Standard 7: Ethics “The registered nurse practices ethically.” Competencies focus on the integration of the Code of Ethics for Nurses and Interpretive Statements (ANA, 2015). “Demonstrates that every person is worthy of nursing care through the provision of respectful, person-centered, compassionate care, regardless of personal history or characteristics. (Beneficence) Advocates for healthcare consumer perspectives, preferences, and rights to informed decision-making and self-determination. (Respect for autonomy) Demonstrates a primary commitment to the Standard 8: Advocacy The registered nurse: Champions the voice of the healthcare consumer. Recommends appropriate levels of care, timely and appropriate transitions, and allocation of resources to optimize outcomes. Promotes safe care of healthcare consumers, safe work environments, and sufficient resources. Participates in healthcare initiatives on behalf of the healthcare consumer and the systems(s) where nursing happens. Demonstrates a willingness to address persistent, pervasive systemic issues. Standard 9: Respectful and Equitable Practice “The registered nurse practices with cultural humility and inclusiveness.” Competencies include providing care which is respectful, equitable and empathetic. “Demonstrates respect, equity, and empathy in actions and interactions with all healthcare consumers. Respects consumer decisions without bias. Participates in life-long learning to understand cultural preferences, worldviews, choices, and decision-making processes of diverse consumers. Reflects upon personal and cultural values, beliefs, biases, and heritage. Applies knowledge of differences in health beliefs, practices, and communication Standard 10: Communication The registered nurse: “Assesses one’s own communication skills and effectiveness. Demonstrates cultural humility, professionalism, and respect when communicating. Assesses communication ability, health literacy, resources, and preferences of healthcare consumers to inform the interprofessional team and others. Uses language translation resources to ensure effective communication. Incorporates appropriate alternative strategies to communicate effectively with healthcare consumers who have visual, speech, language, or communication difficulties. Uses communication styles and methods that demonstrate caring, respect, active listening, authenticity, and trust. Conveys accurate information to healthcare consumers, families, community stakeholders, and members of the interprofessional Standard 11: Collaboration The registered nurse: “Partners with the healthcare consumer and key stakeholders to advocate for and effect change, leading to positive outcomes and quality care. Treats others with dignity and respect in all interactions. Values the expertise and contribution of other professionals and key stakeholders. Uses the unique and complementary abilities of all members of the interprofessional team to optimize attainment of desired outcomes. Articulates the nurse’s role and responsibilities within the interprofessional team. Uses appropriate tools and techniques, including information systems and technologies, Standard 13: Education The registered nurse: seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking”. Competencies include “Identifies learning needs based on the various roles assumed and associated requisite nursing knowledge. Participates in continuing professional development activities related to nursing and interprofessional knowledge bases and professional topics. Seeks experiences that reflect current practice to maintain and advance knowledge, skills, abilities, and judgment in clinical practice or role performance. Maintains current knowledge and skills relative to
recipients of nursing and healthcare services in all settings and situations. (Fidelity) Maintains therapeutic relationships and professional boundaries. Acts to prevent breaches to privacy and confidentiality. Safeguards sensitive information within ethical, legal, and regulatory parameters. (Non-maleficence). Identifies ethics resources within the practice setting to assist and collaborate in addressing ethical issues. Integrates principles of social justice in all aspects of nursing practice. (Justice)” (ANA, 2021a, Kindle Location 2105-2113). Empowers all members of the healthcare team to include the healthcare consumer in care decisions, including limitation of treatment and end of life. Embraces diversity, equity, inclusivity, health promotion, and healthcare for individuals of diverse geographic, cultural, ethnic, racial, gender, and spiritual backgrounds across the life span. Develops policies that improve care delivery and access for underserved and vulnerable populations (ANA, 2021a, Kindle Location 2149-2158). patterns without assigning value to the differences. Addresses the effects and impact of discrimination and oppression on practice within and among diverse groups. Uses appropriate skills and tools for the culture, literacy, and language of the individuals and population served. Communicates with appropriate language and behaviors, including the use of qualified healthcare interpreters and translators in accordance with consumer needs and preferences” (ANA, 2021a, Kindle location 2198-2206). team. Advocates for the healthcare consumer and their preferences and choices when care processes and decisions do not appear to be in the best interest of the healthcare consumer. Maintains communication with interprofessional team members and others to facilitate safe transitions and continuity in care delivery. Confirms the recipient of the communication heard and understands the message. Contributes the nursing perspective in interactions and discussions with the interprofessional team and other stakeholders. Promotes safety in the care or practice environment, disclosing and reporting concerns related to potential or actual hazards or deviations from the standard of care. Demonstrates continuous improvement of communication skills” (ANA, 2021a, Kindle Location 2236-2251). to facilitate discussion and team functions in a manner that protects dignity, respect, privacy, and confidentiality. Promotes engagement through consensus building and conflict management. Uses effective group dynamics and strategies to enhance performance of the interprofessional team. Partners with all stakeholders to create, implement, and evaluate plans. Role models the development of shared goals, clear roles, mutual trust, effective communication, efficient processes, and measurable outcomes within the interprofessional team” (ANA, 201a, Kindle location 2273-2284). the role, population, specialty, setting, and local or global health situation. Commits to lifelong learning through critical thinking, self-reflection, and inquiry for personal growth and learning. Advocates through formal consultations or informal discussions to address issues in nursing practice, demonstrating an application of education and knowledge. Identifies modifications or accommodations needed in the delivery of education based on the learner’s needs. Shares educational findings, experiences, and ideas with peers and interprofessional colleagues. Mentors nurses new to their roles for the purpose of ensuring successful
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