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Transition
to Professional Nursing
STANDARDS
FOR CLINICAL NURSING PRACTICE
To e-mail the instructor phillips@fiu.edu
________________________________________________________________________________________________
ASSIGNMENT
(FOR WEB-BASED ONLY
STUDENTS):
Read the ANA Standards of Clinical
Nursing Practice (2nd edition) and review the class handout below.
1. Review the Nurse
Practice Act (NPA) from the Florida Board of Nursing web site: http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&URL=Ch0464/titl0464.htm
Discuss how the Florida NPA reflects (or does not reflect) the
Standards. Provide evidence (give examples
from the NPA).
2.
Review your own job description.
Discuss how your job description reflects (or does not reflect)
the
Standards. Provide
evidence (give examples from your job description).
E-MAIL YOUR ANSWERS TO THE INSTRUCTOR (AT LEAST 150 WORDS
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CLASS HANDOUT
DEFINITION
OF STANDARDS
Standards are authoritative statements by which the nursing
profession describes the responsibilities for which its practitioners
are accountable.
ROLE OF STANDARDS
Reflect
the values and priorities of the profession.
Provide
a direction for professional nursing practice.
Provide
a framework for evaluating nursing practice.
Define
nursing's accountability to the public.
Define
client outcomes for which nurses are responsible.
REASONS
FOR DEVELOPING STANDARDS FOR CLINICAL NURSING PRACTICE
American Nurses Association (ANA), as the professional nursing
organization:
Has
a responsibility to its membership and the public it serves to develop
standards of practice.
Is
responsible for developing generic standards that apply to all nursing
practice.
HISTORY OF STANDARDS
DEVELOPMENT
In 1973, ANA
published first standards of nursing practice:
Generic
in nature.
Focused
on the nursing process (assessment, diagnosis, planning,
implementation, evaluation).
Other
nursing specialty organizations subsequently developed standards, some
in collaboration with the ANA, others were developed independently.
In
1990, an ANA task force recommended that the 1973 Standards be
revised.
In
1991, the ANA Standards of Clinical Nursing Practice was published.
In
1995, the ANA Committee on Nursing Practice Standards and Guidelines
was charged with establishing a process of periodic review and
revision of the 1991 Standards.
In
1998, based on the results of the review process, the ANA Standards of Clinical Nursing
Practice (2nd edition)
was published.
ANA
Standards Of Clinical Nursing Practice (2nd edition)
Focus primarily on the processes of providing nursing care and performing professional activities.
Describe a competent level of professional nursing care and performance common to all nurses.
Apply to all nurses in all areas of clinical practice
despite tremendous variability in educational preparation and
settings.
Provide a blueprint for specialty nursing organizations’ development of their own standards of practice.
ASSUMPTIONS
RELATED TO THE ANA Standards
Of Clinical Nursing Practice (2nd edition)
Employers must provide an environment supportive of nursing practice.
Nursing care is individualized to meet a particular patient’s unique needs and situation.
The nurse establishes collaborative partnerships with the patient, family, and other health care providers to carry out care.
ANA Standards of Clinical Nursing Practice (2nd edition) consists
of:
STANDARDS
OF CARE
STANDARDS OF PROFESSIONAL NURSING PRACTICE
STANDARDS OF CARE
Describe
a competent level of nursing care as demonstrated by the nursing
process:
Assessment
Diagnosis
Outcome
identification
Planning
Implementation
Evaluation
Encompasses
all nursing actions taken to provide care to all clients.
Forms
the foundation for clinical decision-making.
Encompasses
themes that cut across all practice and reflect nursing
responsibilities for all patients:
Providing
age-appropriate and culturally/ethnically sensitive care.
Maintaining
a safe environment.
Educating
patients about healthy practices and treatment modalities.
Coordinating
care across settings and among caregivers.
Managing
information.
Communicating
effectively.
STANDARDS OF PROFESSIONAL PERFORMANCE
Describe
a competent level of behavior in the professional role:
Quality
of care
Performance
appraisal
Education
Collegiality
Ethics
Collaboration
Research
Resource
utilization
Nurses are expected to engage in professional role activities appropriate to their education/position.
Nurses
are ultimately accountable to themselves, patients, and peers for
professional actions.
Criteria
Key
indicators of competent practice.
Allow
standards to be measured.
For
a standard to be met, all criteria must be met.
Can
be revised to incorporate new scientific knowledge and clinical
practice.
Must
remain consistent with current nursing practice and research.
Guidelines
Systematically
developed statements based on the scientific evidence and expert
option.
Address
the care of specific patient populations or phenomena (vs. standards,
which provide a broad framework of practice).
Provide
a process of patient care management with the goal of improving the
quality of clinical and
consumer decision-making.
The ANA Standards of Clinical
Nursing Practice and nursing practice guidelines can serve as a
basis for:
Quality
improvement systems.
Legislative
and regulatory (licensure) systems.
Health
care reimbursement and financing methodologies.
Development
and evaluation of nursing service delivery systems and organizational
structures.
Certification
activities.
Job
descriptions, performance appraisals, and peer review.
Agency
policies, procedures, and protocols.
Educational
offerings.