• Review this week’s Learning Resources focusing on the significance of standardized terminologies in health care settings. Consider how standardized terminologies are important in the development and use of databases and clinical information systems.
• Explore the websites of major health care organizations to determine their recommendations on acceptable standardized terminologies.
• Determine the standardized terminologies currently used by your health care organization (or one with which you are familiar).
• Consider the standard terminologies (recommended by a major medical organization or based on your experiences) you would like to see incorporated into your organization’s databases and clinical information systems. What would be the benefit of using these particular standards? How might this impact the quality of the information retrieved from databases within your organization?

THEN

Post a description of at least one standardized terminology that is recommended by a major health care organization. Assess how or if this terminology is incorporated into your organization’s databases and clinical information systems. Identify at least one additional standardized terminology you would like to see incorporated into the organization’s databases. Analyze the importance of incorporating this terminology and how this could impact the quality of the data retrieved from the databases. Justify your response.
Use these references:
http://library.ahima.org/doc?oid=92186
Dontje, K., & Coenen, A. (2011). Mapping evidence-based guidelines to standardized nursing terminologies. Computers, Informatics, Nursing, 29(12), 698–705.

Hayrinen, K., Lammintakanen, J., & Saranto, K. (2009). Evaluation of electronic nursing documentation—nursing process model and standardized terminologies as keys to visible and transparent nursing. International Journal of Medical Informatics, 79(8), 554–564.

Thoroddsen, A., Ehnfors, M., & Ehrenberg, A. (2011). Content and completeness of care plans after implementation of standardized nursing terminologies and computerized records. Computers, Informatics, Nursing, 29(10), 599–607.
Frisher, M., Short, D., & Bashford, J. (2010). Determining patient characteristics for decision analysis support systems using anonymized electronic patient records. Health Informatics Journal, 16(1), 49–57.

Huryk, L. A. (2012). Information systems and decision support systems. American Journal of Nursing, 112(1), 62–65.

1. Select a Grand or Mid-Range Theory that is appropriate to your practice setting.
2. Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.
3. Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
4. Identify the phenomenon of concern or problems addressed by the theory.

Theory Description

1. Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.
2. Describe the major concepts of the theory. How are they defined? (theoretically and/or operationally) Is the author consistent in the use of the concepts and other terms in the theory?
3. Interpret how the concepts are defined. Implicitly or explicitly?
4. Examine the relationships (propositions) among the major concepts.

Evaluation

1. Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
2. Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
3. Discuss the clarity of the theory. Did it have lucidness and consistency?

Application

1. Examine how the theory would guide nursing actions.
2. Describe specifically how you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).