Presentation on theme: "The Process of Scope and Standards Development"— Presentation transcript:
1 Using the ANA Standards of Nursing Practice and Professional Performance
2 The Process of Scope and Standards Development Scope of Nursing PracticeStandards of Professional Nursing Practice:Standards of PracticeStandards of Professional Performance
3 Building Nursing Practice for Consumer Protection
4 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 nursesThe scope and standards for graduate-level specialty prepared nurse and the advanced practice registered nurse
5 Scope of Nursing Practice The Scope of Nursing Practice answers the questions:Who,What,Where,When,Why, andHow …… of nursing practice.
6 Standards of PracticeAuthoritative statements that describe a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process:AssessmentDiagnosisOutcomes IdentificationPlanningImplementationEvaluation
7 Standards of Practice : Example Standard 1. Assessment The registered nurse collects comprehensive data pertinent to the healthcare consumer’s health or the situation.
8 Standards of Professional Performance Authoritative statements that describe a competent level of behavior in the professional role, including activities related to:EthicsCollaborationEducationProfessional Practice EvaluationEvidence-based Practice and ResearchResource UtilizationEnvironmental HealthQuality of PracticeCommunicationLeadership
9 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.
10 Areas of Application for the Standards of Professional Nursing Practice Nursing educationLeadership and administrationPerformance and quality improvementResearch
11 Applications in Nursing Education Can be used in all levels of nursing education programsBasis for curriculum developmentCurriculum and conceptual framework framed in ANA Scope of Practice and Standards of Professional Nursing PracticeStandards and Code of Ethics for Nurses are also mainstays of clinical evaluation toolsUsed as evaluation tools for curriculum and for nursing programs by higher education accrediting bodies
12 In Education: Freshman-level Applications Introduction to the conceptual components of the Standards of PracticeIntroduction to ANA as originator of standardsIntroduction to the standards by reviewing upper-level clinical toolsDevelop class norms from the standards
13 In Education: Sophomore-level Applications In-depth discussion of development and use of standards, scope of practice, code of ethicsActual application of standards in clinical experiences in long term and acute care at beginning levelEvaluation of others’ clinical performance based on standardsClinical evaluations based on standards
14 In Education: Junior-level Applications Application and analysis in specialty practice areasOBPediatricsMental healthMed-surgRehabEvaluation of scope of practice, standards of practice, and code of ethics
15 In Education: Senior-level Applications Application and analysis in specialty practice areasCritical careERCommunity healthLeadership and administrationEvaluation of scope of practice, standards of practice, and code of ethicsCritical reflections
16 In Education: RN to BSN Track Pervasive lack of knowledge about:Standards of practice and how they affect their work environmentsWhat nursing’s single scope of practice is and what nurses define as their own scope of practiceHow the Code of Ethics for Nurses is used in their work environmentsGo back to the basics: analysis, application, evaluationThe RN’s role as change agents in their practice
17 Uses in Leadership and Administration Minimum competent expected practiceFormat for job descriptionsFormat for evaluation of role, professional competenceOrientationApplication to all settings (acute care, long term care, home health, ambulatory)
18 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 efficiencyMeeting with unit leadership and information technology to identify necessary resources to support data collection
19 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.
20 Uses in Performance and Quality Improvement Many opportunities for use:Evaluating variationEvaluating costsEvaluating outcomes of practiceInformation technology
21 The standards universally apply. For example: Uses in Performance and Quality ImprovementThe 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.
22 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.
23 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.
24 Uses of Standards in Research Making statements of accountability for evidence-based practiceMaintaining current knowledgeEvaluating practice
25 Legal Implications of the Standards Nurse practice acts and licensingCertificationRegulatory groups, such as The Joint Commission and NCQA that use the standardsFormat for writing policies and procedures (including job descriptions, orientation programs, and competency and evaluation tools.)