Scopes And Standards Of Nursing Practice

The American Nurses Association’s Scope and Standards of Psychiatric-Mental Health Nursing Practice (ANA, 2003), focuses on the provision of patient-centered care to individuals with mental health needs. The ANA Scope and Standards for Hospice and Palliative Nursing Practice (ANA 2011) highlights the contributions of the hospice and palliative nursing specialty toward the care of individuals who have life limiting illnesses or conditions. The scope, vision, and philosophy of board certified hospice and palliative care nurses include caring for patients and families in all states of health; health promotion; disease prevention; caring for physically, psychosocially, spiritually distressed people; respecting individual values beliefs/ethnocultural differences; respect for human dignity; symptom management comfort measures no matter where or how person is receiving care.” Core competencies required by board certified hospice/palliative care nurses include communication skills consultative skills critical thinking skills interdisciplinary team collaboration skills teaching/learning skills leadership skills patient advocacy ethical decision making change management principles systems thinking informatics applications clinical practice EHRs education principles public policy analysis professional practice evaluation skills including basic research processes information retrieval current research literature evidence based practice

Scopes And Standards Of Nursing Practice

1 The Scope and Standards of Psychiatric-Mental Health Nursing Practice (ANA, 2003) focuses on the provision of patient-centered care to individuals with mental health needs.

The Scope and Standards of Psychiatric-Mental Health Nursing Practice (ANA, 2003) focuses on the provision of patient-centered care to individuals with mental health needs. Mental health nurses are educated, trained and certified to provide care for patients with mental health needs.

2 The Scope and Standards of Hospice and Palliative Nursing Practice (ANA, 2011) highlights the contributions of the hospice and palliative nursing specialty toward the care of individuals who have life limiting illnesses or conditions.

The Scope and Standards of Hospice and Palliative Nursing Practice (ANA, 2011) highlights the contributions of the hospice and palliative nursing specialty toward the care of individuals who have life limiting illnesses or conditions. Hospice and palliative care is a holistic approach to care that focuses on the physical, psychological, social and spiritual needs of the patient and family. The nurse usually works in collaboration with other members of the health care team who provide medical services as well as psychosocial support for these individuals.

Hospice nurses must be able to demonstrate knowledge about various aspects related to end-of-life issues including:

3 The scope, vision, and philosophy of board certified hospice and palliative care nurses include caring for patients and families in all states of health; health promotion; disease prevention; caring for physically, psychosocially, and spiritually distressed people; respecting individual values, beliefs and ethnocultural differences; respect for human dignity; symptom management and comfort measures no matter where or how a person is receiving care.

The scope, vision, and philosophy of board certified hospice and palliative care nurses include caring for patients and families in all states of health; health promotion; disease prevention; caring for physically, psychosocially, and spiritually distressed people; respecting individual values, beliefs and ethnocultural differences; respect for human dignity; symptom management and comfort measures no matter where or how a person is receiving care.

The scope of nursing practice includes assessment across the life span with an emphasis on nursing diagnosis as it applies to acute/chronic illness or injury that may be managed by:

• Prevention through immunization education with emphasis on vaccination programs recommended by public health agencies (including influenza).
• Early detection of disease through screening tests as well as treatment of diseases detected during screening procedures.
• Education regarding lifestyle changes such as diet modifications such as salt intake reduction or weight loss to reduce risk factors associated with cardiovascular disease such as hypertension (high blood pressure), hyperlipidemia (elevated cholesterol levels), diabetes mellitus type II,, sleep apnea syndrome etc.

4 Core competencies required by board certified hospice and palliative care nurses include communication skills; consultative skills; critical thinking skills; interdisciplinary team collaboration skills; teaching/learning skills; leadership skills in patient advocacy, ethical decision making, change management principles, systems thinking, informatics applications for clinical practice including EHRs, education principles, public policy analysis; professional practice evaluation skills including basic research processes and information retrieval from current research literature for evidence based practice.

The core competencies required by board certified hospice and palliative care nurses include communication skills; consultative skills; critical thinking skills; interdisciplinary team collaboration skills; teaching/learning skills; leadership skills in patient advocacy, ethical decision making, change management principles, systems thinking, informatics applications for clinical practice including EHRs, education principles, public policy analysis; professional practice evaluation skills including basic research processes and information retrieval from current research literature for evidence based practice.

The National Council Licensure Examination (NCLEX-RN) is the national licensing examination which assesses basic nursing knowledge. It includes 75 items that must be completed within 9 hours. The pass rate is 79%.

The primary purpose of this exam is to ensure that nurses have attained appropriate knowledge and skill levels necessary to provide safe nursing care to patients before they can be licensed as registered nurses (RN) in all 50 states.

5 Patient populations include neonate to geriatric patients in hospital settings such as acute care hospitals or rehabilitation hospitals as well as ambulatory centers or private homes.

A registered nurse (RN) provides direct patient care and is responsible for the health of people in a wide range of settings. The RN is an integral member of the healthcare team, providing a broad spectrum of services to patients, their families and communities. The RN performs duties such as:

• assessing patients’ needs
• planning care with other members of the healthcare team
• implementing plans developed by other members of the healthcare team

Closing

The nurse is the professional who understands and cares for all of these patient populations. The nurse must be able to demonstrate competency with practice guidelines, protocols and standards in order to provide quality care for patients. The nature of nursing practice requires the use of critical thinking skills and problem solving techniques when providing care for patients