...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 and regulation and other professional agencies/organizations...
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...ADN to BSN – What a Difference When considering our nursing profession, we must look at the differences that a Baccalaureate Degree program offers compared to an Associate Degree program. Both nurses are caregivers, patient advocates and have an interest to promote health. The Associate Degree nurse holds the minimum entry level of education required for a Registered Nurse license. Associate Degree programs focus on applied sciences and clinical experiences. A Baccalaureate Degree program focuses on a broader range of theory, community and leadership. Advanced knowledge allows the nurse to better assess, utilize critical thinking skills and provide a more holistic care which leads to improved patient outcomes. Nursing has evolved greatly over time and to fully appreciate the differences of the degrees, we must look at the history of nursing and what brought about the different education levels. It all began with Florence Nightingale, the founder of the profession of nursing. Florence Nightingale recognized the need for an organized and formal education in nursing. She developed the nurse apprenticeship and the basis of what we learn today. She made nursing a respectable profession. In the early 1900’s most nurses received training in hospital based programs. After WWII, many women left the workforce to marry and start families. This left the country with a critical shortage of nurses. Congress enacted the Hill-Burton Act (Coleman, 2005) which funded construction...
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...The development of nursing knowledge is the fundamental to nursing practice, the knowledge, skills, judgment, and critical thinking of the nurse directly affect the quality of care provided to the patients. Although we are facing the change of technology and the healthcare system from time to time, the core value of nursing still persist. To determine the identified actions whether within the domain of nursing practice, we can refer to the American Nurses Association’s “Code of Ethics for Nurses” (ANA, 2001) which helps nurses to implement and improve standard of practice; and also the “Scope and Standards of Clinical Nursing Practical” (ANA, 2004) which describes what the standards of practice and how competent the nursing care through the use of the nursing process. The nurse can also refer to the policy and procedure of the institution that she’s working at, and as well as the State Board of Nursing according to the state you are practicing nursing. In my state, there is California Board of Registered Nursing that provides the Nurse Practice Act as our guideline to follow. Reference Creasia J. & Friberg E. (2011) socialization to professional nursing. Conceptual Foundation: The Bridge to professional Nursing Practice.5th Edition, p.50, Mosby. ( web: www.elsevier.com/permission. Nurse Practice Act, California Board of Nursing (web: www.rn.ca.gov/regulations/npa.shtml American Nurses Association: code of Ethics for nurses for nurses with interpretative statements.2001...
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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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...process for developing nursing standards of practice utilizes the critical thinking model known as the nursing process which includes the "components of assessment, diagnosis, outcomes identification, planning, implementation, and evaluation" (American Nurses Association, 2010). Standards of Practice coincides with the steps of nursing process to represent the directive nature of the standards as professional nurse complete each component of the nursing process. The nursing process is often conceptualized as the integration of singular actions of assessment, diagnosis, identification of outcome, planning, implementation & evaluation (American Nurses Association, 2010). In order to develop nursing standards of practice one must know the requirements based on standards of practice (American Nurses Association, 2010: 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. A nurse should evaluate what area the nursing standard practice they are developing fits into. The new standard needs to clearly outline what the profession expects of it 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 (American Nurses Association, 2010). Nursing standards come from a variety of...
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...the process for developing standards of practice the American Nurses Association relies on members as the first link in developing an official resource. Members are nominated to a working group that researches the issue at hand and writes a statement before going to the ANA for final approval. This bottom-up approach ensures the standards are current and accurately represent nurses across the nation (ANA 2014). The Department of Health Scope of Practice Tree asks us, Is the act permitted or prohibited by the nurse practice act, Is it consistent with standards? Do you have current clinical skills to perform the act safely? Is the act with in in standard of care? Are you prepared to accept the consequences of your action? The six main categories of practice are assessment, Analysis, Outcome Identification, Planning, Implementation, and Evaluation. By implementing standards of care we are able to provide excellent care to out patients. Different entities that might be involved in developing a standard of practice are The American nurses Association and the Joint Commission on Accreditation of Healthcare Organization (JACHO) have established and recognized standards of care. Standards of care are found at the national and state level. State boards of nursing develop standards of care at the state level and enforce those standards. The American Nurse Credentialing Center (ANCC) work on the national level. Professional specialty nursing organizations, Educational...
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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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...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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...Code of ethics Nursing has a code of ethics that defines the principles by which nurse provide care to their clients. In addition, nurses incorporate their own values and ethics into practice. The code of ethics for nurses with interpretive statements provides a guide for carrying out nursing responsibilities that provide quality nursing care and provides for the ethical obligations of the profession. Standard nursing care: An Asset In order to ensure quality care the nursing care needs some standards. Standards are degree of excellence. The aim of standard nursing care is to support and contribute to excellent practices. The role of nurse is constantly changing to meet the growing needs of health services. Objectives • Plan • Holistic Approach • Appropriate Diagnosis • Realistic Goal • Selecting Appropriate Media • Quality Care rather than quantity • Economize Time, Material, Energy Types of standard care • Structure -- Things we use • Process -- Things we do • Outcome -- The result Characteristics of standard care • Dynamic • Reflects Changes • Not Static Brief description of methods and procedure S - Successful termination of helping relationship for client. T - To have clear idea or conception of the distinct goal, nursing the patient and health needs of society. A - Assertive planning. N - Nature of client nurse interaction. D - Directing others. A - Analytical thinking. R - Respect status and policies. D - Data collection in accordance with goal...
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...Professional Nursing in Tennessee: Maintaining the Standards Johnny Wright Walden University Issues and Trends in Nursing (NURS - 3001 - 7) February 17, 2013 Professional Nursing in Tennessee: Maintaining the Standards The scope of practice describes the actions, procedures, and rules permitted by Tennessee law for the nursing profession. Professional standards are codes and rules that influence the nursing profession. The purpose of this paper is to examine in detail Tennessee’s professional nursing standards of practice, licensure requirements and the American Nurses Association code of conducts and nursing standards. Scope of Practice The Tennessee registered nurses scope of practice is a detailed process which comprised of patient assessment, identify issues and trends, outcomes identification, learning and practice environment, consultation and evaluation. The standard of practice of the professional nurse means the performance for compensation of any requiring extensive specialized judgment and skills based on knowledge of multiple groups of sciences, and the humanities, as the basis for application of the nursing process in wellness, prevention and illness care. The professional nurse is must exhibit responsible supervision of patients requiring skill and surveillance of symptoms, reactions and expected outcomes. The registered nurse must advocate health promotion, restoration and maintenance of health, administer medication...
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...Accountability, Standards of Practice, Professional Development. Introduction Standards of practice and professional accountability are inextricably woven together. Standards describe the "what and how" of delivering nursing care. Professional accountability is creating the standards, meeting those standards, holding peers to the standards, and revising the standards when needed. As your e-text describes "Standards of practice are the "what" and describe a competent level of nursing care. Standards ofprofessional performance are the "how" of nursing (Cresaia & Friberg, 2010). The ANA's Scope and Standards of Clinical Nursing Practice (2004) describe both the "what" and "how" of professional nursing. This document outlines nine specific standards that describe the level of competence required in the role of the professional nurse (American Nurses Association, 2004). The model in your e-text that depicts professionalism provides a graphic display of all the essential elements which nurses need to include in their practice to support professional development. The ANA's Code of Ethics for Nurses (2001) makes it clear that nurses are accountable for their judgments and actions independent of hospitals, physicians, or other health care organizations. Nurses are accountable for themselves to the patient, the public, other health care team members, and members of the nursing profession. Standards of practice are developed and found in professional specialty nursing organizations...
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...October 2002 national competency standards for the enrolled nurse Introduction Description of Enrolled Nurse National Competency Standards Assessing Competence Glossary of Terms Introduction The Australian Nursing and Midwifery Council (ANMC) is a peak national nursing and midwifery organisation established in 1992 with the purpose of developing a national approach to nursing and midwifery regulation. The ANMC works in conjunction with the state and territory nursing and midwifery regulatory authorities (NMRAs) to produce national standards which are an integral component of the regulatory framework to assist nurses and midwives to deliver safe and competent care. The standards include the national competency standards for enrolled nurses which were first adopted by the ANMC in the early 1990s. These have been reviewed and revised regularly since then. Other standards developed by the ANMC for implementation by the NMRAs include the competency standards for registered nurses, midwives and nurse practitioners, codes of professional conduct and ethics, and a range of position statements and guidelines. The full list of standards, position papers and guidelines produced by the ANMC can be viewed on the website. The national competency standards for the enrolled nurse are scheduled for review in 2007. This review will be undertaken by a team of expert nursing consultants and will include extensive consultation with nurses around Australia. The purpose underpinning the review...
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...and sustainability of the nursing and midwifery standards for mentoring in the UK. Nurse Education in Practice; 10: 5, 251-255. Barrett D (2007) The clinical role of nurse lecturers: past, present, and future. Nurse Education Today; 29: 5, 367-374. Department of Health (1999) Making a Difference: Strengthening the Nursing, Midwifery and Health Visiting Contribution to Health and Health Care. London: DH. Duffy K (2003) Failing Students: a Qualitative Study of Factors that Influence the Decision Regarding Assessment of Students’ Competence in Practice. NMC, London. Duffy K et al (2000) The nurse lecturer’s role in mentoring the mentors. Nursing Standard; 15: 6, 35-38. Elcock K and Sookhoo D (2007) Evaluating a new role to support mentors in practice. Nursing Times; 103: 49, 30-31. Gainsbury S (2010) Mentors passing students despite doubts over ability. Nursing Times; 106: 16, 1-3. Gopee N (2011) Mentoring and Supervision in Healthcare. London: Sage. Mallick M, McGovern B (2006) Issues in practice-based learning in nursing in the United Kingdom and the Republic of Ireland: Results from a multi professional scoping exercise. Nurse Education Today; 27: 1, 52-59. McArthur GS, Burns S (2007) An evaluation, at the 1-year stage, of a 3-year project to introduce practice education facilitators to NHS Tayside and Fife. Nurse Education in Practice; 8: 3, 149-155. McCarthy B, Murphy S (2008) Assessing undergraduate nursing students in clinical practice: do preceptors use assessment...
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...Changing Healthcare Professional nursing practice models enable nurses to control the delivery of care and the environments in which that care occurs. Nurses have input into decision making and can design innovations specific to a particular care setting. (Professional Nursing, 2011) Today the nursing profession is increasingly in complexity and versatility. The current healthcare reform is adding a broader scope of practice for nurses. The current standards of practice continue to evolve allowing nurse to practice at higher functioning than what was previously expected. This has caused a shift to a higher complexity and more advanced level to the profession. Advancement in science and technology has added to the complexity in the nursing practice during the past 20 years. Technology savvy nurses are required to meet the standard of practice as we continue to advance into a paperless world. These issues are raising the bar on the practice of medical care for all healthcare workers across the board. There is a wide spectrum of nursing expertise, education, and credentialing that is now necessary for the ever changing profession. Differentiated models of practice are supported by a clinical "ladder" or defined steps for advancement within the organization based on experience in nursing, additional education, specialty certification, or other indicators of professional excellence. (Erickson, 1998) Much higher expectations are placed on registered nurse new graduate. ...
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