Toward Improving Quality of End‐of‐Life Care: Encoding Clinical Guidelines and Standing Orders Using the Omaha System

Abstract

Background: End-of-life care (EOLC) relieves the suffering of millions of people around the globe each year. A growing body of hospice care research has led to the creation of several evidencebased clinical guidelines for EOLC. As evidence for the effectiveness of timely EOLC swells, so does the increased need for efficient information exchange between disciplines and across the care continuum.

SNOMED-CT as a standardized language system model for nursing: an integrative review

“…Toward Improving Quality of End-of-Life Care: Encoding Clinical Guidelines and Standing Orders Using the Omaha System. Slipka, Monsen (30) USA, 2018…”

“…This integrative literature review study showed that SNOMED-CT has been being used by nursing in different care contexts, such as the hospital setting, home care, and primary care, aiming to build a standardized language to help the nurses' decision-making in patient care, although still in an incipient way, mainly with regard to scientific studies. In this sense, studies have been carried out to determine its effectiveness and applicability (9,26,30,32) .…”

“…In addition, studies have been developed associating the use of this clinical nomenclature with other standardized languages used by nursing, such as Logical Observation Identifiers, Names, and Codes (LOINC), ICNP ® , NANDA-I, and Omaha System, as well as other health information platforms like Unified Medical Language System (UMLS) (18,(20)(21)25,(27)(28)(29)(30) . This demonstrates an effort that the discipline, in different countries, has made in an attempt to find a system that better contemplates its practice.…”

“…In this sense, studies (27,30) were also carried out in the initial stages of development of SNOMED-CT for mapping with other standardized nursing languages. Attempts were made through the American College of Pathologists (ACP) to harmonize with a number of nursing terminologies, which had been recognized by the ANA, including NANDA-I (10) .…”

A crosswalk between the Omaha System and guiding undergraduate public health nursing education documents

“…An important aspect of the Omaha System is that it allows nursing interventions to be described in conjunction with medical diagnoses and multidisciplinary interventions (Beňová, Boledovičová, & Bowles, ; Holland, Vanderboom, Delgado, Weiss, & Monsen, ; Monsen et al., ). The effectiveness of the Omaha System is most recently seen among palliative and hospice health care teams (Slipka & Monsen, ; Wong et al., ).…”