Nursing standards1


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Nursing standards1

  1. 1. Nursing standards Mrs K Rath, Asst. Professor, KINS
  2. 2.  Standard is a quantitative or qualitative measure against which someone or something is judged, compared or used to service as an example.
  3. 3.  Standards are professionally developed expressions of the range of acceptable variations from a norm of criterion(Avedis Donabedian)
  4. 4.  They reflect a desired and achievable level of performance against which actual performance can be compared. Their main purpose is to promote, guide and direct professional nursing practice. (Registered Nurses Association of BC and the College of Nurses of ontario(2002)
  5. 5.  Outline what the profession expects of its members.  Promotes, guides and directs professional nursing practice  Provides nurses with a framework for developing competencies.  Aids in developing a better understanding and respect for the various nursing role.
  6. 6.  To evaluate the quality of nursing practice in any setting.  To compare and improve the existing nursing practice.  To provide a common base for practitioners to coordinate and unify their efforts.  To identify the element of independent function of nursing practices.  To provide a basis for planning and evaluating educational program for practitioners.
  7. 7.  To inform society of our concern for the improvement of nursing practice.  To assist employers to understand what to expect of Practitioners.  To identify areas for developing core curriculum for practicing nurses.  To provide legal protection for nurses.
  8. 8. Objective, acceptable, achievable and flexible. framed by the members of the nursing profession phrased in positive terms like good, excellent, etc. Based on current knowledge and scientific practice. reviewed and revised periodically. understandable and unambiguous
  9. 9. Professional organization Department of institutions Licensing body Institutions/Health care agencies Government units Individual e.g. personal standards
  10. 10. Normative standards Means Standards TYPES OF STANDARDS End Standards Empirical Standards
  11. 11. Structure Standards Process Standards Outcome Standards
  12. 12. Physical facilities, building Policies, goals and objectives. Staffing members: training, qualification, job responsibilities Equipment and supplies. Budgeting. Administrative setup and channel of communication. Recording system
  13. 13. nursing standards technique and procedures planning, implementation, nurses interaction, client’s participation, the degree of client involvement, and interaction professional judgment
  14. 14. Self care or disability Morbidity or mortality status Nonoccurrence of complication
  15. 15. Professional standard ANA STANDARD Care standard
  16. 16.  Professional standards ensure that the highest level of quality nursing care is promoted.  Excellent nursing practice is a reflection of sound ethical standards.  Client care requires more than just the application of scientific knowledge.  A nurse must be able to think critically, solve problems, and find the best solution for client’s needs to assist clients.
  17. 17. Standards Definition Measurement criteria I: quality of practice 1. Demonstrates quality by documenting the application of the nursing process in a responsible, accountable and ethical manner. The registered nurse systematically enhances the quality and effectiveness of nursing practice 2.Uses quality improvement activities to initiate changes in nursing practice and health care delivery system 3.Uses creativity and innovation to improve nursing care delivery 4. Incorporates new knowledge to initiate changes in nursing practice if desired outcomes are not achieved. 5. Participates in quality improvement activities.
  18. 18. Standards Definition Measurement criteria II: educationThe nurse attains knowledge and competency that reflects current nursing practice 1. Participates in ongoing educational activities related to clinical knowledge and professional issues. 2.Demonstrates commitment to life long learning 3.Seeks experiences to maintain clinical skills 4.Seeks knowledge and skills appropriate to the practice setting 5. Maintains professional records that provide evidence of competency and lifelong learning.
  19. 19. Standards Definition Measurement criteria III: Professional practice evaluation The nurse 1.Engage in self evaluation on a regular basis evaluates one’s 2.Takes action to achieve goals identified during own nursing the evaluation process practice in 3.Participates in systematic peer review relation to as appropriate professional practice 4.Practice reflects knowledge of current practice standards and standards, laws and regulations guide line, 5.Provides age appropriate care in culturally and relevant statutes, ethnically sensitive manner rules and regulations.
  20. 20. Standards Definition Measurement criteria IV: collegiality The nurse 1.Shares knowledge and skills with peers and interacts with colleagues and contribute to 2.Provides peers with feedback regarding their the professional practice development of peers and other 3.Interacts with peers and colleagues health care 4.Maintains compassionate and caring providers as relationships with peers and colleagues colleagues 5.Contributes to an environment that is conductive to clinical education nursing students as appropriate
  21. 21. Standards Definition Measurement criteria V: The nurse Collaboration collaborates with patient, family, and others in the conduct of nursing practice 1.Communicates with the patient, significant others, and health care providers regarding patient care and nursing’s role in the provision of care 2.Collaborates with patient, family and others health care providers in the formulation of overall goals and the plan of care and in the decisions related to care and delivery of services 3.Partners with others to effect change and generate positive outcomes 4.Document referrals, including provisions for continuity of care, as needed
  22. 22. Standards Definition Measurement criteria VI: Ethics The nurse 1.Practice is guided by code of ethics for integrates nurses with interpretive statement ethical 2.Maintains therapeutic and professional provisions in all patient-nurse relationship areas of practice 3. Delivers care in the manner of that preserves patient autonomy, dignity, and rights. 4.Reports illegal, incompetent or impaired practice 5. Maintain patient confidentiality within legal and regulatory parameters.
  23. 23. Standards Definition Measurement criteria VII: Research The nurse 1.Utilize best available evidence including integrates researcresearch findings to guide practice decisions h findings in 2.Participates in research activities as practice appropriate to the nurse’s education. 3.Identify clinical problems suitable for nursing research
  24. 24. Standards Definition Measurement criteria VIII: Resource The nurse 1.Evaluates factors related to safety, utilization considers factors effectiveness, availability and cost. related to safety 2.Assigns or delegates tasks as defined by the effectiveness, state nurse practice acts and according to the cost, and impact knowledge and skills of the designated care giver on practice in the planning and delivery of nursing services.
  25. 25. Standards Definition Measurement criteria IX: leadership The nurse provides leadership in the professional practice setting and the profession 1. Engages on team work. 2. Works to create and maintain healthy work environments. 3. Teach others to succeed through mentoring. 4. Exhibits creativity and flexibility during change. 5. Directs coordination of care across settings and care givers. 6. Serves in key roles in the work settings by participating on committees, councils, and administrative. 7. Promotes advancement of the profession. 8. Demonstrates energy, excitement and a passion for quality work. 19. Willingly accepts mistakes by self and others, thereby creating a culture in which risk-taking is not only safe, but expected.
  26. 26.  The levels of care are demonstrated through the nursing process.  The nursing process is the foundation of clinical decision making and includes all significant actions taken by nurses in providing care to clients.
  27. 27. Standard Measurement criteria I. Assessment 1.Collects data in a systematic and ongoing process. 2.Data collection involves the patient, significant others, and health care providers, when appropriate 3.Priorities data collection activities based on the patients immediate condition or needs determine the priority of data collection 4.Collects pertinent data using appropriate assessment techniques 5.Document relevant data in a retrievable form The nurse collects comprehensive data pertinent to the patients health or situation
  28. 28. Standard Measurement criteria 2. Diagnosis: 1.Derives diagnoses from the assessment The nurse data analyzes the 2.Validates the diagnoses with patient, assessment data significant others, and health care to determine the providers ,when possible. diagnoses or 3.Documents diagnoses in a manner that issues facilitates the determination of expected outcomes and plan of care
  29. 29. Standard Measurement criteria 3.Outcomes 1.Derives outcomes from the diagnoses identification: 2.Defines expected outcomes in terms of the patient, patient The nurse values, ethical considerations, environment. identifies expected 3.Outcomes include a time estimate for attainment for outcomes for a expected outcome. plan individualize 4.Outcomes provide direction for continuity of care to the patient or 5.Modifies expected outcomes based on changes in the status the situation of the patient or evaluation of the situation. 6.Documents outcomes as measurable goals
  30. 30. Standard Measurement criteria 4:Planning: The 1.The plan is individualized to the patient and patients nurse develops a plan condition or needs that prescribes 2.Provides for continuity within the plan. strategies and 3.Incorporates an implementation pathway or timeline within alternatives to attain the plan. expected out comes 4.Utilizes the plan to provide direction to other members of the health care team. 5.Integrates current trends and research affecting care in the planning process. 6.Uses standardized language or recognized terminology to document the plan
  31. 31. Standard Measurement criteria 5:Implementation The nurse implements the identified plan of care 1.Interventions are consistent with the established plan of care 2.Implements interventions in a safe and appropriate manner, 3. Utilizes evidence –based interventions and treatments specific to the diagnosis or problem. 4.Collaborates with nurse colleagues to implement the plan 5.Utilizes community resources and systems to implement the plan
  32. 32. Standard 6:Evaluation The nurse evaluates progress towards attainment of outcome Measurement criteria 1.Evaluation is systematic, ongoing and criterion-based 2.Uses ongoing assessment data to revise diagnoses, outcomes and plan of care as needed 3.Documents revisions in diagnoses, outcomes, and the plan of care 4. Evaluates the effectiveness of interventions in relation to outcomes. 5.Documents the patients response to interventions
  33. 33. Organize into small group Devise a method Try out Area of nursing practice Discuss with administrator Implementation Review philosophy & nursing care plan Writing the statement Updating the standards periodically
  34. 34. Self-assessment Inspection Accreditation