Nursing Administration: Scope and Standards of Practice
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About this ebook
Topics discussed include core role accountabilities, role qualifications (including certification and education), and ethics of this nursing specialty, as well as the issues, opportunities and trends that every nurse administrator must know. The core accountabilities alone illustrate the depth and breadth of nursing administration practice:
Accountability and advocacy for employees
Clinical care delivery and optimal patient outcomes
Healthy work environments
Legal and regulatory compliance
Networking, partnering and collaborating
Patient and population health advocacy
Safety, quality and risk management
Strategic, financial and human resource management
The publication's 17 competency-based standards will help in evaluating practice outcomes and goals and delineating what is expected of all nurse administrators. Its scope of practice—the who, what, where, when, why, and how of their practice—is the context for these standards.
Nursing Administration: Scope and Standards of Practice, 2nd Edition is a professional development must-have for the practicing or aspiring nurse administrator or nurse executive, or any registered nurse or nursing student.
About ANA's Specialty Nursing Standards
Since the late 1990s, ANA has partnered with other nursing organizations to establish a formal process for recognition of specialty areas of nursing practice. This includes the criteria for approving the specialty itself and the scope statement, and an acknowledgment by ANA of the standards of practice for that specialty. Because of the significant changes in the evolving nursing and health care environments, ANA's approval of specialty nursing scope statements and its acknowledgment of specialty standards of practice remain valid for five years, starting from the publication date of the documents.
The standards in this publication are based on language from ANA's Nursing: Scope and Standards of Practice, Third Edition, a helpful supplement to this specialty text, which in turn is of optimal use with two complementary ANA texts: Guide to Nursing's Social Policy Statement and Guide to the Code of Ethics for Nurses. Together (available as the Essentials of Nursing Practice Package), these three books help guide nursing practice, thinking and decision-making. The set is proving useful as a professional reference, classroom textbook, in-service training guide and credentialing exam resource.
American Nurses Association
The American Nurses Association (ANA) is the premier organization representing the interests of the nation's 4 million registered nurses. ANA is at the forefront of improving the quality of health care for all. Founded in 1896, and with members in all 50 states and U.S. territories, ANA is the strongest voice for the profession
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Nursing Administration - American Nurses Association
American Nurses Association
8515 Georgia Avenue, Suite 400
Silver Spring, MD 20910-3492
1-800-274-4ANA
http://www.Nursingworld.org
The American Nurses Association (ANA) is a national professional association. This ANA publication, Nursing Administration: Scope and Standards of Practice, 2nd Edition, reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing Administration: Scope and Standards of Practice, 2nd Edition guides nurses in the application of their professional knowledge, skills, and responsibilities.
The American Nurses Association (ANA) is the only full-service professional organization representing the interests of the nation’s 3.4 million registered nurses through its constituent member nurses associations and its organizational affiliates. ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and lobbying the Congress and regulatory agencies on healthcare issues affecting nurses and the public.
Cataloging-in-Publication Data on file with the Library of Congress
Copyright ©2016 American Nurses Association. All rights reserved. Reproduction or transmission in any form is not permitted without written permission of the American Nurses Association (ANA). This publication may not be translated without written permission of ANA. For inquiries, or to report unauthorized use, email copyright@ana.org.
ISBN-13: 978-1-55810-645-1 SAN: 851-3481 06/2016
First published: June 2016
NA2E_CO_image.jpgContents
Contributors
Scope of Practice of Nursing Administration
Function of the Scope Statement
Introduction
Definitions
Evolution of Nursing Administration Practice
Administration of Nursing Schools
Administration of Public Health Nursing
Administration of Nursing in Hospitals
Magnet Recognition Program®
Institute of Medicine Report
Practice Settings and Span of Influence
System-Wide Influence
Organization-Wide Influence
Service, Department, or Program Influence
Unit- or Team-Wide Influence
Role Accountabilities
Safety, Quality, and Risk Management
Patient and Population Health Advocacy
Clinical Care Delivery and Optimal Patient Outcomes
Healthy Work Environment
Strategic, Financial, and Human Resource Management
Legal and Regulatory Compliance
Networking, Partnering, and Collaborating
Role Qualifications
Education
Certification
Some Certification Opportunities for Nurse Administrators
Competencies
Knowledge, Skills, and Abilities
Ethics in Nursing Administration
Provision 1
Provision 2
Provision 3
Provision 4
Provision 5
Provision 6
Provision 7
Provision 8
Provision 9
Trends, Issues, and Opportunities
Improving the Patient Care Experience
Advancing the Health of Populations
Reducing Per-Capita Cost of Health Care
Standards of Nursing Administration Practice
Standards of Practice for Nursing Administration
Standard 1. Assessment
Standard 2. Identification of Problems, Issues, and Trends
Standard 3. Outcomes Identification
Standard 4. Planning
Standard 5. Implementation
Standard 5A. Coordination
Standard 5B. Promotion of Health, Education, and a Safe Environment
Standard 6. Evaluation
Standards of Professional Performance for Nursing Administration
Standard 7. Ethics
Standard 8. Culturally Congruent Practice
Standard 9. Communication
Standard 10. Collaboration
Standard 11. Leadership
Standard 12. Education
Standard 13. Evidence-Based Practice and Research
Standard 14. Quality of Practice
Standard 15. Professional Practice Evaluation
Standard 16. Resource Utilization
Standard 17. Environmental Health
Glossary
References
Appendix A: ANCC Certification Assessment Content
Appendix B: Nursing Administration: Scope and Standards of Practice (2009)
Index
NA2E_CO_image.jpgContributors
Workgroup Members
Elaine Scott, PhD, RN, NEA-BC, Co-Chair
Kathleen M. White, PhD, RN, NEA-BC, FAAN, Co-Chair
Marie L. Ankner, PhD(c), RN, NEA-BC
Lillian (Toni) A. Bargagliotti, PhD, RN, ANEF, FAAN
Jean Barry, PhD, RN, NEA-BC
Linda Burnes Bolton, DrPH, RN, FAAN
Anita Catlin, DNSc, FNP, FAAN
Martha A. Dawson, DNP, RN, FACHE
Denise Deforest, MSN, RN, CRRN
Nancy M. Edtl, MBA, BSN, RN, NCSN
Melissa G. Evraets, MSN, RN, NE-BC
Helen Ewing, DHSc, MN, RN
Shelly Fischer, PhD, RN, NEA-BC, FACHE
Teresa C. Harris, MSN, RN, NE-BC
Mary E. Hartsell, DNP, MSN, FNP, PMHNP-F
Diane L. Huber, PhD, RN, NEA-BC, FAAN
Michael L. Jones, MSN, RN, MBA
Glynnis M. LaRosa, MPH, MSN, RN, APHN-BC, CPHQ
Sarah Lohman, MSN, RN
Brandi M. London, MSN, RN
Benny L. Lucas, BSN, MSHA, RN, HACP, NEA-BC
Sonia Martinez, ACNS-BC, RN
Deborah McQuilkin, DNP, RN, MEd, NEA-BC, FACMPE
Rachel Ramsey, MS, RN
Deborah A. Shelton, PhD, RN, NE-BC, CCHP, FAAN
Carol A. Walters, BSN, RN, NE-BC
American Nurses Association Staff
Carol J. Bickford, PhD, RN-BC, CPHIMS, FAAN—Content editor
Maureen Cones, JD—Legal counsel
Yvonne Humes, MSA—Project coordinator
Eric Wurzbacher—Project editor
ANA Committee on Nursing Practice Standards
Richard Henker, PhD, RN, CRNA, FAAN—Co-chair (03/2014–12/2015)
Tresha (Terry) L. Lucas, MSN, RN—Co-chair (07/2011–12/2014)
Danette Culver, MSN, APRN, ACNS-BC, CCRN
Deborah Finnell, DNS, PMHNP-BC, CARN-AP, FAAN
Renee Gecsedi, MS, RN
Deedra Harrington, DNP, MSN, APRN, ACNP-BC
Maria Jurlano, MS, BSN, RN, NEA-BC, CCRN
Carla A. B. Lee, PhD, APRN-BC, CNAA, FAAN, FIBA
Verna Sitzer, PhD, RN, CNS
About the American Nurses Association
The American Nurses Association (ANA) is the only full-service professional organization representing the interests of the nation’s 3.4 million registered nurses through its constituent member nurses associations and its organizational affiliates. ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and lobbying the Congress and regulatory agencies on healthcare issues affecting nurses and the public.
NA2E_CO_image.jpgScope of Practice of Nursing Administration
Function of the Scope Statement
The scope of practice statement (pages 1–32) describes the who,
what,
where,
when,
why,
and how
of nursing administration practice. Each of these questions must be sufficiently answered to provide a complete picture of the practice, its boundaries, and its membership. The depth and breadth in which individual registered nurses engage in the total scope of nursing practice is dependent upon education, experience, role, and the population served.
Introduction
Nursing administration is a long-standing nursing specialty practice. The American Nurses Association (ANA) first published Standards for Organized Nursing Services and Responsibilities of Nurse Administrators Across All Settings in 1988, followed by a revision in 1991. The Scope and Standards for Nurse Administrators was published in 1995, with the second edition released in 2004. Both the 1995 and 2004 scope and standards resources conceptual the division of nursing administration into nurse manager and nurse executive levels.
The 2009 Nursing Administration: Scope and Standards of Practice content reflects the rapidly changing and evolving practice of the nurse administrator and classifies nursing administration practice as spheres of influence. The four spheres of influence include: organization-wide authority, unit-based or service-line-based authority, program-focused authority, and project- or specific task-based authority.
The nurse administrator of today practices in many different settings and in a variety of roles with varying degrees of influence. However, the core role accountabilities, no matter the setting, role, or title, remain the same. The core role accountabilities encompass clinical care delivery; healthy work environment; resource management, including human, financial, material, and technological; quality and safety; health outcomes; population health management; legal and regulatory compliance; and advocacy.
This new edition, Nurse Administration: Scope and Standards of Practice, Second Edition, defines practice settings and span of influence in keeping with contemporary terminology used in the organizational and administrative management literature. The practice settings and span of influence are: system-wide influence, organization-wide influence, service/department/program influence, and unit/team-wide influence.
The publication of Nurse Administration: Scope and Standards of Practice, Second Edition, is the culmination of an 18-month intense professional review and revision effort hosted by