Standards of nursing practices

Standards of professional practice

• Define expectations for professional behavior

• Protect nurse, client, and facility

• Nurses are accountable to a code of conduct and ethical values that was established by the American Nurses Association (ANA)

Nurse practice acts

• Laws and regulations created by each state:

  • Identify conditions for licensure

  • Require adherence to scope of practice

• Enforced by State Board of Nursing (BON)

State BON

• Enforce NPA (nurse practice acts) rules and regulations

• Define scope of practice more specifically

• Ensure public safety and uphold nurse rights

• Approve educational programs and curricula

scope of nursing practice

Primary objective

• Alleviate client suffering, promote healing

• Competent, safe, and ethical performance

Determined by

• education, experience, and population served

• Guided by ANA standards, NPA, and facility policies

Standards of practice

• Descriptive statements of competent care based on nursing process:

  • Assessment

  • Analysis

  • Planning

  • Implementation

  • Evaluation

Profession performance

• Evaluate own practice

• Maintain current knowledge and competency

• Demonstrate responsibility to clients, colleagues, and society

• Reflect quality of practice and professional growth

Educational standards and licensure

• Requirements for licensure:

  • Programs must be BON approved

  • Accreditation by ACEN or CCNE

  • Graduate from approved program

  • Pass NCLEX (RN or PN)

  • BON verifies education and clinical experiences

QSEN competencies

• patient centered

• teamwork & collaboration

• evidence based practice

• quality improvement

• safety

• informatics

NLN integrating competencies

new graduates should have:

• human fluroushing

• nursing judgement

• professional identity

• spirit of inquiry

BSN essentials

▪ Knowledge for Nursing Practice

▪ Person-Centered Care

▪ Population Health

▪ Scholarship for the Nursing Discipline

▪ Quality and Safety

▪ Interprofessional Partnerships

▪ System-Based Practice

▪ Informatics and Healthcare Technologies

▪ Professionalism

▪ Personal, Professional, and Leadership Development

transition to practice

• Supports new graduate nurses through:

  • Preceptor-guided transition

  • Modules on teamwork, patient care, EBP, quality, informatics

  • Improves competence and safety

  • Increases retention and job satisfaction