Standardized nursing language

Abstract

Standardized nursing language (SNL) is a commonly-understood set of nursing terminologies used to communicate among nursing professions.  SNL integrates nursing diagnosis (ND), nursing outcomes (NOC) and nursing interventions classification (NIC) which involves nine sets of terminologies.  This document presents a definition of SNL and to describe how SNL are applied in the clinical area.  It includes: 1) “Nursing diagnosis” is defined as clinical judgment that patient, family or community responses to current or potential health problems such as knowledge deficit; 2) “Definition” refers to how such nursing diagnosis was identified for particular individual, family or community.  For example, deficient knowledge related to self-care; 3) “Defining Characteristics” refers to specific characteristics expressed by individuals such as improper practices; 4) “Related factors” for knowledge depletion involves with ignorance and impairment of memory; 5) “Assessment focus” can be done by gathering related information from patients and families such as clinical examination, laboratory, and special tests and investigations;           6) “Expected outcomes” for patient presents with lower activity tolerance is to increase oxygen saturation during general activities of daily living; 7) “Suggested nursing outcomes” for fear of death is to motivate patient to admit with current health status; 8) “Intervention and Rationales” refer to nursing interventions that are well-planed according to the patients’ nursing diagnosis; and 9) “Suggested nursing interventions” for fear of death is to identify the patients’ experiences by pay attention on what the patients talk, intently promotion of family involvement and pain management.