Chapter 7 by Nicholas Hardiker Developing Standardized Terminologies

Chapter 7 by Nicholas Hardiker Developing Standardized Terminologies in Nursing Informatics

Objectives • Explore the need and motivation behind the development of standardized terminologies for nursing. • Describe the different approaches to terminology development. • Assess initiatives seeking to exploit commonalities among terminologies and to ensure appropriate implementation and consistent use.

Key Terms Defined • • • Accessibility Archetype Conformance Enumerative Approach Longevity

Key Terms Defined • • • Model of Terminology Use Monolithic Nonconformance Nursing Terminology Ontological Approach

Key Terms Defined • Ontology • Reusability • Standardized Nursing Terminology • Terminology • Ubiquity

Standardized Nursing Terminologies • • What is nursing terminology? Types of nursing terminologies What do nursing terminologies allow? What is a standardized nursing terminology?

Standardized Nursing Terminologies • What do data element sets provide? • What is a benefit of standardized nursing terminology?

Approaches to Nursing Terminology • The evolution of nursing terminologies • What has facilitated this evolution?

Enumerative Approach • The enumerative approach • NANDA • What makes each nursing diagnosis unique?

Ontological Approach • What is the ontological approach? • ICNP® • The compositional nature of the ICNP®

Exploiting Commonality Among Nursing Terminologies • Differences between standardized nursing terminologies • Two standard models

Utilizing Nursing Terminologies • The complexity of standardized nursing terminologies • Terminologies are essential • Models of terminology • What a terminology or ontology describes

Utilizing Nursing Terminologies • What does a model of terminology achieve? • Standardized nursing terminology, but not standardized models • What is an archetype? • What do archetypes provide?

Thought Provoking Questions 1. What to you believe are the advantages and disadvantages of having a single shared consensus-driven model of terminology use? 2. How can a single agreed model of terminology use (with linkages to a single terminology) help to integrate knowledge into routine clinical practice?