Impact of an Educational Program on the Use of
Standardized Nursing Languages for Nursing
Documentation Among Public Health Nurses
in Nigeria
Patience Omonigho Odutayo, MSc (Nursing), RN, RM, RPHN, RNE, Adenike Ayobola Olaogun, PhD, RN, RM, RPHN,
Abimbola Oyeninhun Oluwatosin, PhD, RN, RM, FWACN, and
Adesola Adenike Ogunfowokan, PhD, RN, RM, RPHN, FWACN
Patience Omonigho Odutayo, MSc (Nursing), RN, RM, RPHN, RNE, is the Principal at the School of Nursing, Ijebu-Ode, Ogun
State, Nigeria; Adenike Ayobola Olaogun, PhD, RN, RM, RPHN, is an Associate Professor at the Department of Nursing
Science, College of Health Sciences, Obafemi Awolowo University, Ile Ife, Nigeria; Abimbola Oyeninhun Oluwatosin, PhD,
RN, RM, FWACN, is a Senior Lecturer at the Department of Nursing Science, College of Medicine, University of Ibadan,
Ibadan, Nigeria; and Adesola Adenike Ogunfowokan, PhD, RN, RM, RPHN, FWACN, is a Senior Lecturer at the Department of
Nursing Science, College of Health Sciences, Obafemi Awolowo University, Ile Ife, Nigeria.
Search terms:
Clients’ documentation, public
health nurse, standardized nursing
language
Author contact:
adenikeolaogun@gmail.com, with a
copy to the Editor:
journal@nanda.org
PURPOSE: To measure the effect of an educational package on documentation
of care among public health nurses (PHNs).
METHOD: A quasi-experimental design was adopted. Forty PHNs working in
primary healthcare settings were selected. Education was given through a 5-day
workshop. Documentation of care was assessed using a modified “Muller-Staub
Q-DIO instrument.” Data were analyzed using t test third and twelfth months
postintervention.
FINDINGS: There was a significant improvement on documentation of care at
p = .0001.
CONCLUSION: Educating PHNs and providing them with standardized nursing
care plans enhance documentation of care.
IMPLICATION TO PRACTICE: A combination of education on the use of stan-
dardized nursing languages and standardized nursing care plans can enhance
documentation of care. There is a need for more research on the use of standard-
ized nursing languages in developing nations.
Globally, nurses form an integral part of the healthcare
system, but their contributions, particularly in the develop-
ing nations, have been largely invisible because of poor
documentation of care (Allen, Chapman, O’Connor, &
Francis, 2007). According to Bostick, Riggs, and Rantz
(2003), nurses’ documentation of the care that they give to
clients, interventions used to treat the diagnoses, and the
resulting outcome/responses are necessary for evaluation
of care. Standardized nursing languages (SNLs) started
with the development of NANDA-I diagnostic classifications.
SNLs were developed to give the phenomena that represent
the nursing process a name or label to make them visible
(Farren, 2010). They provide uniform nomenclature for
diagnosis, intervention, and evaluation components of the
nursing process. When nurses are familiar with and are
educated on the use of nursing classifications in documen-
tation, client care that is unique to nursing can be better
described and outcomes more clearly communicated.
According to Dochterman and Bulechek (2004), SNLs have
implications for competency evaluation, reimbursement for
services, and curriculum design. They hold the potential to
improve the quality of nursing care, guide policy, and assist
nurses in articulating how their actions contribute to posi-
tive health outcomes. However, in spite of the benefits of
SNLs, Thoroddsen and Ehnfors (2007) observed that many
nurses had not been taught to use them. Deficiencies in
accurately stating and documenting nursing diagnoses, and
relating them to nursing interventions and outcomes, have
also been reported by Florin, Ehrenberg, and Ehnfors
(2005).
A lot of work has been done globally on the use of SNLs
in hospital-based care (Muller-Stuab, Needham, Odenbreit,
Lavin, & Achterberg, 2007; Olaogun, Oginni, Oyedeji,
Nnahiwe, & Olatubi, 2011). According to Neufeld and
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108 © 2013, The Authors
International Journal of Nursing Knowledge © 2013, NANDA International
International Journal of Nursing Knowledge Volume 24, No. 2, June 2013