Neuroscience Nursing: Scope and Standards of Practice
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About this ebook
This publication guides RNs through the essentials of neuroscience nursing and provides a framework for practice at all levels and settings. It reflects the most current thinking in the specialty and offers a blueprint for neuroscience nursing philosophy, principles, and practices.
This go-to guide contains the most up-to-date information on this practice specialty. It specifies the who, what, where, when, why, and how of neuroscience nursing practice. The 16 standards are those by which all RNs in neuroscience nursing are held accountable for in their practice. Each standard is measurable by a set of specific competencies that serve as evidence of minimal compliance with that standard.
Although primarily for neuroscience nursing practitioners, educators, students, and others directly involved in nursing care, research, advocacy, and certification; this book can also inform other healthcare providers, researchers and scholars as well as employers, insurers, lawyers, regulators, policy makers, and stakeholders. .
While this book is primarily for practicing nurses, it is also an essential resource for nursing faculty and students, other health care providers, researchers and scholars, and those involved in funding, legal, policy, and regulatory activities. E-Book features and functionality: Links from each header in the Contents to its in-text occurrence… Active URLs… Next page/Previous page navigation… Home page is Contents page… Fully searchable.
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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Reviews for Neuroscience Nursing
3 ratings2 reviews
- Rating: 1 out of 5 stars1/5This is...probably the most useless book you could imagine. If you are looking to gain any insight at all into neurological nursing, don't bother with this book. If you know the nursing process, then you know everything in this book.
- Rating: 1 out of 5 stars1/5Just nursing process. Worthless.
Book preview
Neuroscience Nursing - American Nurses Association
American Nurses Association
8515 Georgia Avenue, Suite 400
Silver Spring, MD 20910-3492
1-800-274-4ANA
http://www.NursingWorld.org
Published by Nursesbooks.org
The Publishing Program of ANA
http://www.Nursesbooks.org/
The American Association of Neuroscience Nurses (AANN) and the American Nurses Association (ANA) are national professional associations. This joint AANN and ANA publication—Neuroscience Nursing: Scope and Standards of Practice, 2nd Edition—reflects the thinking of the practice specialty of holistic nursing 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 Neuroscience Nursing: Scope and Standards of Practice, 2nd Edition, guides nurses in the application of their professional skills and responsibilities.
The American Association of Neuroscience Nurses (AANN) is committed to working for the highest standard of care for neuroscience patients by advancing the science and practice of neuroscience nursing. Founded in 1968, the AANN accomplishes this through continuing education, information dissemination, standard setting, and advocacy on behalf of neuroscience patients, families, and nurses. AANN develops and supports nurses in providing excellence in care and promotes the neuroscience nursing specialty. As the leading authority in neuroscience nursing, AANN inspires passion in nurses and creates the future for the specialty.
The American Nurses Association (ANA) is the only full-service professional organization representing the interests of the nation’s 3.1 million registered nurses through its constituent/state nurses associations and its organizational affiliates. The 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 by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the public.
Copyright © 2013 American Nurses Association and American Association of Neuroscience Nurses. All rights reserved. No part of this book may be reproduced or used in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher.
Library of Congress Cataloging-in-Publication available on request.
ISBN-13: 978-1-55810-505-8 03/2013
First published: March 2013
Contents
Contributors
Preface
Setting the Stage
Foundational Documents
Audience
Scope of Neuroscience Nursing Practice
Definitions and Distinguishing Characteristics of Neuroscience Nursing Practice
Historical Perspective on Neuroscience Nursing Standards and Evolution of Practice
Neuroscience Nursing’s Scope and Standards of Practice
Description of the Scope of Neuroscience Nursing Practice
The Science of Neuroscience Nursing
The Art of Neuroscience Nursing
Development and Function of Nursing Standards
The Nursing Process
Tenets of Neuroscience Nursing Practice
Healthy Work Environments for Neuroscience Nursing
Model of Professional Practice Regulation
Overview of the Standards of Neuroscience Nursing Practice
Standards of Practice for Neuroscience Nursing
Standards of Professional Performance for Neuroscience Nursing
Professional Competence in Neuroscience Nursing Practice
Professional Neuroscience Nurses Today
Roles and Responsibilities of Neuroscience Registered Nurses
Roles and Responsibilities of Neuroscience Advanced Practice Registered Nurses
Neuroscience Nurse Practice Settings
Neuroscience Nursing’s Societal and Ethical Dimensions
Continued Commitment to the Profession
Professional Trends and Issues
Summary of the Scope of Neuroscience Nursing Practice
Standards of Neuroscience Nursing Practice
Standards of Practice for Neuroscience Nursing
Standard 1. Assessment
Standard 2. Diagnosis
Standard 3. Outcomes Identification
Standard 4. Planning
Standard 5. Implementation
Standard 5A. Coordination of Care
Standard 5B. Health Teaching and Health Promotion
Standard 5C. Consultation
Standard 5D. Prescriptive Authority and Treatment
Standard 6. Evaluation
Standards of Professional Performance for Neuroscience Nursing
Standard 7. Ethics
Standard 8. Education
Standard 9. Evidence-Based Practice and Research
Standard 10. Quality of Practice
Standard 11. Communication
Standard 12. Leadership
Standard 13. Collaboration
Standard 14. Professional Practice Evaluation
Standard 15. Resource Utilization
Standard 16. Environmental Health
Glossary
References
Appendix A. Scope and Standards of Neuroscience Nursing Practice (2002)
Appendix B. Scope and Standards of Practice for Neuroscience Advanced Practice Nurses (2010)
Index
Contributors
Neuroscience Nursing Standards Workforce 2012–13
Chris Stewart-Amidei, RN, PhD, CNRN, FAAN, Task Force Chairperson
Susan Bell, RN, MS, CNRN, CNP
Ambre Pownall, RN, MSN
Laura Reese, RN, MSN, CNRN
Bridget Solomon, RN, BSN
Catherine Stephens, RN, MSN, CNRN
Misti Tuppeny, RN, MSN, CNRN, CCRN, CCNS
AANN Board of Director’s Liaison, Janice L. Hinkle, RN, PhD, CNRN
AANN Staff Liaison, Joan Kram, RN, MBA, FACHE
ANA Staff
Carol Bickford, PhD, RN-BC, CPHIMS – Content editor
Maureen E. Cones, Esq. – Legal counsel
Yvonne Daley Humes, MSA – Project coordinator
Eric Wurzbacher, BA – Project editor
About the American Association of Neuroscience Nurses
Founded in 1968, the American Association of Neuroscience Nurses (AANN) is committed to working for the highest standard of care for neuroscience patients by advancing the science and practice of neuroscience nursing. AANN accomplishes this through continuing education, information dissemination, standard setting, and advocacy on behalf of neuroscience patients, families, and nurses. AANN develops and supports nurses in providing excellence in care and promotes the neuroscience nursing specialty. As the leading authority in neuroscience nursing, AANN inspires passion in nurses and creates the future for the specialty.
About the American Nurses Association
The American Nurses Association (ANA) is the only full-service professional organization representing the interests of the nation’s 3.1 million registered nurses through its constituent/state nurses associations and its organizational affiliates. The 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 by lobbying the Congress and regulatory agencies on healthcare issues affecting nurses and the public.
About Nursesbooks.org, The Publishing Program of ANA
Nursesbooks.org publishes books on ANA core issues and programs, including ethics, leadership, quality, specialty practice, advanced practice, and the profession’s enduring legacy. Best known for the foundational documents of the profession on nursing ethics, scope and standards of practice, and social policy, Nursesbooks.org is the publisher for the professional, career-oriented nurse, reaching and serving nurse educators, administrators, managers, and researchers as well as staff nurses in the course of their professional development.
Preface
Neuroscience nursing is a nursing specialty that addresses the needs and care of individuals with biological, psychological, social, and spiritual alterations as a result of nervous system dysfunction. Registered nurses and advanced practice registered nurses (APRNs) specializing in the practice of neuroscience nursing are challenged to provide care to patients and families within a complex and constantly changing healthcare environment. The roles of neuroscience registered nurses and APRNs are multifaceted and dynamic. It is crucial for neuroscience registered nurses and APRNs to be aware of the diverse statutes and regulations governing their practice and be able to perform within their defined scope of practice. This document is intended to assist the neuroscience registered nurse and APRN in developing a framework for practice.
Setting the Stage
Foundational Documents
Neuroscience Nursing: Scope and Standards of Practice describes components of competent nursing practice and professional performance in the specialized field of neuroscience nursing. This document outlines the expectations of the professional role of the neuroscience nurse, identifies the scope of practice, and presents the standards of professional nursing practice with accompanying competencies for all neuroscience nurses.
Nurses practicing neuroscience nursing in the United States have several key foundational resources to inform and guide their practice. First, tenets of an ethical framework for neuroscience nurses practicing across all roles, settings, and levels of practice are identified through Code of Ethics for Nurses with Interpretive Statements (ANA, 2001) and Guide to the Code of Ethics for Nurses: Interpretation and Application (Fowler, 2008). Another significant foundational document is Nursing’s Social Policy Statement: The Essence of the Profession (ANA, 2010b), which conceptualizes nursing practice, describes the social context of nursing, and provides the definition of nursing. The final foundational resource is Nursing: Scope and Standards of Practice, 2nd ed. (ANA, 2010a). The scope and standards of neuroscience nursing practice have been developed from these documents.
Audience
Registered and advanced practice registered nurses specializing in neuroscience nursing constitute the primary audience for this professional resource. Healthcare providers and interprofessional colleagues, as well as administrators practicing in healthcare systems, agencies, and organizations, will find this a valuable reference in understanding the roles of neuroscience registered nurses and APRNs. In addition, patients, families, communities, and populations using neuroscience nursing services can use this document to better understand what constitutes the practice of neuroscience nursing and who its members are: registered nurses and APRNs specializing in neuroscience nursing. Finally, legislators, regulators, legal counsel, and the judiciary system may wish to reference this document to better understand what constitutes the practice of neuroscience nursing.
Scope of Neuroscience Nursing Practice
Definitions and Distinguishing Characteristics of Neuroscience Nursing Practice
Definitions
Nursing is defined as the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations
(ANA, 2010a, p. 1; ANA, 2010b, p. 10).
Neuroscience nursing is