...What factors need to be considered when determining whether or not identified actions are within the domain of nursing practice? Be sure to cite current literature in your response Nursing practice in one of the widespread area of practice that appears not so accurately regulated, certifications are not entirely standard. Commonly practice takes place base on model of hospital or clinic in which we work, yet more or less the practice is not defined well. But framework of nursing presented below is a valid and legal resource to reassess our scoop of practice validity. scope of practice largely depends on degree, state and specialty that we practice. Even hospitals have different format set up allowing big inconsistency in practice. When it comes to actual practice we need to ask two main question, if we are fully competent on that activity and if it is ethical, this is an untold direction to immediate respond for identify domain of practice. If a practice is performed in a large hospital as a common practice, then it is probably within the domain of nursing practice. Each state has different regulation and requirement for specific degree and certification. They are organization of our licensing so it is logical to follow each state regulation as accurate resource for scoop of practice. American Nurse Association categorized standard of practice as follow, and each area expand to define more specific activity. However again doesn’t define or demonstrate every...
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...of 14 NURSING LAW AND ETHICS JURIS OUTLINE ( Atty. Aleth Joyce T. Cubacub) Chapter 1- Overview Nursing Profession - Process of constant change - Etymological perspective it comes from the Latin word meaning NUTRIX or nourish Nursing - Art, a science and a social science - Being an art, deals with skills that require dexterity and proficiency - Science : systematic and well-defined body of knowledge which utilizes scientific methods and procedures in the application of nursing process - Social Science: primordial interest is man whether well or sick - It is involved in total quality patient care when giving the patient prescribed medication or treatments - Primary focus is the individual’s response to health related problems FOUR FUNDAMENTAL RESPONSIBILITIES OF NURSING a. Promote health b. Prevent illness c. Restore health and d. To alleviate sufferings - Noble goal to promote the harmonious or symphonic interaction between men and their environment CHARACTERISTICS OF NURSING a. Nursing is caring b. Involves close, personal contact with the recipient of care; c. Concerned services ( humans as physiological, psychological and sociological organisms) d. Committed to personalized services regardless of color, creed or social or economic status e. Committed to promoting individual, family , community and national health goals f. Committed to involvement in ethical, legal and political issues in the delivery of health care NURSING PROCESS - Use nurse process as a tool in nursing practice...
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...Texas Board of Nursing, nurses are advised to use the six-step decision making model developed by the board to assist nurses make a sound professional judgment before undertaking a nursing task or procedure.(Texas Board of Nursing,2010) Step-1: Is the act consistent with the Texas Nursing Practice Act (NPA)? (Texas Board of Nursing: NPA, Ch 301.002(2) Step-2: Is there an appropriate order that authorizes the performance of the activity? Step-3: Is the act supported by conclusive scientific data from nursing research or evidence based practice standards? Has the action approved by a national nursing organization for nurses to practice it in accordance with the guidelines and standards issued by the organization? Step-4: Does the nurse personally posses the knowledge and clinical competency to perform the task safely? Step 5: Is the act within the accepted nursing standards of care which would be provided under similar circumstances by another nurse who have similar training and experience? Does an adverse reaction or consequence of action be resolved by nursing intervention only? Step 6: Is the nurse prepared to accept consequences of the actions? (Accountability).If there is a “no” answer for any of the steps above, then task is not in the nurse’s scope of practice. On top of following this six-step model, the nurse should always take in to consideration any physical, emotional, or institutional ( Eg. Availability of necessary resources ) barriers...
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...Professional Studies Assignment Introduction For this essay I will be reflecting on an incident from practice, by drawing on developing knowledge, understanding and the application of professional studies. Reflection offers an opportunity to learn through an experience. This allows us to develop or sustain effective practice (Johns, 2000). I will be using the Gibbs (1988) reflective framework to structure my reflection (see appendix A). I find this framework very easy to follow, and as Clodagn (2003), explains it allows a person to implement alternative actions to an event, if followed. The incident will be described and the influence of key issues relating to ethical theories and decision-making, illness journeys and lay and professional perspectives will be explored. Principles of nursing models will be looked at and their contribution to individual patient care. I will also look at resource management, quality assurance and the role of evidence-based practice. For the purpose of this essay, to maintain confidentiality, the patient will be referred to as Mr Charlie Wood, (NMC code of professional conduct 2002; 5.1). Incident The incident occurred when I was a student on a medical ward. Mr. Wood, age 80 had been admitted to hospital following a stroke. From this he had lost the ability to mobilise and speak effectively. He was a very dependent gentleman and counted on the nurses to undertake all aspects of his care. His wife, whose name has also...
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...services intended to serve the surrounding community (community medicine); and (3) certain services that are transported to the patient. Community-oriented primary care Health care that incorporates the elements of good primary care delivery and adds a population-based approach to identifying and addressing community health problems. Complementary and alternative medicine The broad domain of all health care resources other than those intrinsic to biomedicine. Gatekeeping The use of primary care physicians to coordinate health care services needed by an enrollee in a managed care plan. Hospice A cluster of special services for dying persons (those with a life expectancy of six months or less), which blends medical, spiritual, legal, financial, and family-support services. The venue can vary from a specialized facility to a nursing home to the patient’s own home. Medical home Patient-centered care based on the principles of the Chronic Care Model-that is, use of evidence-based guidelines, application of appropriate health information technology, and use of “best practices”-that seeks to consistently and reliably meet the needs of patients while being accountable for the quality and value of care provided. Outpatient Services provided while a patient is not lodged in the hospital or some other health care institution. Palliative Serving to relieve or alleviate, such as pharmacologic pain management and nausea relief. Secondary care Routine hospitalization, routine surgery...
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...Delegation When it comes to delegation, the American Nurses Association (ANA) Code of Ethics for Nurses relays that nurse managers have specific duties: Nurses in management and administration have a particular responsibility to provide a safe environment that supports and facilitates appropriate assignment and delegation. This environment includes orientation and skill development; licensure, certification, continuing education, and competency verification; adequate and flexible staffing; and policies that protect both the patient and the nurse from inappropriate assignment or delegation of nursing responsibilities, activities, or tasks (American Nurses Association, 2015). How I accomplish these duties as the manager of the department...
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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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...framework for practice Joe Smith University of Mine Praxis, a framework for practice Differentiating between praxis and practice is important for an advance nurse practitioner. Practice pertains to doing words of a nurse practitioner (NP), while, praxis relates to NP’s theoretical establishment. Taking time to reflect on personal believes, creates a moment for an advance practice nurse (APN) to realize, and understand the need for providing patient care, with up to date knowledge. The paper aims to discuss; the overview of nursing praxis and its benefits, overview of the APN, Empiricism influences on practice, comfort theory (CT) influences, deontology influences and utilization of the praxis in practice. Praxis Overview Merriam-Webster Dictionary (nd) defines praxis as first originating from Medieval Greek, and means doing, performing or practicing a skill, art or science. Chinn and Kramer (2011), explains praxis as a freedom of knowing that makes one reach a full potential, and optimal well-being. Praxis is different from one nurse to another. Nurse expertize develops overtime, through ongoing knowledge, critical thinking skills, and how one perceive the situation. Experience encourages self-motivation and promotes change (Chinn & Kramer, 2011). APN’s encounter with each patient is different, unique, and requires self-reflection of the encounter. With the current changes in patient care needs, praxis should be geared towards the APN area of practice (Masters, 2011)...
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...Application of Leadership Paper Mel511 Foundational Ethics Elizabeth Brown In this paper, I will examine and reflect some of the dilemmas that nurses face on daily basis working with an organization. Some of the dilemmas weigh heavily on nursing ethics and morals, these two examples illuminate features in healthcare situations that present a framework of the constraints often found within an organizations and beaucratic environments. There are complexities and cultures found within organizations, that nurses and other practioners are vulnerable to and are most often there is a lack of sensitive leadership and supportive measures in place for the above workers. I relate the license nurse and practioners role, because they are good examples of not only being a healthcare worker who is responsible for overall care of the patient, but also has ethical and moral decisions to make concerning the welfare of those we are serving. I would...
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...differences between regulatory agencies and professional nursing organizations as they pertain to my professional nursing practice. I will discuss examples of how provisions from the American Nurses Association’s code of ethics influence my practice. I will also discuss four professional traits, outlined in the American Nurses Association’s code of ethics, that I will bring to an interdisciplinary team of healthcare professionals. I will identify a nursing theory that has influenced my professional practice and how this theory fits into my professional practice. I will discuss how the contributions of a historical nursing figure has influenced my professional practice. To conclude my paper, I will discuss real-world scenarios where I have safeguarded the principles of Beneficence and respect for autonomy of actual patients. Professional Mission Statement 2 Professional Nursing Organizations (PNO)/Board of Nursing (BON) To begin my mission statement, I will explain the functional differences between regulatory agencies (e.g. BON) and professional nursing organizations (PNO) as it pertains to my professional nursing practice. A regulatory agency regulates nursing practices while a professional nursing organization advocates for nurses. An example of a regulatory agency is the National Council of State Boards of Nursing, which provides education, research and service for nursing (National Council of State Boards of Nursing, 2016). It is the governing regulatory body for...
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...The Discipline of Nursing Professional Boundaries As professionals in health care, the nurses’ aim is to have a therapeutic relationship with the patient, where boundaries of the relationship are strictly safe and within the code of ethics. Such boundaries are called professional boundaries that are defined as the ‘spaces between the nurse’s power and the client’s vulnerability’. Establishing these boundaries provide the nurse with authority to allow a confidential and professional therapeutic relationship with the patient (The National Council of State Boards of Nursing 2010, p. 25). To avoid breaches and infringement, these boundaries must be maintained throughout clinical practices and placements. The Australian Nursing and Midwifery Council, also known as ANMC, (cited in Kralik & van Loon 2008, p. 76) define professional boundaries as ‘the limit of a relationship between a nurse and an individual or between a nurse and any significant other persons, which facilitates safe and therapeutic practice and results in safe and effective care’. In regards to nursing, the ANMC (cited in Levett-Jones & Bourgeois, 2009, p. 103) advocates that professional boundaries are related to the responsibility, performance, morals and actions from the nurse and must be maintained when working with vulnerable individuals. This essay is an example of a student's work Disclaimer This essay have been submitted to us by a student in order to help you with your studies. This is not an example...
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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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...many functional differences between a regulatory agency, such as a board of nursing (BRN), and a professional nursing organization (PNO) pertaining to professional nursing practice. Boards of Nursing (BONs) are state governmental agencies run by appointed individuals that regulate nursing practice. BONs are responsible for accepting/accrediting nursing programs, outlining the standards for safe nursing care and issuing licenses to practice nursing (National Counsel of State Boards for Nursing, 2015). In my daily practice as an RN the BON regulates my practice by monitoring for compliance and completion of all requirements for licensure within NY state laws; including successfully passing NCLEX and enforcing the nurse practice act accordingly. However a professional nursing organization such as the American Nurses Association (ANA) are generally a group of registered nurses that advocate for the members within the organization and the nursing profession. The ANA promotes the rights of nurses in the workplace while seeking to influence policies to realistically advance the high standards of nursing practice within the nursing profession.(Matthews, 2012) In order to attain a projected goal, in some cases, the ANA also will lobby the congress and regulatory agencies on healthcare issues affecting nurses and the public. In my daily practice as an RN the Professional Nursing Organization regulates my practice by offering seminars, networking events, evidence based journals and certifications...
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...knowledge to advance their organization and prepare their future leaders with the necessary tools to be successful. This paper will examine some of the research conducted on the following leadership and educational theories: Spiritual, and Transformational. Finally, each of the theories will be compared and contrast to one another for the purpose of examining their strengths for possible utilization and integration of models within an organizational setting. Spiritual Leadership and Education Spiritual leadership consist of developing a focus on one’s self and achieving balance for the betterment of the individuals well being. Therefore, balance is achieved by spiritual interests and the ability to build and maintain leader-follower relationships (Wolf, 2004). The Spiritual leadership theory is relevant to current work environment challenges such as, disengaged employees, reduced employee morale and leadership which typically view employees as intellectual capital by aligning employee callings with appropriate organizational roles, modeling universal values which demonstrate ethics and morality as well as integrating employee spirits, minds and souls (Quinnine, 2007). Furthermore, research suggest that implementation of intrinsic value, applying spiritual values, leading by example,...
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