NURSING SCHOOL OF COIMBRA ANA PATRÍCIA PEREIRA MALAQUIAS ANA MARTA FAGULHA GONÇALVES
Using the ANA Standards of Nursing Practice and Professional Performance.
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Transcript of Using the ANA Standards of Nursing Practice and Professional Performance.
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Using the ANA Standards of Nursing
Practice and Professional Performance
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The Process of Scope and Standards Development
• Scope of Nursing Practice• Standards of Professional Nursing Practice:
◦ Standards of Practice ◦ Standards of Professional Performance
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Building Nursing Practice for Consumer Protection
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Scope and Standards of Practice The Scope of Nursing Practice and the Standards of Professional Nursing Practice also address:• The scope and standards of generalist
practice by registered nurses• The scope and standards for graduate-level
specialty prepared nurse and the advanced practice registered nurse
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Scope of Nursing PracticeThe Scope of Nursing Practice answers the questions:• Who,• What,• Where,• When,• Why, and• How …
… of nursing practice.
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Standards of PracticeAuthoritative statements that describe a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process: • Assessment• Diagnosis• Outcomes Identification• Planning• Implementation• Evaluation
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Standards of Practice : Example
Standard 1. AssessmentThe registered nurse collects comprehensive data pertinent to the healthcare consumer’s health or the situation.
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Standards of Professional Performance
Authoritative statements that describe a competent level of behavior in the professional role, including activities related to:
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Standards of Professional Practice: Example
Standard 11. Collaboration
The registered nurse collaborates with the healthcare consumer, family and others in the conduct of nursing practice.
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Areas of Application for the
Standards of Professional Nursing
Practice
• Nursing education
• Leadership and administration
• Performance and quality improvement
• Research
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Applications in Nursing Education• Can be used in all levels of nursing education
programs• Basis for curriculum development
◦ Curriculum and conceptual framework framed in ANA Scope of Practice and Standards of Professional Nursing Practice
◦ Standards and Code of Ethics for Nurses are also mainstays of clinical evaluation tools
• Used as evaluation tools for curriculum and for nursing programs by higher education accrediting bodies
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In Education: Freshman-level Applications
• Introduction to the conceptual components of the Standards of Practice
• Introduction to ANA as originator of standards
• Introduction to the standards by reviewing upper-level clinical tools
• Develop class norms from the standards
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In Education: Sophomore-level Applications
• In-depth discussion of development and use of standards, scope of practice, code of ethics
• Actual application of standards in clinical experiences in long term and acute care at beginning level
• Evaluation of others’ clinical performance based on standards
• Clinical evaluations based on standards
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In Education: Junior-level Applications• Application and analysis in specialty
practice areas◦ OB◦ Pediatrics◦ Mental health◦ Med-surg◦ Rehab
• Evaluation of scope of practice, standards of practice, and code of ethics
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In Education: Senior-level Applications• Application and analysis in specialty
practice areas◦ Critical care◦ ER◦ Community health◦ Leadership and administration
• Evaluation of scope of practice, standards of practice, and code of ethics
• Critical reflections
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In Education: RN to BSN Track• Pervasive lack of knowledge about:
◦ Standards of practice and how they affect their work environments
◦ What nursing’s single scope of practice is and what nurses define as their own scope of practice
◦ How the Code of Ethics for Nurses is used in their work environments
• Go back to the basics: analysis, application, evaluation
• The RN’s role as change agents in their practice
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Uses in Leadership and Administration
• Minimum competent expected practice• Format for job descriptions• Format for evaluation of role, professional
competence• Orientation• Application to all settings (acute care, long
term care, home health, ambulatory)
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In Leadership & Administration: Use in Orientation
• Assessment of data collection systems and processes to support nursing practice involves:◦ Meeting with unit leadership to analyze
workflow related to effectiveness and efficiency
◦ Meeting with unit leadership and information technology to identify necessary resources to support data collection
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In Leadership & Administration: Use in a Job Description
• Assessment of data collection systems and processes to support nursing practice that:◦ Analyzes workflow related to
effectiveness and efficiency of unit assessment processes.
◦ Identifies, documents and secures necessary resources to support data collection.
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Uses in Performance and Quality Improvement
• Many opportunities for use:◦ Evaluating variation◦ Evaluating costs ◦ Evaluating outcomes of practice
• Information technology
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Uses in Performance and Quality Improvement
The standards universally apply. For example:• Identifying assessment elements specific to
nursing patient, client, and resident indicators appropriate to a given organizational context.
• Identifying and securing adequate resources for decision analysis in collaboration with appropriate departments.
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Uses in Performance and Quality Improvement (cont’d)
• Assisting in identification, development, and utilization of databases that include nursing measures and desired outcomes.
• Facilitating the development and continuous improvement of organizational systems in which plans related to the delivery of nursing services can be developed, modified, documented and evaluated.
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Uses in Performance and Quality Improvement
• Leading initiatives in innovative programs and new implementation alternatives.
• Utilizing appropriate findings to evaluate and improve care processes, structures and measurement of outcomes that promote organizational effectiveness.
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Uses of Standards in Research• Making statements of accountability for
evidence-based practice• Maintaining current knowledge• Evaluating practice
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Legal Implications of the Standards• Nurse practice acts and licensing• Certification• Regulatory groups, such as The Joint
Commission and NCQA that use the standards
• Format for writing policies and procedures (including job descriptions, orientation programs, and competency and evaluation tools.)