enculturation, orientation, competence, and emotional support. Supports acculturation of nurses new to their roles by role modeling, encouraging, advocating, and sharing pertinent information relative to optimal care delivery. Facilitates a work environment supportive of ongoing education of healthcare Standard 15: Quality of Practice “The registered nurse contributes to quality nursing practice.” Competencies include nursing practice is safe, effective, efficient, equitable, time, person-centered and includes evidence to improve nursing outcomes. “Ensures that nursing practice is safe, effective, efficient, equitable, timely, and person-centered. Incorporates evidence into nursing practice to improve outcomes. Uses creativity and innovation to enhance Standard 16: Professional Practice Evaluation “The registered nurse evaluates one’s own and others’ nursing practice.” Competencies include: “Engages in self-reflection and self-evaluation of nursing practice on a regular basis, identifying areas of strength as well as areas in which professional growth would be beneficial. Adheres to the guidance about professional practice as specified in the Nursing: Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements. Ensures that nursing practice is consistent with regulatory requirements pertaining to licensure, relevant statutes, rules, and regulations. Influences organizational
professionals and interprofessional colleagues. Maintains a professional portfolio that provides evidence of individual competence and lifelong learning. Seeks professional or specialty certification” (ANA, 201a, Kindle location 2343-2361).
nursing care. Recommends strategies to improve nursing care quality. Collects data to monitor the quality of nursing practice. Contributes to efforts to improve healthcare efficiency. Provides critical review and evaluation of policies, procedures, and guidelines to improve the quality of health care” (ANA, 2021a, Kindle Location 2426-2431). policies and procedures to promote interprofessional evidence- based practice. Provides evidence for practice decisions and actions as part of the evaluation process. Seeks feedback regarding one’s own practice from healthcare consumers, peers, colleagues, supervisors, and others. Provides peers and others with constructive feedback regarding their practice or role performance. Takes action to achieve learning needs and goals identified during the evaluation process. Documents the evaluative process, strategies used, and next steps to enhance one’s own practice” (ANA, 2021a, Kindle Location 2475-2486).
ANA RECOGNITION OF A NURSING SPECIALTY
demonstrate competent practice and build on the American Nurses Association’s (ANA’s) document: Nursing: Scope and Standards of Practice (2015)” (AACN, 2019, p2). The AACN standards are then broken down into Practice : ● Standard1: Assessment. ● Standard 2: Diagnosis. ● Standard 3: Outcomes Identification. ● Standard 4: Planning. ● Standard 5: Implementation. ● Standard 6: Evaluation. Standards for Professional Performance : ● Standard 1 Quality of Practice. ● Standard 2: Professional Practice Evaluation. ● Standard 3: Education. ● Standard 4: Communication. ● Standard 5: Ethics. ● Standard 6: Collaboration. ● Standard 7: Evidence-Based practice/research/clinical inquiry. ● Standard 8: Resource Utilization. ● Standard 9: Leadership. ● Standard 10 Environmental Health (AACN, 2019). Most other professional nursing organizations also have scope and standards of practice. Some examples are: Emergency Nurses Association, Oncology Nurses Association, and the Academy of Medical-Surgical Nurses. A nurse would be wise to obtain the scope and standard for where they work, in addition to the ANA scope and standard.
In addition to the ANA’s Nursing: Scope and Standards of Practice, many specialty nursing organizations have also developed their own scope and standards of practice. These standards often use the ANA’s Nursing: Scope and Standards of Practice as a foundation for the development of specialty standards. Nurses practicing in various specialties—such as critical care, nursing professional development, cardiovascular nursing, psychiatric-mental health, medical-surgical nursing, and many others—need to be aware of these standards as well. In 2021, the ANA published American Nurses Association Recognition of a Nursing Specialty, Approval of a Specialty Nursing Scope of Practice Statement, Acknowledgment of Specialty Nursing Standards of Practice and Affirmation of Focused Practice Competencies (American Nurses Association, 2021b). This document noted that specialization involves focusing on nursing practice in a specific field and “encompasses a specified area of discrete study, research, and practice as defined and recognized by the profession.” It includes criteria for recognition as a nursing specialty and the process for attaining such recognition. An example of a specialty nursing scope of practice is the American Association of Critical Care Nurses (AACN) “Scope and Standards for Progressive and Critical Care Nursing Practice”. The standards state: “Standards of clinical practice describe a competent level of nursing practice, while standards of professional performance address the professional activities and behaviors expected of progressive and critical care RNs. All standards include performance expectations, or competencies, that describe how progressive and critical care nurses may practice. Each state has its own nurse practice act (NPA) defined by state legislature that defines the scope of nursing within that individual state. Although NPAs have many commonalities, they vary from state to state. The federal government has not established jurisdiction over nursing practice. Therefore, each state has legislated its own NPA and nurses are responsible for adhering to the NPA in the state or states in which they practice (Wacko Guido, 2020). Nurse practice acts legally govern nursing practice by establishing and enforcing standards that regulate nursing
NURSE PRACTICE ACTS
Nursing consideration: The National Council of State Boards of nursing (NCSBN) is a useful resource for nurses wanting to broaden their understanding of nursing standards and nurse practice acts. NCSBN is a not-for-profit organization whose members include the boards of nursing in the 50 states, the District of Columbia, and 4 US territories. NCSBN is the medium through which boards of nursing act and counsel together to provide regulatory excellence for public health, safety, and welfare. It can be accessed at https://www.ncsbn. org/index.htm
EliteLearning.com/Nursing
Page 84
Book Code: ANCCUS2423
Powered by FlippingBook