ATI Engage Fundamentals Notes

ATI Engage Fundamentals Notes

Scope and Standards of Practice

  • Establishes expectations for professional behavior to:
    • Protect nurses, clients, and healthcare facilities.
    • Ensure accountability through a code of conduct and ethical values.
  • The American Nurses Association (ANA):
    • Sets standards for nursing practice and professional performance.
    • Includes Standards of Nursing Practice and Standards of Professional Performance.

The Nursing Process

  • Corresponds with the critical thinking model used by registered nurses.
  • Consists of 5 steps:
    1. Assessment: Gathering patient data.
    2. Diagnosis: Analyzing data to make clinical judgments.
    3. Planning: Setting goals and determining interventions.
    4. Implementation: Executing the planned interventions.
    5. Evaluation: Assessing the effectiveness of the interventions.

State Nurse Practice Acts (NPAs)

  • Regulate nursing in each U.S. state and territory.
  • Enforced by state boards of nursing to protect public safety.
  • Define conditions for nursing licensure and nursing titles (RN, LPN, LVN, APN).
  • Ensure alignment with critical thinking and decision-making standards in nursing practice.
    • Examples: Advocating for clients, delegation, teaching, evaluating interventions.

Ohio Nurse Practice Act

  • Two-step regulatory process:
    1. State legislature passes the NPA for nursing regulation.
    2. A regulatory body (like the Ohio Board of Nursing) enforces NPA regulations.
  • Ohio’s NPA details are found in Chapter 4723 of the Ohio Revised Code.
  • It is the nurse's responsibility to be aware of state NPAs and their regulations.

Scope of Nursing Practice

  • Describes the responsibilities and services that licensed nurses are allowed to perform based on their competence and role.
  • Nurses must adhere to the scope of practice from their licensing state.
  • In Ohio, specific scopes exist for RNs and LPNs.

Standards of Practice & Performance

  • Standards of Practice:
    • Statements that describe competent care for RNs.
    • Graduates should possess skills for entry-level nursing practice.
    • Additionally involves critical thinking within the nursing process.
  • Standards of Professional Performance:
    • Emphasize accountability for professional actions towards clients, colleagues, and society.

Regulation of Nursing Education

  • Nursing programs must meet criteria set by the state BON to gain approval.
  • Accreditation requires adherence to established standards by organizations like ACEN or CCNE.
  • Licensure requirements include:
    • Graduating from an approved nursing program.
    • Passing the National Council Licensure Examination (NCLEX).

Quality and Safety Education for Nursing (QSEN) Institute

  • Established to enhance nursing quality and safety since 2005 based on the IOM's core competencies.
  • Identifies six essential competencies:
    • Patient-centered care
    • Teamwork and collaboration
    • Evidence-based practice (EBP)
    • Quality improvement (QI)
    • Safety
    • Informatics

National League for Nursing (NLN) Competencies

  • Aims to promote excellence in nursing education for a diverse workforce to improve health.
  • New graduates are expected to demonstrate:
    • Human flourishing
    • Nursing judgment
    • Professional identity
    • Spirit of inquiry

American Association of Colleges of Nursing (AACN) BSN Essentials

  • Outlines ten domains of expected curriculum content and competencies for BSN graduates.

Standards for Licensed Practical/Vocational Nurses (LPN/LVN)

  • NAPNES sets standards for LPN/LVN education and practice.
  • Educational competencies cover professional behavior, communication, assessment, planning, and caring interventions.

National Council of State Boards of Nursing (NCSBN)

  • Regulates nursing practices and ensures public safety.
  • Develops the NCLEX to assess readiness for entry-level nursing practice.
  • Update NCLEX test plans every three years; uses Computerized Adaptive Testing (CAT) methodology.

Nursing Licensure

  • Each state is responsible for protecting public welfare through nursing licensure requirements.
  • Nurses must periodically renew their licenses to maintain their right to practice.
  • The Nurse Licensure Compact (NLC) allows practicing with one multistate license in participating states. 41 states currently participate.

National Certification in Specialty Practice

  • After obtaining licensure, nurses can pursue further credentialing through certificate programs or specialization.

Credentialing

  • A process confirming the competencies of health professionals through education and standard care practices.
  • Credential display order:
    1. Highest education
    2. Licensure
    3. State designations/requirements
    4. National certifications
    5. Honors/awards or other certifications.

Course Learning Objectives and NCLEX Test Plan

  • NCLEX-RN test plan centers on client needs and integrates foundational nursing competency with QSEN standards.
  • Each course learning objective is linked to NCLEX categories and goals.