...12, 2012 Professional Power The promotion of professional conduct and standards among members of a profession is fundamental in defining the value of the profession to society. This is especially true given that the individual rights remain a potential risk to the rights of others in society, hence the need for imposing responsibilities on individual rights (Brous, 2010). The purpose of this paper is to identify and examine the regulations for a Registered Nurse (RN) licensure and the mandatory continuing education required by the state of Texas, the impact of the American Nurses Associations (ANA), and the legislation on nursing and health care practice in Texas. Scope of Practice Texas State Board of Nursing defines Registered Nurses scope of practice as a professional who stands in for the patients, and families, by ensuring that all his/her practices are abiding by the Nurse Practice Act (NPA) and the Board of Nursing (BON) rules and regulations. To achieve this, the RN is bound by professional standards to plan and perform nursing care based on their areas of professional specialty. The RN portrays an understanding of the biological, physical, and social science principles obtained while in professional nursing school (Texas Board of Nursing [BON], 2011). This is visible as one is able to integrate the academic knowledge and skills in the way of his/her planning and delivery of nursing care in a more professional way. The scope of practice by the RN is defined...
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...Relationship Based Care (RBC) has a foundation three primary relationships which are knowing and caring for yourself, relating to peers and connecting with patients (Glembocki & Fitzpatrick, 2013, p.16-17). American Nurses Association’s (ANA) social policy defines nursing as caring for vulnerable populations and their loved ones by minimizing adversity, supporting a healing environment and safeguarding against possible hindrance to achieving wellness (Glembocki & Fitzpatrick, 2013, p.58-59). Also, the primary focus of ANA is for nurses to provide proper patient care (Glembocki & Fitzpatrick, 2013, p.58). However, both the definition of nursing and the focus of ANA’s nursing standards mimic the development of a therapeutic nurse-patient...
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...Individual Analysis Standards of Nursing Nursing is a multi-faceted and evolving profession defined by the American Nurses Association (ANA) as, “The protection, promotion, and optimization of suffering through the diagnosis and treatment of human responses, and advocacy in the care of individuals, families, communities and population” (ANA, 2010, p.1). Standards of nursing care set by the ANA include standards of care, code of ethics, and professional standards. The standards set forth by the ANA help to define the scope of nursing practice. For the purpose of this paper, I will further detail how these standards affect my professional nursing care. Nursing professionals are obligated and expected to practice within the scope and standards of nursing care. Within my own scope of practice, I follow the standards of care on a daily basis. I am assessing patients, planning patient care, implementing, and evaluating the outcomes of patient care. My facility has outlined standards of care. By following these policies and procedures, I can commit to safe nursing practice. Nursing professionals are also obligated and expected to adhere to the standards of professional performance. Within my own nursing practice, I am expected to provide nonjudgmental care, therefore I must disrequard my own prejudices and be an advocate for the patient no matter the patient’s race, economic status, disease process, or chosen lifestyle. The nursing professional is also responsible to...
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...into their practice, I would follow the American Nurses Association (ANA) recommendations of the decision-making process. According to the ANA’s article Nursing: Scope and Standards of Practice, “the nurse has three professional resources to inform their thinking and decision-making and guide their practice” (ANA, 2010, p. 7). These three resources are the Code of Ethics, Nursing’s Social Policy Statement, and Scope and Standards of Practice for Nursing. I would hold meetings where staff could attend and practice the skill, if needed. This would help each staff member involved to feel comfortable with their new procedure prior to implementation. The encouragement and positive words wouldn’t end when the policy or procedure is put forth, but would continue until each person feels comfortable with the new process. It would only be fair. Hopefully, these steps would make the transition easier. When asked if I would investigate a new procedure that the physicians would like nurses to adopt into their practice, I would use a systematic, step-wise approach as follows: 1.Define the issue. I would clarify what the specific activity or task entails and obtain any additional information that I may need, such as facility policies or procedures. I would also conduct a self-assessment with regards to my own skills and abilities, and my competency to perform the task. 2. I would be sure to review laws, rules, standards, etc., specific to my state, to ensure what is being done falls in...
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...understanding of the nurse manager role new insights, personal strengths, and personal challenges that are envisioned for a nurse assimilating to this role will be provided. Introduction Leadership is an integral part of nursing. Grossman and Valiga suggest that leadership is not necessarily tied to a position of authority (Grossman & Valiga, 2005, p. 4). Also suggested by Grossman and Valiga, is that each professional nurse has the potential and the responsibility to provide leadership in each of our individual areas of practice, institutions, professional organizations, communities, and our profession as a whole (Grossman & Valiga, 2005, p. 4). Leadership is a course in undergraduate education and nurses in any role are leaders in many capacities. The purpose of this paper is to look at the nurse manager role: historical development, educational preparation, skill requirements, value requirements, role options, concerns, future projections, and my perspective. Historical Development of Nurse Manager Role The first nursing leader was Florence Nightingale and leadership was implicitly discussed in the scope and standards of nursing prior to 1996 revision when leadership appeared as an explicit standard. American Nurses Association (ANA) standard 15 states: “The registered nurse provides leadership in the professional practice setting and the profession” (American Nurses...
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...and the American Nursing Association (ANA) are varied. The State Board of Nurses is a body of nine individuals chosen by the Governor, only four of whom are Registered Nurses, and one is a nurse practitioner (Oregon State Board of Nursing, n.d.). Some of the things the Board is responsible for is the issuing and renewing of all medical licenses for nurse practitioners, registered nurses, licensed vocational nurses, and certified nursing assistants. The Board represents all the licensed nurses in the state. The Board also interprets the Nurse Practice Act and evaluates and approves nursing education programs, as well as investigates complaints and takes disciplinary action for wrong doings of nurses (Oregon State Board of Nursing, n.d.). I feel that the Nurse Practice Act written by the OSBN, is a very important body of laws. “These rules have the effect of law and help define safe and competent practice.” (Oregon.gov, n.d.) It entails guidelines to govern my practice: it covers the laws that direct how I would conduct my self in a delegation situation, how I renew my license, how I would report illegal activity and to whom, how I should ensure my legal safety when accepting assignments and floating to another floor. It also contains many other laws to guide my practice. (Oregon.gov n.d.) On the other hand, the American Nurses Association (ANA) consists of 15 Board of Directors elected by the ANA members, all must be registered nurses (ANA n.d.c). The ANA Board reviews the...
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...Abstract This paper discourses my nursing philosophy and the ways the ANA Standards of Professional Performance has influenced over my career. It further dissects the standards of practice by using a chronic disease, congestive heart failure. Details about my 5 year career plan and what I intend to accomplish is explored. I chose to discuss what the role of an advocate as a professional nurse and which set of skills are required for it. My strengths and the area that is needed to improve are identified. There are two examples of what can reinforce my nursing skills and how the ANA Standards of Professional Performance influences it. It is concluded by my understanding the nursing profession. Professional Role Development My understanding of the nursing practice is more focused on my patients’ safety and doing what is most beneficial to my patient. It is necessary to explore our own personal values deep within ourselves and realize principles that will guide our nursing practice. My philosophy of nursing joins the knowledge of nursing practice with spiritual, interpersonal, and compassionate care which takes into consideration each patients individual dignity. Spirituality is a concern in how we define ourselves as individuals and seek meaning and purpose in this life. It influences how we deal with obstacles and how we relate not only to ourselves, but also to others. Nursing is more than what people just assume, it is more than administering medications; rather...
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...My Nursing Practice Analysis Nursing has been a significant part of my life for more than 31 years. During my career, I have taken care of thousands of patients, and knowing that I have been a part of a patient’s healing process and grieving process is satisfying. The American Nurses Association (ANA) (2010) states, “The art of nursing is based on caring and respect for human dignity” (p. 23). As a nurse, respecting my patient’s dignity is part of my role. I am upholding the ethical values set by the ANA by respecting the dignity of my patients with respect to his or her medical and personal decisions concerning treatment. ANA (2010) provision seven states, “The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development” (Fowler, p. 143). I have an obligation as a nurse to be actively involved in health policy and with organizations that engage in community activities such as volunteering for free health clinics and free medical care for the underprivileged. I have an obligation as a nurse to become a mentor in my community. I would like to educate my community on the importance and ramifications of unhealthy eating and its effect on a person’s health. I would also attend state and budgetary meetings and provide testimony on the benefits of healthy eating and the health care problems that unhealthy eaters face, and assist those who do not have the funds to eat healthy. According to ANA (2010)...
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... NUR 3826: Ethical & Legal Issues in Health Care Week One Paper: 8/19-8/25 Nursing is a profession that is diverse and those practicing have the potential to adopt their own standards and competencies. However, thanks to the American Nurses Association, standards and competencies have been adopted, stating that all registered nurses regardless of role, population, or specialty are expected to perform competently (ANA, 2010, p. 2). The 2004 Scope and Standards were revised in 2010 secondary to the change in dynamics of the nursing profession. The current 2010 Scope and Standards (1-16) are thoroughly stated, leaving those reading minimal occasion for misinterpretation, in comparison to the 2004 Scope and Standards (1-15). For example, the 2010 Standard 1. Assessment, specifically states the competencies in collecting data, recognizing the impact of personal attitudes values and beliefs, and the fact that the health care consumer’s care preferences is to be honored because they have the authority over their health. The 2004 Scope and Standard 1. Assessment, gives very general authoritative statements. It never highlights the attitudes, values and beliefs of the nurse and the impact it has on the health care consumer or the fact that the health care consumer has the authority over their health and the nurse has to honor their preferences (ANA, 2010, pp. 32-33, 119). The 2010 Standard 7. Ethics competencies states that that the registered nurse will practice ethically,...
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...Ethical and Legal Issues in Nursing NUR/391 Ethical and Legal Issues in Nursing As nurses, it is our duty to advocate for our patients. At times, we are faced with personal and professional challenges that impact how and when we chose to advocate. It is imperative we have a healthy awareness of these potential challenges. Improvements in health care technology have provided patients with an array of treatment options as well as assumed or possible increased chance of survival. As a result, nurses are met with a rise in ethical decision making. This paper will discuss the legal, ethical, social, and personal factors that can impact our decision making process, with the focus on two specific case studies. American Nurses Association Code of Nursing Ethics Role in Practice The American Nursing Association (ANA) has created a set of ethical standards for the profession of nursing to abide by, which is entitled the ANA Nursing Code of Ethics. The ANA Code of Ethics states that collaboration is central to the care nurses deliver and to their ethical commitment to the patient (Garity, 2005). In the end-of-life case study, the nurse (she) has an unwritten obligation to the patient; the family appears to be in conflict with how to proceed with the patient's medical treatment. The medical team has an obligation to give the family all of their options and possible outcomes. If the family remains in conflict, it would then be appropriate for her to refer the family to...
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...Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional...
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...Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional...
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...practice related to ANA scope of practice As a nurse, one must follow a scope of practice, what is expected of them within their role of the nursing profession. These guidelines shape the responsibility of the professional nursing organization and serve to protect the public. According to, Nursing’s Social Policy Statement: The Essence of the Profession (American Nurses Association, 2010, p. 3) defines contemporary nursing: “Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.” I believe my role, as a nurse is consistent with the scope of practice outlined by ANA and the contemporary definition cited. As a nurse, I strive to be clinically competent and aware of the constant challenges that one faces on a daily basis. Being well informed promotes health and prevents further illness and injuries. One goal I try to set aside every week is to attend a weekly ground rounds meeting, where additional education is provided on a specific case study. This opportunity allows me to stay current and up to date on new medications available, research findings and team collaboration feedback from staff on effective treatment options for optimal patient outcome. In addition, completing required competencies and being a member of Oncology Nursing Society also strengthens...
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...history of nursing provide a context in which to understand current practice? Identify at least three trends in nursing practice from the "Nursing Timeline of Historical Events" media piece. How have these trends influenced your perspective of nursing practice? For someone to understand nursing today, one must understand its history and foundations of its practice. From the beginning of nursing history nurses have cared for the sick, wounded, desolate and poor. This continues in todays practice as well. The nurses of our past laid that foundation and history for us current practitioners’ to continue. Because of the beginning trends of nursing, schools of nursing were founded and then came licensure, etc. Thus, we follow those past foundations as set forth by our nursing founders in our current practice. From the Nursing Timeline of Historical events I have identified three trends of practice that have directly influenced my perspective of nursing practice. First, ‘Prior to 1800’ during this time it was recognized that the need for caregivers was profound. Because of this, what we call nursing today was established and in it’s true beginnings. Without this vital recognition, or founding of a ‘calling’, nursing would not have developed further. Secondly, The Crimean War directly influenced ‘modern’ nursing. Without the hard work of past outstanding nursing figures, such as Florence Nightingale, nursing would not have become as organized as it is today. Thirdly, the ANA was established...
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...Nursing Standards of Practice Outline the process for developing nursing standards of practice and identify the different entities that might be involved in developing a standard of practice. Nursing standards of practice are vital to ensure patients received quality care and encompass the caring and professional aspects of nursing. These guidelines clearly designate what nurses should or should not do and are also a template for excellent, competent care. In order to develop nursing standards of practice one must be mindful of these requirements. The standards of practice shall: 1. Be considered as the baseline for quality nursing care 2. Be developed in relation to the law governing nursing practice 3. Apply to the registered nurse practicing in any setting 4. Govern the practice of the licensee at all levels of practice Nurses should evaluate what area the nursing standard of practice that they are developing fits into. There are six main categories of practice to choose from: Assessment, Analysis, Outcome Identification, Planning, Implementation or Evaluation. The new standard that is being developed needs to clearly outline what the profession expects of its members, how it will promote, guide or direct the nursing practice and how it will assist in improved understanding and response in the nursing role. There are several different entities that might be involved with the development of a new standard of practice. “Federal and state laws, rules...
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