Part 2: Nursing standards, their history and significance by Harry Breece • September 1, 2007 • Uncategorized • Comments Off on Part 2: Nursing standards, their history and significance • 1120
The purpose of standards of clinical nursing practice is to describe the responsibilities for which nurses are held accountable. The standards for nursing practice:
1) Reflect the values and priorities of the nursing profession;
2) Provide direction for professional nursing;
3) Provide a framework for the evaluation of nursing practice;
4) Define the profession’s accountability to the public and the client outcomes for which nurses are responsible.
The first Standards of Nursing Practice were published by the American Nurses Association (ANA) in 1973.
…show more content…
The first revision of the standards was undertaken in 1990 with completion and publication in 1991. The Standards of Clinical Nursing Practice applies to the care that is provided to all clients. “Clients” may include any individual, family, group or community for whom the nurse is providing services formally specified as sanctioned by the nurse practice acts. They are generic in nature and apply to all registered nurses engaged in clinical practice regardless of clinical specialty, practice setting or educational preparation.
Standards that further define the responsibilities of nurses engaged in specialty practice or nurses who function at advanced levels of clinical practice are determined by those nursing specialties and appropriate groups within ANA.
The Standards of Clinical Practice are as follows. The written text also provides the nurse with the measurement criteria for the registered nurse, the advanced practice nurse and the role specialist nurse.
• Standard No. 1: Assessment
The registered nurse collects comprehensive data pertinent to the patient’s health or the situation.
• Standard No. 2:
…show more content…
All nurses are expected to engage in professional role activities appropriate to their education, position and practice setting. Standards for specialty and/or specialty practice may elaborate on appropriate expectations for the various professional role standards in these specialties. These standards are set forth by the appropriate specialty group or organization such as The American Association of Neuroscience Nurses (AANN), The American Association of Critical Care Nurses (AACCN) and the American Association of Nurse Anesthetists (AANA), just to name a few.
The standards of care are the yardstick that is used by the legal system to measure the actions of a nurse who is involved in any type of nursing negligence or malpractice. The underlying principle used to establish standards of care is based on the actions that would likely be taken by a reasonable person (nurse) who was placed in a same or similar situation. A nurse is judged against the standards of care that have been established within the profession and specialty area of practice. The ANA and appropriate specialty organizations publish these standards, which are updated continually as healthcare technology and practices change.
Standards are important aspects of nursing that a nurse must learn and implement every day for the rest of their nursing career. These standards provide for a nurse’s competence in the quality of care they deliver to the public. Standards offer a necessary guidance to nurses everywhere in an effort to ensure that people are treated correctly and ethically. Patients expect nurses to have a general knowledge of the medical realm and to know exactly what it is they –as nurses- are responsible for. Nurses need to have a sense of professionalism that enable the patient to feel safe and secure, knowing that a competent person is caring for him. A lack of professionalism does the opposite, making it impossible for a patient to trust or respect the nurse caring for him. Standards of nursing, if utilized correctly, give the nurse that sense of professionalism the patient is expecting. It insures for the safety of the patient and allows the nurse to provide quality health care that is expected of a medical professional.
Thoroddsen, Asta, and Margareta Ehnfors. "Putting policy into practice: pre‐and posttests of implementing standardized languages for nursing documentation." Journal of clinical nursing 16.10 (2007): 1826-1838.
This discussion board is about the nurse’s scope of practice. The purpose of this posting is to discuss the definition and standards of the nurse’s scope of practice as defined by the American Nurses Association (ANA) and by the Ohio Board of Nursing with an example of how to use the standards of practice. Per the ANA, when determining the nurse’s scope of practice there is no one specific explanation that can be provided due to the fact that registered nurses can have a general practice or a practice that is very specialized. The limits that are placed on a RN’s scope of practice will depend on a registered nurse’s education, type of nursing, years as a nurse, and the patients receiving care. At the basic level, every nurse’s practice
The Texas Board of Nursing,(2009). Nursing practice act. Nursing peer review, nurse licensure compact, & advanced practice registered nurse compact. Austin, TX
The Code of Ethics for Nurses was created to be a guide for nurses to perform their duties in a way that is abiding with the ethical responsibilities of the nursing profession and quality in nursing care. The Code of Ethics has excellent guidelines for how nurses should behave, however; these parameters are not specific. They do not identify what is right and wrong, leaving nurses having to ultimately make that decision. Ethics in nursing involves individual interpretation based on personal morals and values. Nursing professionals have the ethical accountability to be altruistic, meaning a nurse who cares for patients without self-interest. This results in a nurse functioning as a patient advocate, making decisions that are in the best interest of the patient and practicing sound nursing ethics.
Report on the nursing policy and legislative efforts. Retrieved from https://www.ncsbn.org/428.htm#Nurse_Practitioner_Certification. O’Brian, J. M., (2003). The 'Path of the Earth'. Journal of Science, How Nurse Practitioners obtained provider status: History of nurse practitioners.
According to American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the heath, safety and right of the patient” (p. 6). Nursing responsibilities should be acted at the highest standard and must be based on legal and ethical obligations.
In today’s society nursing meets all the requirements of being a profession. To be considered a profession, one has to be dedicated to their career, abide by standards and a code of ethics, and have a higher education and a body of knowledge, duty to provide service, have autonomy and be part of a professional organization. Nurses take the traditional role of caring for loved ones to a whole new level of care.
Cowell, J. M. (2010). Standards of practice: Questions for School Nursing. The Journal of School Nursing, 26(6). Retrieved from http://search.proquest.com.proxy.library.ohiou.edu/docview/807964990accountid=12954
Healthcare is a continuous emerging industry across the world. With our ever changing life styles and the increased levels of pollution across the world more and more people are suffering from various health issues. Nursing is an extremely diverse profession and among the highest educated with several levels ranging from a licensed practical nurse (LPN) to a registered nurse (RN) on up to a Doctorate in Nursing. Diane Viens (2003) states that ‘The NP is a critical member of the workforce to assume the leadership roles within practice, education, research, health systems, and health policy’.
...s of accountability all speak to what is expected of a nurse when it comes to their responsibility for actions taken. Not only must the nurse admit to wrong doing, but they must take responsibility for their wrong doing. This responsibility could involve many different forms from lawsuits to write-ups to terminations. What is important about this section, is that it specifies that the nurse must own up to their actions and take responsibility for what they have done, even if they did not mean to hurt anyone. Being accountable for their action, can be hard to do. Having a consequence put onto you when there could be a million reasons why the action happened to begin with, is difficult to swallow. This dilemma goes back to ethics. Realizing morally, that you must be accountable and take responsibility for the action, no matter the circumstance surrounding it.
Dougherty, L. & Lister, s. (2006) ‘The Royal Marsden Hospital manual of Clinical Nursing Procedures: Communication 6th Edition Oxford: Blackwell Publishing Ltd
I need further development in knowing what the scope of practice of an RPN is because at clinical I am unsure of the difference in roles of the RPN’s that are working on the units compared to the Registered Nurses (RN’s). I feel that knowing and understanding the scope of practice of an RPN is crucial, in order to ensure the safety of the patients, but also to protect your license as a nurse. Also, it is important to understand your role as a nurse to ensure the patients’ needs are being met, and to ensure you stay within your scope of practice while providing care. The CNO’s scope of practice statement is, “The practice of nursing is the promotion of health and the assessment of, the provision of, care for, and the treatment of, health conditions by supportive, preventive, therapeutic, palliative and rehabilitative means in order to attain or maintain optimal function” (College of Nurses of Ontario, 2015). The goal I set for myself is, I will learn and understand the scope of practice of an RPN in order to be accountable for all my actions as a future
These nurses will work in various health care settings. All of these nurses have a legal outline to work in. Each kind of nurse has their own scope of practice. This is regulated by the nursing governing bodies. Nurses have to work within their scope of practice to deliver a good service to clients with quality and they are permitted only to work within the scope of practice.
The American Nurses Association created guidelines for the profession including, a set clear rules to be followed by individuals within the profession, Code of Ethics for Nurses. Written in 1893, by Lystra Gretter, and adopted by the ANA in 1926, The Code of Ethics for Nurses details the role metaethics, normative ethics, and applied ethics have within the field (ANA, 2015). Moral obligation for an individual differs within professions than it does within an individual’s personal life, so the code of ethics was written to establish rules within the profession. The moral obligation to provide quality care include the fundamental principles of respect for persons, integrity, autonomy, advocacy, accountability, beneficence, and non-maleficence. The document itself contains nine provisions with subtext, all of which cannot be addressed within this paper however, core principals related to the ethical responsibilities nurses have will be