Independentpracticeissuesinnursing 111115105545-phpapp01

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Independentpracticeissuesinnursing 111115105545-phpapp01

  1. 1. SEMINAR ON Independent practice issues in nursing and independent nurse midwifery practitioner
  2. 2. Outlines Independent practice issues • Introduction • Definition of independent practitioners • Key issues • Areas of independent nursing practice • Responsibility of independent nursing practitioner Independent nurse midwifery practitioner • Introduction • Definition of midwife • Independent midwifery practice packages. • Standards for midwifery practices. • Challenges for Indian midwives.
  3. 3. Introduction
  4. 4. Definition • NURSE PRACTIONERS Nurse practitioners (NPs) are registered nurses who have graduate level nursing preparation as a nurse practitioner at the master’s or doctoral level and perform comprehensive assessments and promote health and the prevention of illness and injury.
  5. 5. KEY ISSUES TO CONSIDER - PROFESSIONAL ISSUES 1. Conflict of interest 2. Endorsement 3. Advertising 4. Fees 5. Informed consent
  6. 6. Contiiii…… 1. Documentation 2. Confidentiality 3. Other issues  Liability protection  Networking  Business or legal council
  7. 7. AREAS OF INDEPENDENT NURSING PRACTICE • CONSULTANCY • GERIATRIC NURSING • MEDICAL SURGICAL NURSING PRACTICE • PAEDIATRIC NURSING • PSYCHIATRIC NURSING • Women Health Nursing • School Health Nursing
  8. 8. RESPONSIBILITY OF A INDEPENDENT NURSE PRACTIONER • UNIVERSAL PRECAUTION • UNACCEPTABLE PRACTICES
  9. 9. • VERIFYING RECIPIENT ELIGIBILITY • PRIVATE DUTY NURSING REQUIREMENTS
  10. 10. • EMERGENCY AND BACK-UP PROCEDURES • WRITTEN STATEMENT OF RECIPIENT RIGHTS
  11. 11. • CONTRACTS WITH RECIPIENT AND/OR FAMILY • REQUIRED INFORMATION FOR MEDICAL RECORD • TERMINATING SERVICE TO A RECIPIENT
  12. 12. Independent nurse midwifery practitioner
  13. 13. Independent midwifery practice package • Access to a midwife 24 hours a day, 7 days a week. • Provide women centered care antenatal, intrapartum and postnatal midwifery care. • Antenatal care in privacy.
  14. 14. • Continuity of care through the labour. • Postnatal care up to 6 weeks. • Knowledgeable breastfeeding support.
  15. 15. Standards for midwifery practice STANDARD I • Midwifery care is provided by qualified practitioners
  16. 16. STANDARD II • Midwifery care occurs in a safe environment within the context of the family, community, and a system of health care.
  17. 17. STANDARD III • Midwifery care supports individual rights and self-determination within boundaries of safety
  18. 18. STANDARD IV • Midwifery care is comprised of knowledge, skills, and judgments that foster the delivery of safe, satisfying, and culturally competent care.
  19. 19. STANDARD V • Midwifery care is based upon knowledge, skills, and judgments which are reflected in written practice guidelines and are used to guide the scope of midwifery care and services provided to clients.
  20. 20. STANDARD VI • Midwifery care is documented in a format that is accessible and complete.
  21. 21. STANDARD VII • Midwifery care is evaluated according to an established program for quality management that includes a plan to identify and resolve problems.
  22. 22. STANDARD VIII • Midwifery practice may be expanded beyond the ACNM core competencies to incorporate new procedures that improve care for women and their families.
  23. 23. Challenges for Indian midwives
  24. 24. Practice challenges • Midwives should be recognized as independent practitioners with the rights and responsibilities regarding scope of practice. Authority and accountability that all independent by share. • Health organization should use to allow quality and standard based midwifery care. • Midwife should ensure case consultation, collaboration and referral provided to a woman without interruption and for overall benefits.
  25. 25. Challenges for law regulation • State regulators should enact laws which are based on entry to practice standards on successful completion of midwifery educational programme. • Health care system should develop privileging and credentializing mechanisms for midwives that are consistent with professional standards, recognize established process that permits midwives to build upon competencies within their statutory scope of practice.
  26. 26. Educational challenge • Direct entry midwife programme to create a new category of professional midwife. • The midwifery profession should identify, develop and implement mechanism to recruit midwives who reflect Indian population with their competencies. • It is needed to develop categories of midwives as per their expertise in their midwifery.
  27. 27. Challenges for research activities • It is required to continually grow and evolve in order to provide evidence based midwifery practice which will help to practice independently. • Analysis of midwifery practice in view of consumers or women who receive care.
  28. 28. Challenges for policy makers • Some of the most pressing issue regarding midwifery go beyond the current scope of regulatory bodies, professional associations, educators and practitioners. • Policy makers are to be convinced for the importance of independent practice. • Research efforts have found the midwifery makes a positive contribution to the health of the women and babies.
  29. 29. References • Basher P. Shabeer, Khan Yasheen S. “A concise text book of advanced nursing practice”, EMMESS Medical Publishers, first edition 2012, page no. 694-698. • Kozier B, Erb G, Barman A, Synder AJ. Fundaments of Nursing, concepts, process and practice, edition 7 2001. • Potter Perry;S, fundaments of nursing by Jackie crisp, patricia ann potter, 2nd edition, Annegriffin perry page no. 143-155. • World Health Organization (2001) Health and human rights publication series, WHO press, geneva available: www.who.int accessed 19 march 2008. • A.A.C. Title 9, Chapter 10, Article 8: Hospices; Inpatient Hospice Services. (2003). Arizona • AAFP. (2008). Guidelines on the Supervision of Certified Nurse Midwives, Nurse Practitioners and Physician Assistants. Retrieved March 5, 2009, from American Academy of Family • PhysiciansPolicyandAdvocacy:http://www.aafp.org/online/en/home/policy/policie s/n/nonphysicianproviders.html American Association of Colleges of Nursing. (2004). AACN Position Statement on the Practice • www.Wikipedia .com • www.scribd.com • currentnursing.com • www.google.com

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