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Nursing has grown through out many levels in health care. American Nursing Association (ANA) created the “Nursing scopes and standards practice,” to establish a commonality to all registered nurses, of competent level of nursing practice and professional performance (ANA p.2 2010). The standard that is the foundation that affects all other standards is Assessment. According to the ANA, assessment is “A systemic, dynamic process by which the registered nurse, through interaction with the patient, family, groups, communities, population, and healthcare provider, collects and analyzes data (ANA P.63 2010)” This standards is very influential in nursing practice. One way the standard of assessment influences the nursing practice is identifying barriers that can hinder implementation and success in effective nursing practice. Some barriers in the health care field can be cultural (language) and financial (ANA p.32 2010). For example, Robert wood Johnson University hospital (RWJUH) is located in New Brunswick and has many residents that are immigrants from Mexico, who have no insurance or financial stability. Therefore, nurses at RWJUH receive patients where there is a language barrier and need to assess what language the patient speaks. By assessing what language the patient speaks, it creates a way to modify and provide effective communication (ANA p.32 2010). A certified language interpreter translation service is utilized to obtain further assessment to diagnose and implement a plan of care for the patient. For instance, there was a patient in the oncology unit in RWJUH, who was Spanish speaking. When starting the shift the patient would just say the word “ok” when a nurse spoke with him. The nurse asked him if he was nauseous... ... middle of paper ... ...nts. The academic program, Advancing Nursing Practice will help nurses grow and know how important accurate assessment is. It will remind a nurse to obtain a thorough assessment and look for any barriers that may hinder patient care. Accurate assessment and using proper evidence based practice will allow proper diagnosis, planning and utilization, and evaluation in providing optimal patient care. Works Cited American Nursing Association (2010). Nursing: Scope and Standard of Practice 2nd ed. (pp. 2,32,63.). Silver Spring, Maryland: American Nursing Association. King, Cynthia R., Cherwin, C. , Czaplewski, L., Dabbour R., Doumit, M., Duran, B., … Raplh Webber, J.L (2013). ONS Oncology Nursing Society: PEP Chemotherapy-Induced Nausea and Vomiting. Retrieved from