Nursing standards provide a framework for nursing practice and define expectations for nurses. Standards are developed by nursing professionals and reflect best practices. They promote high quality nursing care by establishing guidelines for areas like assessment, diagnosis, care planning, and evaluation. Standards are meant to be objective, achievable and reviewed over time. They are used for various purposes such as evaluating nursing performance, educating nurses, and informing the public about the nursing profession.

1. Nursing standards
Mrs K Rath,
Asst. Professor,
KINS

2. 
Standard is a quantitative or qualitative
measure against which someone or
something is judged, compared or used to
service as an example.

3.  Standards
are professionally developed
expressions of the range of acceptable
variations from a norm of criterion(Avedis Donabedian)

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.  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.  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.  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. 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. Professional
organization
Department of
institutions
Licensing body
Institutions/Health
care agencies
Government units
Individual e.g.
personal
standards

10. Normative
standards
Means
Standards
TYPES OF
STANDARDS
End
Standards
Empirical
Standards

11. Structure
Standards
Process
Standards
Outcome
Standards

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. nursing standards technique and procedures
planning, implementation, nurses interaction,
client’s participation,
the degree of client involvement, and interaction
professional judgment

14. Self care or disability
Morbidity or mortality status
Nonoccurrence of complication

15. Professional
standard
ANA STANDARD
Care standard

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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 
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. 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. 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. 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. 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. 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. 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. 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. Self-assessment
Inspection
Accreditation