 items. Guidelines addressed aspects that include content, concepts, identification of concepts, hierarchy, relationships, and formal definitions. Terminologies are based upon concepts rather than terms and allow for growth over time. Also, once concepts enter a terminology, they should not be deleted or reused. While a concept has a single unambiguous meaning, it can have one or more representations or synonyms. Each concept has a unique identifier known as a code, which is made of alphanumeric characters. The code supports tracking data for various purposes, including evidence-based practice, decision support, and reports.
Current Terminologies and Language
Despite the intent of STs to represent concepts in a clear, unambiguous fashion, the numbers and different types of terms used to discuss STs can be confusing initially. Some of these terms include the following.
• Nomenclature refers to a system of rules and procedures for adding names used in an art or science, such as nursing.
• Classification systems that capture categories, which are then used to determine costs or outcomes but are insufficient in detail for clinical documentation purposes.
• Taxonomy, which uses classification according to a predetermined system, with the resulting catalog used to provide a conceptual framework for discussion, analysis, or information retrieval.
• Data set, which refers to a named collection of data consisting of individual information organized in a prescribed fashion.
As you might guess, the terms nomenclature, classification, and taxonomy are sometimes used interchangeably.
The American Nurses Association currently recognizes 12 nursing languages.
Some of these languages are considered multidisciplinary in nature.
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