Determining awareness of and readiness for standardized nursing languages in a mid-level midwestern hospital and associated school of nursing.

IF 1.4 4区 医学 Q3 NURSING
Cheryl Wagner, Karen Cummins, Megan Dean
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引用次数: 0

Abstract

Purpose: The purpose of this study was to examine knowledge, attitude, and barriers toward care planning documentation practices with standardized nursing languages (SNLs) of nurses and nursing students at a midwestern healthcare system, comparing student and nurse responses.

Methods: Cross-sectional surveys were given over a 2-month period with nurses and nursing students at different sites in a midwestern healthcare system, using convenience sampling. The Knowledge, Attitude, and Barriers to Using Standardized Nursing Languages and Current Practices Survey was adapted for use and re-tested for validity/reliability (Content Validity Index 0.81-1.00; Cronbach alpha = 0.82-0.99) with 28 Likert scale items measuring knowledge, attitude, and barriers. Descriptive statistics, composite scores, correlations, t-tests, and multiple regression were used to analyze the concepts of the tool.

Findings: 134/400 RNs responded (34%); 109/116 students responded (93.9%). Data analyses indicate adequate to superior levels of knowledge related to SNLs and NANDA International, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC), collectively referred to as NNN (NANDA, NIC, & NOC), positive attitudes toward SNLs/NNN and for adopting SNLs/NNN into documentation practices, but moderate to great barriers for implementation in practice. Barriers included lack of financial resources for change, lack of mentors, and lack of mandates to use SNLs. Students scored significantly higher than nurses in attitude only.

Conclusions: Perceptions of nurses and student nurses for current documentation indicate awareness of inadequacy in existing systems and willingness to change existing systems for standardized languages, with perceived barriers to change/implementation of SNLs. Students were more positive about SNLs than nurses.

Implications for nursing practice: Major implications for nursing are to reevaluate electronic documentation systems and determine how to insert and easily apply SNLs in these systems, such that nursing care documentation is standardized, interoperable, effective, time-saving, and attainable.

确定一家中西部中级医院和相关护理学校对标准化护理语言的认识和准备情况。
目的:本研究旨在考察中西部医疗保健系统的护士和护理专业学生对使用标准化护理语言(SNLs)进行护理计划文件记录的知识、态度和障碍,并比较学生和护士的回答:方法:采用便利抽样法,对中西部医疗保健系统不同地点的护士和护理专业学生进行了为期 2 个月的横断面调查。对使用标准化护理语言的知识、态度和障碍以及当前做法调查进行了改编,并对其有效性/可靠性进行了重新测试(内容有效性指数为 0.81-1.00;Cronbach alpha = 0.82-0.99),其中有 28 个李克特量表项目用于测量知识、态度和障碍。使用描述性统计、综合得分、相关性、t 检验和多元回归来分析工具的概念:134/400 名护士作了回答(34%);109/116 名学生作了回答(93.9%)。数据分析显示,护士对 SNLs 和 NANDA 国际、护理干预分类(NIC)以及护理结果分类(NOC)(统称为 NNN(NANDA、NIC 和 NOC))的相关知识有足够到较高的了解,对 SNLs/NNN 以及将 SNLs/NNN 纳入文件记录实践持积极态度,但在实践中实施 SNLs/NNN 存在中度到严重障碍。障碍包括缺乏变革所需的财政资源、缺乏导师以及缺乏使用 SNL 的授权。仅在态度方面,学生的得分明显高于护士:护士和护士学生对当前文件的看法表明,他们意识到现有系统的不足,并愿意改变现有系统,使用标准化语言,同时也意识到改变/实施 SNL 的障碍。与护士相比,学生对标准化语言的态度更为积极:对护理实践的启示:对护理实践的主要启示是重新评估电子文档系统,确定如何在这些系统中插入并轻松应用 SNL,从而使护理文档标准化、可互操作、有效、省时且可实现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.90
自引率
14.30%
发文量
47
审稿时长
>12 weeks
期刊介绍: The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge. The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages. The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy. The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.
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