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Nursing Scope of Practice

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What factors need to be considered when determining whether or not identified actions are within the domain of nursing practice? Be sure to cite current literature in your response

Nursing practice in one of the widespread area of practice that appears not so accurately regulated, certifications are not entirely standard. Commonly practice takes place base on model of hospital or clinic in which we work, yet more or less the practice is not defined well. But framework of nursing presented below is a valid and legal resource to reassess our scoop of practice validity.

scope of practice largely depends on degree, state and specialty that we practice. Even hospitals have different format set up allowing big inconsistency in practice. When it comes to actual practice we need to ask two main question, if we are fully competent on that activity and if it is ethical, this is an untold direction to immediate respond for identify domain of practice. If a practice is performed in a large hospital as a common practice, then it is probably within the domain of nursing practice.

Each state has different regulation and requirement for specific degree and certification. They are organization of our licensing so it is logical to follow each state regulation as accurate resource for scoop of practice.

American Nurse Association categorized standard of practice as follow, and each area expand to define more specific activity. However again doesn’t define or demonstrate every single procedure.

1: Assessment Standard 2: Diagnosis (expanded for APRNs) Standard 3: Outcomes identification Standard 4: Planning Standard 5: Implementation Standard 5A: Coordination of care Standard 5B: Health teaching and health promotion Standard 6: Evaluation Standards of professional performance Standard 7: Ethics (Check out ANA’s new Code of Ethics for Nurses with Interpretive Statements) 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

Each of these are related to subspecialty in nursing with extensive variability.

http://www.nursesbooks.org/ebooks/download/NursingScopeStandards.pdf

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