What Factors Need to Be Considered When Determining Whether or Not Identified Actions Are Within the Domain of Nursing Practice

In: Science

Submitted By sheffioeld
Words 780
Pages 4
Nurses are always doing new things like procedures, answering questions asked by family members, facing challenges in their day to day routine and often times questioning the legitimacy the of their actions. Most guidelines are found in the policy and procedure handbook on your job. These actions are usually within the scope of the “nurse practice act” and “board of nursing”. Most questions are focused on safety. Safety depends on the nurse’s knowledge, training, and skills. A nurse has a duty of obligation to her patients and to herself. She has to protect her license and integrity as a nurse and deliver competent and knowledgeable services to her clients.
One rule of the RN is to delegate duties to other registered nurses and licensed practical nurses and nursing assistants. Many times the nurse questions if the assignment is within the scope of practice, especially delegating activities to the nursing assistant. (Kathleen R. Weinberg, n.d.) According to (DL, 1994), the purpose of nursing center influenced the scope of practice in nursing in different areas. These areas are, how nursing affects the faculty, the community, or specialty in nursing practice. The nurse managed center “requires high quality nursing services, public and community support, healthy relationships with other health care providers, and documentation of patient’s outcome through the nursing managed center based on nursing research”. (DL, 1994)
The American nursing association describes how nurses should think when deciding what factors are within the scope of practice. Questions to be asked are “who”, “where”, “why”, “what” and “how” of nursing. The guidelines are embodied in the nurse practice acts, rules and regulations, guidelines of the state and in the policies and procedures of the facility where the nurse is employed. The guidelines can also be found in community standards of…...

Similar Documents

Domain of Nursing Practice

...In the past, describing the role of RNs was simple because there were few opportunities for variation (Cherry 540). I believe determining whether or not identified actions are within the domain of nursing practice has to do with the role or position that nurse holds in the organization. For example, I am not a nurse manager in the NICU so it would be out of my scope to make decisions reserved for the nurse manager. As the bedside or staff nurse, my domain includes direct patient care, collaborating with the medical team to continue the plan of care for a patient and assessing for signs and symptoms of improvement or decline. The nurse manager may assume my role but I have not been authorized to assume theirs. When nurses stray into areas that have not been released to them, even though there may not be legal ramifications, there may be consequences to assuming authority that has been reserved for nurses with certain educational levels or titles. Certain titles are granted because the individual who holds that title is accepting responsibility and have a particular realm of authority attached to them. Traditional duties and responsibilities of the professional nurse, regardless of practice area or setting, such as the roles of care provider, educator, counselor, client advocate, change agent, leader, manager, researcher, and coordinator of the interprofessional health care team. (2) Duties and responsibilities of the professional nurse that are...

Words: 414 - Pages: 2

The What If Factor

... people in involved in the genetic engineering field should have to share their research, results and any other data with society. Second, genetic engineering cannot be treated as a business venture. The government will have to closely monitor the way these companies are selling and using these advances. Third, genetic engineering when used for medicine should be able to be covered by any insurance, Medicaid to the best health insurances and should be affordable for those who do not have any. Fourth, when genetic engineering is used to produce food faster, it should be labeled differently from regular products, so people know what they are buying and eating. Fifth, these genetically manufactured food products should be mainly offered to underprivileged countries. Sixth, people should not be allowed to harvest a body to live in the future. Seventh, people should not be allowed to create the “perfect baby”. Eighth, scientists should not be able to voluntarily predict a baby getting a disease and if they do find out, this should not be shared with anyone. Ninth, scientists should be allowed to try and eliminate only a certain number of possible diseases in a baby. Tenth, genetic engineering must be offered to all and not just a certain race, class or salary. “How can we find this moral compass? We must begin by putting faith in the goodness of human nature, and we need to anchor this faith in some fundamental and universal ethical principles” (Dalai Lama 54). A moral compass......

Words: 1615 - Pages: 7

You Have Been Asked to Investigate a New Procedure That Physicians Would Like Nurses to Adopt in the Hospital. Discuss the Process You Would Apply to Determine Whether the Procedure Falls Within the Rn Scope of Practice

...The nurses should take a systematic approach when it comes to investigating a new procedure. Before you decide to implement a procedure you must ask yourself “is this task or procedure in my scope of practice”? Nurses are responsible and accountable for the quality nursing care. If a procedure has fallen beyond the nurse’s scope of practice, we would meet the MD and find out the reason why they would want nurses to implement the procedure. I would look into my board of nursing practice act and the policy and procedure of my facility. There is a 6 step decision- making model for determining the nursing scope of practice in the Texas Board of Nursing. “This decision-making flowchart was developed by the Texas Board of Nursing staff to assist nurses in making good professional judgments about nursing tasks or procedures”,(Texas Nursing Practice Act). I think this is a perfect model to use when investigating a procedure or a task. If you find “YES” to the answers for all 6 questions, you can continue the task or procedure but; any of those answers are “NO” you have to stop and go through the chain of command to make a good decision. “Change is inherent in nursing practice. However the nurse must take lead in the development of any new roles or procedures” (Trim, 2009). So, I would take leadership to bring this issue in front of the risk management and higher authorities. I will make sure all the nurses get enough education and arrange practice sections and competency skill......

Words: 302 - Pages: 2

Domain of Nursing Practice

...Domain of Nursing Practice Brenda Amunrud Grand Canyon University Domain of Nursing Practice The question proposed is, “What factors need to be considered when determining whether or not identified actions are within the domain of nursing practice?” One should always ask: 1. “Am I acting within my states defined scope of practice for my title?” 2. “Am I competent to perform the task?” And 3. “Is the task allowed by your hospital’s policy and procedures?” There are four levels of nursing practice within the Professional Framework are based in part on the Benner Model of Knowledge and Skill Acquisition. Level A: An advanced beginner – the new graduate nurse with less than 12 months of experience. Level C: A fully competent nurse who provides care to a full range of patients seen in his/her who has begun to make contributions. Level D: A proficient nurse who provides individualized care to a full range of patients seen in the practice setting while also making contributions to the unit and profession. Develops professional goals and demonstrates attention to own professional development. Level E: An expert nurse who provides highly individualized care to a full range of patients even in the most complex situations, while also making significant contributions within and often beyond the unit as well as the profession. Is goal driven around own professional development with clear evidence of advancing professional identify. (Minerath, 2013, para.......

Words: 257 - Pages: 2

Nursing Practice

...Employment opportunities for graduate nurses in the early 20th century were, for the most part, limited to caring for ill persons in their own homes; hospitals were seen as places to care for those who had no one else to care for them. Nursing students staffed the hospital, under the direction of the head nurse, who was usually a training school graduate. Therefore after graduation, graduates eagerly donned their white uniforms, caps, and nursing pins and joined a “registry,” allowing them to practice as private duty nurses in patients’ homes. Nurse registries, operated by hospitals, professional organizations, or private businesses, provided sites where the public could acquire the services of these private duty nurses. Families could contract for the services of a nurse for a day or a few hours to care for their loved ones either at home or in the hospital (Whelan, 2005). Although physicians’ orders were required, private duty in the home provided graduate nurses with the venue and the opportunity to break away from the rigid hospital routine and allowed for a more autonomous practice. These nurses provided care to patients with contagious diseases such as pneumonia and typhoid fever, aided women in childbirth, and supported those with fractures, infected wounds, strokes, and mental diseases. Private duty nurses lived with and worked for their patients, providing 24-hour care, often for weeks at a time (Stoney, 1919). (Creasia 5-6) Creasia, Joan L., Elizabeth Friberg.......

Words: 268 - Pages: 2

Nursing Practice

... required in wellbeing showcasing. In each of the three journals, the participants were inspired to do almost as said (Frewin, 2011). The Australia ladies were influenced to stop cigarette smoking one of the dangers angles to cardiovascular sickness, the school-matured kids were propelled, as well as offered with sound nourishments and college movements also, and in the Dominican Republic, they have recommended health rules at the gathering, medicinal focus, instructive foundations, and natural levels to control the perspectives occupied with the genesis of this imperative affliction. 3. Nurses have an astounding part and commitments to play in health advertisements. In other terms, nursing staff are in the perfect and best position to acknowledge the piece of wellbeing supporter. Additionally, as their capacities and information get enhanced dependability from open. Nurses are frequently in close and normal contact with individual, relatives, mind suppliers and the gathering. In any case, their capabilities is not completely substantiated of they just limit in themselves to positions identified with accepted individual forethought without positively affecting the health publicizing activities of their clients (Croghan, 2012). Nowadays, nursing staff ought to never confine their commitments to what was uncovered in nursing school. Nurses work proactively to guarantee that their positions are seen as wellbeing advertisers and security experts. What is more, nursing staff......

Words: 1235 - Pages: 5

Iom Campaign Action Nursing

...The Robert Wood Johnson Foundations focus on prevalent issues that affect the Health of Americans in our Country. Wasn’t sure if you had this but can use as a quote.. The Campaign for Action is a national initiative coordinated through the Center to Champion Nursing in America (CCNA), an initiative of AARP, the AARP Foundation, and the Robert Wood Johnson Foundation. The campaign has mobilized diverse stakeholders nationally and in 49 states to address the nation’s most pressing health care challenges – access, quality and increasing cost – by utilizing nurses more effectively and preparing nursing for the future. http://thefutureofnursing.org/about Role of state based coalition- I made this up so you can copy and paste if you like. The role of the New Jersey state based coalition is to provide leadership in the transforming of healthcare throughout. New Jersey was one of the first states to take action. The state coalition advances the goals of the Future of Nursing by its focus to improve the nursing practice, focus on education and leadership by promoting higher education for nurses and improving the information available to the nursing workforce. The committees formed to improve nursing practice in all areas focus on education, data, leadership, diversity, and interprofessional collaboration, “We are advancing pathways for a diverse nursing workforce to achieve higher levels of education and training through an improved education system that promotes seamless......

Words: 289 - Pages: 2

Factors to Be Considered If Actions Are Within the Domain of Nursing Practice

...What factors need to be considered when determining whether or not identified actions are within the domain of nursing practice? One’s scope of practice is ever evolving as experience is gained working in an area of expertise. The American Nurses Associate gives a simple description when thinking about determining scope of practice it is the “who," "what," "where," "when," "why," and "how" of nursing practice. Consideration must be given to the guidelines of the Nurse Practice Act, rules/regulations/guidelines of the state in which the nurse is working, the policy and procedures of the facility in which the nurse is working, community standards of professional organizations, the nurses own educational preparation and clinical experience. Texas Board of Nursing has an algorithm to assist nurses in making a determination of an activity falls in the general scope of practice called the Six-Step Decision-Making Model for Determining Nursing Scope of Practice (TBON, 2010). Six-Step Decision-Making Model for Determining Nursing Scope of Practice 1. Is the activity consistent with the Nursing Practice Act (NPA), Board Rules, and Board Position Statements and/or Guidelines? Yes → Continue No → STOP 2. Is the activity appropriately authorized by valid order/protocol and in accordance with established policies and procedures? Yes → Continue No → STOP 3. Is the act supported by either research reported in nursing and health-related literature or in scope of practice...

Words: 421 - Pages: 2

Nursing Act Practice

... one of four APRN (advanced practice registered nurse) roles, such as: clinical nurse specialist, nurse midwife, nurse practitioner, and registered nurse anesthetist. (Laura A. Stokowski RN, 2015) Prescriptive privileges allows APRN(advanced practice registered nurse) to have the ability to prescribe, without limitation, legend(prescription)and controlled drugs, devices, adjunct health/medical services, durable medical goods, and other equipment and supplies. It is a key element of scope of practice for APRN’s and does not require collaboration with a physician. In order to have the prescriptive privileges APRN need to take advanced level of instructional program in pharmacology and complete an externship with a physician. Once privileges are obtained, the license needs to be renewed every 2 years, along with 12hours of continuing education in advanced pharmacology. (Laura A. Stokowski RN, 2015) Requirements to obtain a new license for a new graduate are: enroll in a program that is approved by the Ohio Board of Nursing. At the completion of the program, the Director or Dean will send a letter to the OBN, stating that the candidate has met all educational requirements. While you are waiting for the letter to arrive to OBN, you are to be completing a criminal background check, along with fingerprints. Upon completion a $275.00 fee is sent to Pearson Vue registration for your testing fees. One OBN has verified your eligibility an ATT (authorization to test) is given and you......

Words: 918 - Pages: 4

You Have Been Asked to Investigate a New Procedure That Physicians Would Like Nurses to Adopt in the Hospital. Discuss the Process You Would Apply to Determine Whether the Procedure Falls Within the Rn Scope of Practice

... health services for patients, families, groups, communities, or populations increase the likelihood of desired outcomes and are consistent with current professional knowledge. Registered nurse (RN) An individual registered or licensed by a state, commonwealth, territory, government, or other regulatory body to practice as a registered nurse. Scope of Nursing Practice The description of the who, what, where, when, why, and how of nursing practice that addresses the range of nursing practice activities common to all registered nurses. When considered in conjunction with the Standards of Professional Nursing Practice and the Code of Ethics for Nurses, comprehensively describes the competent level of nursing common to all registered nurses. Standards Authoritative statements defined and promoted by the profession by which the quality of practice, service, or education can be evaluated. Standards of Professional Nursing Practice Authoritative statements of the duties that all registered nurses, regardless of role, population, or specialty, are expected to perform competently. Standards of Practice Describe a competent level of nursing care as demonstrated by the nursing process. See also Nursing process. Standards of Professional Performance Describe a competent level of behavior in the professional role. References All URLs were retrieved on August 18, 2010. Accreditation Commission for Midwifery Education. (ACME). (2010).......

Words: 15841 - Pages: 64

What Factors Need to Be Considered When Determining Whether or Not Identified Actions Are Within the Domain of Nursing Practice

... nurses should think when deciding what factors are within the scope of practice. Questions to be asked are “who”, “where”, “why”, “what” and “how” of nursing. The guidelines are embodied in the nurse practice acts, rules and regulations, guidelines of the state and in the policies and procedures of the facility where the nurse is employed. The guidelines can also be found in community standards of professional organizations and in the nurse’s own institution of learning and clinical experiences. The Texas board of nursing has formulated guidelines to assist their nurses in determining if actions they take fall within the scope of practice. They have formulated a six step decision making model. “Six-Step Decision-Making Model for Determining Nursing Scope of Practice 1. Is the activity consistent with the Nursing Practice Act (NPA), Board Rules, and Board Position Statements and/or Guidelines? Yes → Continue No → STOP 2. Is the activity appropriately authorized by valid order/protocol and in accordance with established policies and procedures? Yes → Continue No → STOP 3. Is the act supported by either research reported in nursing and health-related literature or in scope of practice statements by national nursing organizations? Yes → Continue No → STOP 4. Do you possess the required knowledge and have you demonstrated the competency required to carry out this activity safely? Yes → Continue No → STOP 5. Would a reasonable and prudent nurse perform this activity......

Words: 780 - Pages: 4

What Lies Within

...Malaria According to the ONE CAMPAIGN approximately 219 people live in the world with malaria and 90% of those who died from malaria are from sub-Saharan Africa. There are many important risk factors that are highly associated with malaria. Those who are poor in these undeveloped countries live in places where mosquito density tends to be high and because they are unable to afford instecide treated nets over their beds when they are asleep or spray that they could potentially spray around their rooms, they are more exposed being bitten by the mosquitoes. They also live near stagnant water where mosquitoes actually live and hang around and because they cannot remove the water they are surrounded with mosquitoes so they are more likely to be bitten; higher risk of infection. Moreover the poor do not have the healthcare access they would need to support their prevention of being infected with malaria. Another important risk factor that is closely associated with malaria is being pregnant; this is because women who are pregnant lose the majority of their immunity therefore they are susceptible to malaria. However being very young, especially under the age of 5 is a more important factor because children under the age of 5 have no immunity so they are very susceptible to becoming infected with the disease; their body is unable to fight against the pathogens that enter their body when they have been bitten by a mosquito. The most important factor associated with malaria is the...

Words: 1416 - Pages: 6

To What Extent Are Ethical Theories Helpful When Considering Ethical Business Practice?

...To what extent are ethical theories helpful when considering ethical business practice? Generally, the term business ethics consists of ensuring businesses, whether they are in the private or in the public sector, adhere to ethical guidelines. Not all businesses are the same although have similar objectives which result in business ethics being diverse. These ethics do not only just relate to how businesses relate to the world, but moreover with the relationship between them and their customers. In order for a business to become a good business, they must be ethical, however there are several aspects to consider. There are many global businesses in which ethics are not seen to be important as their main goal is to ensure profit is made. Some have been fined millions for breaking ethical business laws, e.g. Child labour, however the incentives coming into the business (billions) outweighs their fines. Ethical theories can be a way in which businesses can take on board the whole concept of ethics and put it into practice. Natural Law emphasises on the purpose of the person. Aquinas looks at what is good for humans, saying that humans share part of their nature with all natural things, parts with animals, and part of our man nature is particular to us. This means Aquinas would not accept exploitation of humans, animals and nature. Business is instrumental and most serve the common good. For Aquinas economic transactions, as human interaction, cannot be separated from...

Words: 1292 - Pages: 6

Nursing Scope of Practice

...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...

Words: 355 - Pages: 2

Foundations of Nursing Practice

.../clients and colleagues the way in which we work and what we are trying to achieve. All nurses and nursing students need to be able to explain their practice; this includes providing a written account of what they have done an explanation as to why they have done it and an evaluation of the results of their actions. This is done because all professionals are held personally responsible for the outcome of your own professional actions. The NMC document Guidelines For Records and Record Keeping (NMC, 2005a) states that you must be able to demonstrate a full amount of your assessment and the care you have planned and provided, adding that, as a registered nurse, you are obliged to keep proper and accurate records. The NMC is a regulator of professional standards of conduct, performance and ethics that all UK registered nurses and midwives must adhere to and failure to comply with the code could bring your fitness to practice into question and endanger your registration. The code is the foundation of good nursing and midwifery practice, and a key tool in safeguarding the health and wellbeing of the public. The code states As a professional, you are personally accountable for actions and omissions in your practice and must always be able to justify your decisions and you must always act lawfully, whether those laws relate to your professional practice or personal life. One of the key elements of the code is the importance of......

Words: 3173 - Pages: 13