Abstract:

The Standardized Nursing Languages (SNLs) is a new innovation in nursing which is aimed at improving the standard of nursing practice and the professionalism of Nursing. This study was carried out to know the level of knowledge and utilization of Standardized Nursing languages among nurses at the Federal Medical centre Owo. It was aimed at identifying nurses familiarity with the Language, their level of knowledge, use in patient care and also to identify the possible barriers that might prevent the use of the Language in Practice. The use of SNLs is still not gaining popularity among nurses in this tertiary institution, despite its formal introduction to Nigeria since 2010, hence the need for this research work.

A descriptive/correlational design was employed using a self-structured questionnaire. A sample size of 250 nurses was targeted and sampled using a non-probability technique. The data was entered using the SPSS software and analysis done using tables of frequency and percentage, mean and standard deviation, chi test, Pearson correlation where necessary.

Result showed that nurses have a poor knowledge of SNLs. They are mostly familiar with NANDA. The major method of documentation was paper as they have no computer system in their unit. 54% of respondents use SNLs at work most of which are not correct based on the responses given. Correlation showed that there is no significant difference between years of experience, qualification of nurses and their knowledge of SNLs. (p>0.05). The major challenges identified by the respondents include poor knowledge of the language, lack of basic amenities, poor policy, inefficient continuous education, shortage of manpower.

High quality nursing documentation promotes effective communication in the healthcare team, which facilitates continuity and individuality of care. The use of SNLs promotes quality nursing documentation and enhances the visibility of the contribution of nursing to patient care.

Keywords: Standardized Nursing Languages, Knowledge, Practice, NANDA-I, NIC, NOC.

References:

[1]. Abraham Ajayi, Richard Adeola, Okpe Daniel, Nanbu Stephen, Nanle Gusen, Ajayi A, Adeola (2015): Knowledge And Utilization Of Standardized Nursing Language Among Nurses In Jos University Teaching Hospital Plateau State, Nigeria. International Professional Nursing Journal and Research. 2015 Sep 18 [Last Modified: 2015 Nov 18]. Edition 1. Doi: 10.001/26ae0c1f377469682e0e989cdae2e6dc.

[2]. Erdemir F, Altun E. (2003): Nursing students’ self-assessments and opinions about using nursing diagnosis in clinical practice. International Journal of Nursing Terminology Classification.

[3]. Everett M. Rogers (2003): Diffusion of Innovations, Fifth Edition, Free Press, New York, p221.

[4]. Hebda, Toni lee; czar, Patricia (2013): handbook of informatics for nurses & healthcare professionals, 5th edition, © 2013. Reprinted by permission of Pearson education, inc., upper saddle river, nj.

[5]. John, M. E. (2010): Innovations in nursing education and practice (Standardized nursing languages. A paper presented during 2-day scientific conference on innovation and change. Organized by FAME, West African College of Nursing on 18^th – 20^th May, 2010, at College of Health Technology, Calabar, Cross River State.

[6]. Johnson, M., Bulechek, G., Butcher, H., Dochterman, J. M., Maas, M., Moorhead, S., & Swanson, E. (2006): NANDA, NOC and NIC Linkages. (2^nd ed.), St. Louis, Missouri: Mosby, Inc.

[7]. Jones, D., Lunney, M., Keenan, G., & Moorehead, S. (2010). Standardized nursing languages: Essential for the nursing work force. Annual Review of Nursing Research, 28(1), 253‐294.

[8]. Kaminski, J. (Spring 2011).Diffusion of Innovation Theory Canadian Journal of Nursing Informatics, 6(2). Theory in Nursing Informatics Column. http://cjni.net/journal/?p=1444.

[9]. Keenan, G. (1999): Use of standardized nursing language will make nursing visible. Michigan Nurse, 72(2), 12-13.

[10].  Kennedy, R. (2003). The nursing shortage and the role of technology. Nursing Outlook, 51(3), S33-34.

[11].  Klehr J, Hafner J, Spelz L M, Steen S., Weaver K(2009): Implementation of Standardized Nomenclature in the electronic Medical Record. International Journal of Nursing Classification. 2990 Oct-Dec 20(4) 160-80. Doi. 10.1111/j.1744-618.2009.01.132.x.

[12].  Korst LM, Eusebio-Angeja AC, Chamorro T, et al. (2003): Nursing documentation time during implementation of an electronic medical record. J Nurs Adm 2003; 33(1):24-30.

[13].  Language for clinical reasoning with the Outcome-Present State-Test (OPT) Model. International Journal of Nursing Terminologies and Classifications, 17, 129-138. DOI: 10.1111/j.1744-618X.2006.00033.x.

[14].  Lee, E., Park, H., Nam, M., & Whyte, J. (2011). Identification and comparison of interventions performed by Korean school nurses and U.S. school nurses using the nursing interventions classification (NIC). Journal of School Nursing, 27 (2), 93‐101. doi: 10.1177/1059840510391095.

[15].  Moss J, Damrongsak M, Gallichio K. (2005): Representing critical care data using the clinical care classification. AMIA Annual Symposium Proceedings. 2005:545–549.

[16].  Müller-Staub, M., Needham, I., Odenbreit, M., Lavin, M.A., &van Achterberg, T. (2007). Improved quality of nursing documentation: Results of a nursing diagnoses, interventions and outcome implementation study. International Journal of Nursing Terminologies and Classifications, 18, 5–17.

[17].  NANDA International. (2012). nursing diagnosis: Definitions and classification, 2012-2014. Oxford: Whiley-Blackwell.

[18].  National Institute of Medicine (IOM), Robert Wood Johnson Foundation. (2010). the future of nursing: Leading change, advancing health. Washington, D.C.: The National Academies Press.

[19].  Olaogun, A., Oginni, M., Oyedeji, T. A., Nnahiwe, B., and Olatubi, I., ( 2011) Assessing the Use of the NANDA- International Nursing Diagnoses at the Obafemi Awolowo University Teaching Hospital Ile Ife, Nigeria. International Journal of Nursing Terminologies and Classifications. Vol 22(4). Oct- Dec pp 157-161.

[20].  Pearson, A. (2003). The role of documentation in making nursing work visible. International Journal of Nursing Practice, 9(5), 271.

[21].  Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. J Am Med Inform Assoc 2005; 12:505.

[22].  Rogers, E. M. (2003). Diffusion of innovations (5th ed). New York: Free Press.

[23].  Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? The Online Journal of Issues in Nursing, 13. doi: 10.3912/OJIN.Vol13No01PPT05.

[24].  Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, OJIN: 13 (1) retrieved 23/11/2011 from http://www.nursingworld.org.

[25].  Sani S, Sani AM. (2015): Relationship between knowledge of standardized nursing language and working experience among nurses in Sokoto, Nigeria. International Journal of Science Resources 2015 .4(2):1008–10.

[26].  Sani S, Sani AM. (2015): Nurses attitude and barriers towards utilization of Standardized Nursing Languages in Sokoto State Nigeria. Asian Journal of Medicine and health, 2(2): 1-6, 2017; Article no. AJMAH.29433.

[27].  Schwirian, P., Thede, L., (May 21, 2012) "Informatics: The Standardized Nursing Terminologies: A National Survey of Nurses’ Experience and Attitudes—SURVEY II Participants, Familiarity and Information Sources" OJIN: The Online Journal of Issues in Nursing Vol. 17 No. 2.2.

[28].  Smith K, Smith V, Krugman M, et al. evaluating the impact of computerized clinical documentation. Comput Inform Nurs 2005; 23 (3):132-8.

[29].  World Health Organization (2007). Communication during Patient Hand-Over, Patient Safety Solutions, 1 (3) Solution.pdf accessed: 01 June 2010.