...2010 Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession 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 Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized 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. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing ...
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...2010 Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession 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 Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized 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. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing ...
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...Rationale for Competency-Based Supervision Deonae Shackelford Western New Mexico University Rationale for Competency-Based Supervision The subject area of competency-based supervision is not one that I ever considered until I entered into the field work phase of the MSW program. Even upon entering the program I had not considered nor had I an understanding for what the field work portion would entail and the importance of it. My idea was that I would have an opportunity to gain some practical experience to go along with the education and knowledge I am acquiring while in school. How well the person in charge of me is trained or how in-depth their knowledge is about the practice of social work is was not a consideration. Now, that I am in an agency, in particular one where the person in charge of my supervision does not hold a degree of any kind, I have personal experience with the necessity of competency-based supervision when working in the social services field, particularly social work. Analysis of Supervision The National Association of Social Workers (NASW) and the Association of Social Work Boards (ASWB) have developed Best Practice Standards in Social Work Supervision. The goal of this regulatory board and organization of professional membership task force is to support and strengthen supervision standards for professional social workers. The Best Practice Standards are also to provide a general framework that promotes uniformity and serves as a resource...
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...efficient care, the protection of all members of the general public, and the undertaking of all necessary actions in order to preserve the nursing profession. Any and all standards that are established, based on such a perspective, must be adhered to in practice and for the purpose of nursing evaluation. This paper will evaluate and explore the concept of competency and the ways in which the nursing profession integrates the many aspects of competency. Keywords: competence, competency, concept analysis Competency: Analysis of the Concept The concept of competency in nursing is a professional regulation and is extremely important to patient safety and outcomes. In the past, competency in nursing focused on evaluating clinical skills, and not the actual ability(ies) or comprehension of the science behind them (Allen et al., 2008). Nurse competency is a requirement in the clinical setting, and outlines the dimensions of integrating the application of skill, knowledge, and decision-making. The lack of a uniform meaning of nursing competence, as well as the lack of validity and reliability in the tools required, has resulted in the development of incoherent tools that evaluated only a minor aspect of nursing proficiency (Takase & Teraoka, 2011). The purpose of this concept analysis is to elaborate...
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...Training and Development Gabriel Alcala HCS/341 11 June 2012 Professor Lee Hoffman University of Phoenix Training and Development The textbook definition of training is defined as instruction or skill development. To countless employers in the workforce, “training is a means of meeting regulatory or legal requirements” (Burnson, 2011). However, the concept of training has many dimensions. It is more than just about learning a skill. Training is an educational process that can affect factors such as productivity, quality, and teamwork. It also plays in factors of individual development relevant to empowerment, alignment, liability, risk, as well as professional development. No matter what type of profession an individual enters, training and development is necessary to further complete their skills to be successful. The health care industry is a complex field that requires extensive education and training in addition to personal daily progression. The numerous and diverse workplaces that healthcare professionals are found in make training and development just as varied. Large and small medical practices, hospitals, therapy centers, and testing facilities all require employees skilled in specific tasks as well as administrative functions. Some basic and necessary functions an individual in the health care industry is expected to have are interpersonal skills and administrative production. Interpersonal skills among the staff are necessary for the organization...
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...the employee must be done in the correct fashion to protect themselves and the organization. Ensuring proper training and education can minimize error on an employee or company’s behalf. There are also state and federal standards that must be upheld by each healthcare organization and healthcare employee. For that reason, each employee must be properly trained and educated on these standards. This may prevent the company and employee from any lawsuits filed against them. Importance of Measuring Competencies Competence is the outcome of education and training. Measuring competence is valuable and important in health care so that health care organizations can ensure they are recruiting individuals who are able to perform their duties and responsibilities to the very best of their potential on a daily basis. And although it is “a precursor to doing a job correctly, measuring performance periodically is also crucial to determine whether providers are using their competence in...
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...anesthesia. This was an unethical behavior they were shooting the video and making fun of the client lying in pain awaiting their help. “The intimacy and integrity of the nurse-client relationship demand that nurses protect the right of their clients. This achieved as nurses follow standards, policies, guidelines, and legislations regarding consent to treatment (Ross-Kerr & Wood, 2006, P 106).” In essence, the adherence to professionalism is of great significance when it comes to the medical profession. “In nursing, professionalism is described as the skills, attitude, values and behaviors common to those that undertake the practice of medicine. Professionalism to nurses includes knowledge of the human body and the skills required to maintain that body’s standard of health, personal integrity, an adherence to codes and conduct, accountability, a dedication to self-regulation and exercising of discretional judgment (Young, 2010)”. It is imperative that nurses hold on to professionalism in order to provide safe and healthy environment for their patients especially those who are unable to care for themselves in the time of their illness. Professionalism being the learning outcome, the College of Licensed Practical Nurses of Alberta (CLPNA) listed some...
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...definitions of the role of a mentor have evolved over the years, for a variety of professions (Gopee, 2011) as too have the requirements for mentors within the health profession. The current definition from the Nursing and Midwifery Council (NMC, 2008a) states that “A mentor is a registrant who has met the outcomes (of a mentor preparation course) and who facilitates learning, supervises and assesses students in a practice setting” (NMC, 2008a). The role of a clinical nurse mentor is described as someone who supervises, teaches and assesses student nurses in a practice setting (Jokelainen et al, 2011, Ousey, 2009), although the role is more complex in that a clinical nurse mentor needs to process the ability to select and support learning opportunities, they have a responsibility to manage diversity and equality, be accountable and ensure standards are maintained (NMC, 2008a). This is supported by Jokelainen et al (2011) who describes mentoring as being complex due to contextual, collegial, pedagogical and clinical teaching. Student nurses are supernumerary in the practice placement, meaning they are there as learners even though they must make an active contribution to the work of the practice area (RCN, 2007). Their active contribution is additionally supported by Morgan (2002) who emphasises that students may feel surplus to requirements through their supernumerary status. Standards relating to mentoring nursing students are set by the Nursing and Midwifery Council (2008a)...
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...National competency standards for the registered nurse Introduction • • returning to work after breaks in service, or • National competency standards for registered nurses were first adopted by the Australian Nursing and Midwifery Council (ANMC) in the early 1990s. The ANMC was a peak national and midwifery organisation established in 1992 to develop a national approach to nursing and midwifery regulation. The ANMC worked in conjunction with the state and territory nursing and midwifery authorities (NMRAs) to produce national standards – an integral component of the regulatory framework – to help nurses and midwives deliver safe and competent care. educated overseas seeking to work in Australia involved in professional conduct matters. The National Board may also apply the competency standards in order to communicate to consumers the standards that they can expect from nurses. Universities also use the standards when developing nursing curricula, and to assess student and new graduate performance. The ANMC officially became the Australian Nursing and Midwifery Accreditation Council (ANMAC) on 24 November 2010. The name change reflected ANMC’s appointment as the independent accrediting authority for the nursing and midwifery professions under the new National Registration and Accreditation Scheme (the National Scheme) that came into effect on 1 July 2010 (18 October 2010 in Western Australia). These are YOUR standards — developed...
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...Communication and Therapeutic Relationships in Nursing/Midwifery A therapeutic relationship can be described as one that offers support and care without being judgemental and can provide trust and a feeling of safety from threatening situations(Mc Klindon et al1999). In contrast to a social relationship it differs greatly in that a therapeutic relationship consists of collaborated goals which are identified when the relationship is initiated and once these goals are fulfilled the relationship is terminated in a therapeutic way(Nurses Association of New Brunswick2000).There are many communication techniques that can prove to be useful in certain situations for example verbal and nonverbal communication as well as being aware of body language and tone of voice which can benefit the therapeutic relationship. It is essential to learn how to be assertive as it can promote fairness and efficiency at work(Hodgetts 2011). One must learn how to communicate effectively with clients from different cultures who speak different languages in order to ascertain the clients needs and in order to build the therapeutic relationship. Developing a Therapeutic Relationship In order to develop a therapeutic relationship it has been found that a number of skills are required for example conveying empathy and understanding, accepting individuality, providing support, promoting equality, demonstrating respect, maintaining boundaries, self awareness and being there for the client in a genuine manner(Dziopa...
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...been identified from the literature. Background Research into team effectiveness has traditionally searched for characteristics of effective teams. Quantitative evaluations of specific interventions have largely been inconclusive and emphasised the need for further research (Schwartzmann 1986). The complexity of team functioning precludes reducing teams to their least number of components. Rather, a systems theory approach recognises the relationships and interdependence between and within teams. Given the importance of teamwork to delivering healthcare, a better understanding of how teams function effectively will be invaluable for educating and developing teams. This article will summarise and evaluate characteristics that create and maintain teams in healthcare environments. Defining the context There is broad consensus in the literature about the defining features of teams. Katzenbach and Smith (1993) stated that “... a team is a small number of people with complementary skills who are committed to a common purpose, performance goals, and approach for which they hold themselves mutually accountable” (p 45). In addition, regular...
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...there is a plenty ways which could be done to reduce the severity of any complications from this disease. Generally, there are three main types of diabetes. It includes Type 1 diabetes (juvenile diabetes), Type 2 diabetes, and gestational diabetes (during pregnancy). Type 1 diabetes (Insulin Dependent Diabetes Mellitus) should consume insulin daily in order to survive. Meanwhile, type 2 diabetes (Non-Insulin Dependent Diabetes Mellitus) is the most common type of diabetes. Whereas, gestational diabetes is another type of diabetes where there is a high blood sugar level which is diagnosed during pregnancy. Diabetes Mellitus which is a well-known chronic illness requires a comprehensive of medical care by the expertise team. The risk of long term complications needs full support from various professionals to conduct diabetes care. Acute complications can be prevented via ongoing patient self-management education and awareness of illness. Patient self-management education and problem solving skills development are necessary to be provided in diabetic clinic plan through a variety of strategies and techniques. Creation of a primary care diabetes clinic with trained paramedics who provide individual or group education, life-styles counseling, and diabetic complications screening will help to improve diabetic control and insulin acceptance. Many evidence-based studies have found that diabetic self-management education had significantly improved the clinical outcomes,...
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...of Phoenix Gail Zettel “Social work is a profession for those with a strong desire to help improve people's lives.” Social Caseworker- The minimum requirement for entry into a social work career is a bachelor’s in social work (BSW), although some positions may require an advanced degree. Master’s programs prepare the graduate for work in their chosen field and help develop the skills required to perform clinical assessments, manage large caseloads, and explore new ways of drawing upon social services to meet the needs of clients. A master’s degree program takes two years (full time), four years part-time, and requires a minimum of 900 hours of field instruction or internship. To have a professional title you must have two years or 3,000 hours of clinical experience and obtain a license, certification, or registration dependent on the State you live in. To be a social worker you must be emotionally mature, objective, and sensitive to people and the problems that surround them. You must be responsible, be able to work independently, and be able to maintain working relationships with your clients and co-workers. Volunteering as a social work aide will help you access whether or not you have an interest in this field. In 2008 social workers held around 642,000 jobs, and employment for social workers is expected to grow for all social occupations through 2018. These proposed outlooks on growth though could be dependent on Federal, State, and local funding. Projections...
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... Interdisciplinary Capstone/480 May 30, 2012 Cheryl Burleigh Title of Paper The purpose of this paper is to reflect on one’s personal and professional lives’ during his or her program study at University of Phoenix. I will reflect on one’s growth while looking at the effects of completing the Human Services degree program of current and future professional goals. In this paper, I will discuss one’s views of learning, influences of personal growth and development including professional competences and career goals. Additionally, this paper evaluates areas of growth of skill orientation of core courses, which includes general education and poses areas of recommendation that can enhance the curriculum at University of Phoenix. Lastly, this paper analyzes the effects completing an undergraduate degree program while giving insight of lifelong learning goals (University of Phoenix, 2012). Assessment of one’s personal and professional growth and development enhances awareness and brings accomplishments to the forefront. Personal and Professional Growth As I reflect on personal and professional growth prior to completion of one’s degree program, I realize that one has been empowered by great deals of faculty and staff at University of Phoenix, which has influenced personal and professional growth. People, places, and things easily deterred me in the past however; since enrollment of one’s degree program, empowerment, and mentoring of faculty, I have learned to...
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...October 2002 national competency standards for the enrolled nurse Introduction Description of Enrolled Nurse National Competency Standards Assessing Competence Glossary of Terms Introduction The Australian Nursing and Midwifery Council (ANMC) is a peak national nursing and midwifery organisation established in 1992 with the purpose of developing a national approach to nursing and midwifery regulation. The ANMC works in conjunction with the state and territory nursing and midwifery regulatory authorities (NMRAs) to produce national standards which are an integral component of the regulatory framework to assist nurses and midwives to deliver safe and competent care. The standards include the national competency standards for enrolled nurses which were first adopted by the ANMC in the early 1990s. These have been reviewed and revised regularly since then. Other standards developed by the ANMC for implementation by the NMRAs include the competency standards for registered nurses, midwives and nurse practitioners, codes of professional conduct and ethics, and a range of position statements and guidelines. The full list of standards, position papers and guidelines produced by the ANMC can be viewed on the website. The national competency standards for the enrolled nurse are scheduled for review in 2007. This review will be undertaken by a team of expert nursing consultants and will include extensive consultation with nurses around Australia. The purpose underpinning the review...
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