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Lee JS, Shin JH, Jung SO. Effectiveness of educational video on standardized nursing language for nursing home nurses. Int J Nurs Educ Scholarsh 2023; 20:ijnes-2023-0111. [PMID: 39043616 DOI: 10.1515/ijnes-2023-0111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Accepted: 06/04/2024] [Indexed: 07/25/2024]
Abstract
OBJECTIVES Developing nursing plans using standardized taxonomy offers for a better understanding of how nursing abilities affect the achievement of better levels of outcomes for NH residents. This study aimed to investigate the effectiveness of an educational video on standardized nursing languages (SNLs) developed for nursing home nurses. METHODS We used a single group pre-post study design. We collected presurvey data from April 25 to June 22, 2022 and postsurvey data from May 23 to July 18, 2022. Sixteen nursing homes (NHs) participated in this study. We collected data on nurses' knowledge, perceptions, and attitudes towards SNLs and the evidence-based nursing practice self-efficacy. Analysis was conducted utilizing the McNemar test. RESULTS The educational video about standardized nursing languages were provided to 31 registered nurses (RNs) from 16 NHs in Korea. Knowledge about the definition of SNLs and the benefits of their utilization improved after watching educational video. CONCLUSIONS Study findings support the effectiveness of educational videos on SNLs in increasing knowledge of SNLs, as well as confidence in the profession. To support NH nurses' professional development, ongoing SNL-focused education and research on innovative training methods like videos are recommended. IMPLICATION FOR AN INTERNATIONAL AUDIENCE Developing nursing plans using a common, standardized taxonomy offers a good chance to more clearly observe how nursing abilities affect the achievement of better levels of health and wellbeing. Education using audiovisual materials may help NH RNs learn how to utilize SNLs and may further enhance the development of SNL through periodic, long-term education and SNL-based nursing practice.
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Affiliation(s)
| | - Juh Hyun Shin
- School of Nursing, The George Washington University, Washington, DC, USA
| | - Sun Ok Jung
- Division of Nursing, 26717 Ewha Womans University , Seoul, South Korea
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Fennelly O, Grogan L, Reed A, Hardiker NR. Use of standardized terminologies in clinical practice: A scoping review. Int J Med Inform 2021; 149:104431. [PMID: 33713915 DOI: 10.1016/j.ijmedinf.2021.104431] [Citation(s) in RCA: 39] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 01/20/2021] [Accepted: 02/19/2021] [Indexed: 12/13/2022]
Abstract
AIM To explore the use and impact of standardized terminologies (STs) within nursing and midwifery practice. INTRODUCTION The standardization of clinical documentation creates a potential to optimize patient care and safety. Nurses and midwives, who represent the largest proportion of the healthcare workforce worldwide, have been using nursing-specific and multidisciplinary STs within electronic health records (EHRs) for decades. However, little is known regarding ST use and impact within clinical practice. METHODS A scoping review of the literature was conducted (2019) across PubMed, CINAHL, Embase and CENTRAL in collaboration with the Five Country Nursing and Midwifery Digital Leadership Group (DLG). Identified studies (n = 3547) were reviewed against a number of agreed criterion, and data were extracted from included studies. Studies were categorized and findings were reviewed by the DLG. RESULTS One hundred and eighty three studies met the inclusion criteria. These were conducted across 25 different countries and in various healthcare settings, utilising mainly nursing-specific (most commonly NANDA-I, NIC, NOC and the Omaha System) and less frequently local, multidisciplinary or medical STs (e.g., ICD). Within the studies, STs were evaluated in terms of Measurement properties, Usability, Documentation quality, Patient care, Knowledge generation, and Education (pre and post registration). As well as the ST content, the impact of the ST on practice depended on the healthcare setting, patient cohort, nursing experience, provision of education and support in using the ST, and usability of EHRs. CONCLUSION Employment of STs in clinical practice has the capability to improve communication, quality of care and interoperability, as well as facilitate value-based healthcare and knowledge generation. However, employment of several different STs and study heterogeneity renders it difficult to aggregate and generalize findings.
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Affiliation(s)
- Orna Fennelly
- Insight Centre for Data Analytics, University College Dublin, Ireland; School of Public Health, Physiotherapy and Sports Science, University College Dublin, Ireland.
| | - Loretto Grogan
- Office of the Nursing and Midwifery Services Director, Health Service Executive (HSE), Ireland.
| | - Angela Reed
- Northern Ireland Practice & Education Council for Nursing and Midwifery, Northern Ireland.
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Spaide RF, Jaffe GJ, Sarraf D, Freund KB, Sadda SR, Staurenghi G, Waheed NK, Chakravarthy U, Rosenfeld PJ, Holz FG, Souied EH, Cohen SY, Querques G, Ohno-Matsui K, Boyer D, Gaudric A, Blodi B, Baumal CR, Li X, Coscas GJ, Brucker A, Singerman L, Luthert P, Schmitz-Valckenberg S, Schmidt-Erfurth U, Grossniklaus HE, Wilson DJ, Guymer R, Yannuzzi LA, Chew EY, Csaky K, Monés JM, Pauleikhoff D, Tadayoni R, Fujimoto J. Consensus Nomenclature for Reporting Neovascular Age-Related Macular Degeneration Data: Consensus on Neovascular Age-Related Macular Degeneration Nomenclature Study Group. Ophthalmology 2019; 127:616-636. [PMID: 31864668 DOI: 10.1016/j.ophtha.2019.11.004] [Citation(s) in RCA: 424] [Impact Index Per Article: 84.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Revised: 11/03/2019] [Accepted: 11/06/2019] [Indexed: 12/30/2022] Open
Abstract
PURPOSE To establish a process to evaluate and standardize a state-of-the-art nomenclature for reporting neovascular age-related macular degeneration (AMD) data. DESIGN Consensus meeting. PARTICIPANTS An international panel of retina specialists, imaging and image reading center experts, and ocular pathologists. METHODS During several meetings organized under the auspices of the Macula Society, an international study group discussed and codified a set nomenclature framework for classifying the subtypes of neovascular AMD and associated lesion components. MAIN OUTCOME MEASURES A consensus classification of neovascular AMD. RESULTS The study group created a standardized working definition of AMD. The components of neovascular AMD were defined and subclassified. Disease consequences of macular neovascularization were delineated. CONCLUSIONS The framework of a consensus nomenclature system, a definition of AMD, and a delineation of the subtypes of neovascular AMD were developed. Establishing a uniform set of definitions will facilitate comparison of diverse patient groups and different studies. The framework presented is modified and updated readily, processes that are anticipated to occur on a periodic basis. The study group suggests that the consensus standards outlined in this article be used in future reported studies of neovascular AMD and clinical practice.
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Affiliation(s)
- Richard F Spaide
- Vitreous Retina Macula Consultants of New York, New York, New York.
| | - Glenn J Jaffe
- Department of Ophthalmology, Duke University, Durham, North Carolina
| | - David Sarraf
- Doheny Eye Institute, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, California
| | - K Bailey Freund
- Vitreous Retina Macula Consultants of New York, New York, New York
| | - Srinivas R Sadda
- Doheny Eye Institute, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, California
| | | | - Nadia K Waheed
- New England Eye Center, Tufts University, Boston, Massachusetts
| | - Usha Chakravarthy
- Center for Public Health, The Queen's University of Belfast, Belfast, United Kingdom
| | - Philip J Rosenfeld
- Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida
| | - Frank G Holz
- Department of Ophthalmology, University of Bonn, Bonn, Germany
| | - Eric H Souied
- Department of Ophthalmology, Université Paris-Est Créteil, Paris, France
| | | | - Giuseppe Querques
- IRCCS San Raffaele Hospital, University Vita-Salute San Raffele, Milan, Italy
| | - Kyoko Ohno-Matsui
- Department of Ophthalmology, Tokyo Medical and Dental University, Tokyo, Japan
| | - David Boyer
- Retina-Vitreous Associates Medical Group, Los Angeles, California
| | - Alain Gaudric
- Department of Ophthalmology, Hôpital Lariboisière, AP-HP, Université de Paris, Paris, France
| | - Barbara Blodi
- Department of Ophthalmology and Visual Sciences, Fundus Photograph Reading Center, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
| | | | - Xiaoxin Li
- Department of Ophthalmology, People's Eye Center of People's Hospital of Beijing University, Beijing, China
| | - Gabriel J Coscas
- Department of Ophthalmology, University of Paris XII, Paris, France
| | - Alexander Brucker
- Department of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Lawrence Singerman
- Department of Ophthalmology, Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Phil Luthert
- Institute of Ophthalmology, University College London, London, United Kingdom
| | | | | | | | | | - Robyn Guymer
- Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, Department of Surgery (Ophthalmology), University of Melbourne, Melbourne, Australia
| | | | - Emily Y Chew
- National Eye Institute, National Institutes of Health, Bethesda, Maryland
| | | | - Jordi M Monés
- Institut de la Màcula and Barcelona Macula Foundation, Barcelona, Spain
| | | | - Ramin Tadayoni
- Department of Ophthalmology, Hôpital Lariboisière, AP-HP, Université de Paris, Paris, France
| | - James Fujimoto
- Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, Massachusetts
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Castellà-Creus M, Delgado-Hito P, Casanovas-Cuellar C, Tàpia-Pérez M, Juvé-Udina ME. Barriers and facilitators involved in standardised care plan individualisation process in acute hospitalisation wards: A grounded theory approach. J Clin Nurs 2019; 28:4606-4620. [PMID: 31512328 DOI: 10.1111/jocn.15059] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2019] [Revised: 07/07/2019] [Accepted: 08/18/2019] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To identify and classify the barriers and facilitators of the individualisation process of the standardised care plan in hospitalisation wards. BACKGROUND The administration of individualised care is one of the features of the nursing process. Care plans are the structured record of the diagnosis, planning and evaluation stages of the nursing process. Although the creation of standardised care plan has made recording easier, it is still necessary to record the individualisation of the care. It is important to study the elements that influence the individualisation process from the nurses' perspective. DESIGN Qualitative study with the grounded theory approach developed by Strauss and Corbin. METHODS Thirty-nine nurses from three hospitals participated by way of theoretical sampling. In-depth interviews were conducted, as well as participant observation, document analysis and focus group discussion. The analysis consisted of open, axial and selective coding until data saturation was reached. EQUATOR guidelines for qualitative research (COREQ) were applied. RESULTS For both barriers and facilitators, three thematic categories emerged related to organisational, professional and individual aspects. The identified barriers included routines acquired in the wards, the tradition of narrative records, lack of knowledge and limited interest in individualisation. The identified facilitators included holding clinical care sessions, use of standardised care plan and an interface terminology, the nurse's expertise and willingness to individualise. CONCLUSION The individualisation process of the standardised care plan involves multiple barriers and facilitators, which influence its degree of accuracy. RELEVANCE TO CLINICAL PRACTICE Implementing strategies at an organisational level, professional level and individual level to improve the way the process is carried out would encourage individualising the standardised care plan in a manner that is consistent with the needs of the patient and family; it would improve the quality of care and patient satisfaction.
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Affiliation(s)
- Mònica Castellà-Creus
- Doctoral Program in Nursing and Health, University of Barcelona, Barcelona, Spain.,Institute of Bellvitge Biomedical Research (IDIBELL), L'Hospitalet de Llobregat, Spain
| | - Pilar Delgado-Hito
- Institute of Bellvitge Biomedical Research (IDIBELL), L'Hospitalet de Llobregat, Spain.,Department of Fundamental Care and Medical-Surgical Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
| | - Cristina Casanovas-Cuellar
- Department of Research and Training, Catalan Institute of Health, Hospital Universitari Germans Trias i Pujol, Badalona, Spain
| | - Marta Tàpia-Pérez
- Department of Health Information Systems, Catalan Institute of Health, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Spain
| | - Maria-Eulàlia Juvé-Udina
- Institute of Bellvitge Biomedical Research (IDIBELL), L'Hospitalet de Llobregat, Spain.,Department of Fundamental Care and Medical-Surgical Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
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Castellà-Creus M, Delgado-Hito P, Andrés-Martínez I, Juvé-Udina ME. Individualization process of the standardized care plan in acute care hospitalization units: Study protocol. J Adv Nurs 2018; 75:197-204. [PMID: 30109730 DOI: 10.1111/jan.13823] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 07/09/2018] [Indexed: 11/28/2022]
Abstract
AIM To understand the individualization process of the standardized care plan (SCP) that nurses design for hospitalized patients. BACKGROUND To apply the nursing process, it is advisable to use SCP to standardize the diagnosis, planning and evaluation stages. However, the fundamental element of this methodology is the individualization of the care plan. DESIGN A qualitative study, framed within the constructivist paradigm and applying the Grounded Theory method, in accordance with Strauss and Corbin's approach. METHODS Multicentre study. Theoretical sampling with maximum variation will be used. The data collection will consist of: in-depth individual interviews, participant observation, document analysis, focus group, and the questionnaires for Critical Thinking Assessment in relation to clinical practice and Nursing Competency Assessment for hospital nurses. The qualitative data will be analysed according to the constant comparative method of Strauss and Corbin's Grounded Theory, which involves performing open, axial and selective coding. The questionnaire results will be used to make a qualitative analysis that will consist of a triangulation between the level of critical thinking, level of expertise and record of the individualization process performed by the nurses. This protocol was approved in July 2015. DISCUSSION By knowing the possible stages used in the individualization of a SCP, together with the elements that facilitate or hinder said individualization and nurses' attitudes and experiences regarding this phenomenon, it could help direct improvement strategies in the standardization and individualization process. In addition to recommendations for teaching and research.
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Affiliation(s)
- Mònica Castellà-Creus
- Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Catalonia, Spain.,Institute of Bellvitge Biomedical Research (IDIBELL), L'Hospitalet de Llobregat, Catalonia, Spain
| | - Pilar Delgado-Hito
- Institute of Bellvitge Biomedical Research (IDIBELL), L'Hospitalet de Llobregat, Catalonia, Spain.,Department of Fundamental Care and Medical-Surgical Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Catalonia, Spain
| | - Isabel Andrés-Martínez
- Department of Nursing Management, Hospital Universitari Germans Trias i Pujol, Catalan Institute of Health, Badalona, Catalonia, Spain
| | - Maria-Eulàlia Juvé-Udina
- Institute of Bellvitge Biomedical Research (IDIBELL), L'Hospitalet de Llobregat, Catalonia, Spain.,Department of Fundamental Care and Medical-Surgical Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Catalonia, Spain
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