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Practice Standard

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Practice Standards

Pathway Practice Standards are based upon expert nurse input, nursing literature and research that supports the qualities of a positive practice environment. All 12 standards apply to health care organizations and long term care institutions. Additional standards apply to the long term care environment.

1. Nurses Control the Practice of Nursing
A shared governance model centers a healthy work environment for nurses. RNs directly involved in decisions that affect nursing practice with demonstrated autonomy and responsibility experience higher job satisfaction and contribute to improved quality of care and safety for patients. 3, 10, 11, 15

2. The Work Environment is Safe and Healthy An environment where safety is paramount for both nurses and patients is essential to the delivery of quality nursing practice. Studies indicate that work environments with a culture of safety demonstrate a reduction in work-related injuries. 16, 25 A supportive work environment that encourages the health and well-being of staff is also essential.

3. Systems Are in Place to Address Patient Care & Practice Concerns Pathway-designated organizations provide dispute mechanisms to address patient care and practice concerns without retribution. Silence and poor communication lead to patient safety issues and reduced job satisfaction. 2, 20 In 2009, the Joint Commission recognized implemented a standard to address conflict-and-dispute resolution in health care.17 In A study by Siu, Laschinger, and Finegan demonstrated that positive work environments enhance nurses' conflict-management skills, thus influencing unit effectiveness.22 4. Orientation Prepares New Nurses for the Work Environment
An orientation program for all nurses new to the organization must be in place. Studies show a conscious orientation to the profession for new graduate nurses

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