Using the ANA Standards of Nursing Practice and Professional Performance

The Process of Scope and Standards Development

Scope of Nursing Practice Standards of Professional Nursing Practice:

Standards of Practice Standards of Professional Performance

Building Nursing Practice for Consumer Protection

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

Scope of Nursing Practice

The Scope of Nursing Practice answers the questions:
Who, What, Where, When, Why, and ow ! ! of nursing practice"

Standards of Practice
#uthoritative statements that describe a competent level of nursing care as demonstrated by the critical thin$ing model $nown as the nursing process:
#ssessment %iagnosis &utcomes 'dentification Planning 'mplementation (valuation

Standards of Practice : Example

Standard ! Assessment The registered nurse collects comprehensive data pertinent to the healthcare consumer)s health or the situation"

Standards of Professional Performance

#uthoritative statements that describe a competent level of behavior in the professional role, including activities related to:

Standards of Professional Practice: Example

Standard ! Colla"oration The registered nurse collaborates with the healthcare consumer, family and others in the conduct of nursing practice"

Areas of Application for the Standards of Professional Nursing Practice

Nursing education *eadership and administration Performance and quality improvement +esearch

Applications in Nursing Education

,an be used in all levels of nursing education programs -asis for curriculum development

,urriculum and conceptual framewor$ framed in #N# Scope of Practice and Standards of Professional Nursing Practice Standards and ,ode of (thics for Nurses are also mainstays of clinical evaluation tools

.sed as evaluation tools for curriculum and for nursing programs by higher education accrediting bodies

#n Education: $reshman%level Applications 'ntroduction to the conceptual components of the Standards of Practice 'ntroduction to #N# as originator of standards 'ntroduction to the standards by reviewing upperlevel clinical tools %evelop class norms from the standards

#n Education: Sophomore%level Applications 'n-depth discussion of development and use of standards, scope of practice, code of ethics #ctual application of standards in clinical e/periences in long term and acute care at beginning level (valuation of others) clinical performance based on standards ,linical evaluations based on standards

#n Education: &unior%level Applications #pplication and analysis in specialty practice areas

&Pediatrics 0ental health 0ed-surg +ehab

(valuation of scope of practice, standards of practice, and code of ethics

#n Education: Senior%level Applications #pplication and analysis in specialty practice areas

,ritical care (+ ,ommunity health *eadership and administration

(valuation of scope of practice, standards of practice, and code of ethics ,ritical reflections

#n Education: 'N to BSN Trac( Pervasive lac$ of $nowledge about: Standards of practice and how they affect their wor$ environments What nursing)s single scope of practice is and what nurses define as their own scope of practice ow the ,ode of (thics for Nurses is used in their wor$ environments 1o bac$ to the basics: analysis, application, evaluation

Uses in )eadership and Administration

0inimum competent e/pected practice 2ormat for 3ob descriptions 2ormat for evaluation of role, professional competence &rientation #pplication to all settings 4acute care, long term care, home health, ambulatory5

#n )eadership * Administration: Use in +rientation #ssessment of data collection systems and processes to support nursing practice involves: 0eeting with unit leadership to analy6e wor$flow related to effectiveness and efficiency 0eeting with unit leadership and information technology to identify necessary resources to support data collection

#n )eadership * Administration: Use in a &o" Description

#ssessment of data collection systems and processes to support nursing practice that: #naly6es wor$flow related to effectiveness and efficiency of unit assessment processes" 'dentifies, documents and secures necessary resources to support data collection"

Uses in Performance and ,ualit#mprovement

0any opportunities for use:

(valuating variation (valuating costs (valuating outcomes of practice

'nformation technology

Uses in Performance and ,ualit- #mprovement

The standards universally apply" 2or e/ample: 'dentifying assessment elements specific to nursing patient, client, and resident indicators appropriate to a given organi6ational conte/t" 'dentifying and securing adequate resources for decision analysis in collaboration with appropriate departments"

Uses in Performance and ,ualit- #mprovement (contd)

#ssisting in identification, development, and utili6ation of databases that include nursing measures and desired outcomes" 2acilitating the development and continuous improvement of organi6ational systems in which plans related to the delivery of nursing services can be developed, modified, documented and evaluated"

Uses in Performance and ,ualit- #mprovement

*eading initiatives in innovative programs and new implementation alternatives" .tili6ing appropriate findings to evaluate and improve care processes, structures and measurement of outcomes that promote organi6ational effectiveness"

Uses of Standards in 'esearch

0a$ing statements of accountability for evidencebased practice 0aintaining current $nowledge (valuating practice

)egal #mplications of the Standards

Nurse practice acts and licensing ,ertification +egulatory groups, such as The 7oint ,ommission and N,8# that use the standards 2ormat for writing policies and procedures 4including 3ob descriptions, orientation programs, and competency and evaluation tools"5