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Definition
| The nurse collects comprehensive data pertinent to the patient's health or situation. |
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| The nurse analyzes the assessment data to determine the diagnosis or health issue |
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| The nurse identifies expected outcomes for a plan individualized to the patient or situation. |
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| The nurse develops a plan that prescribes strategies and alternatives to attain expected outcomes. |
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Definition
| The nurse implements the identified plan of care. |
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Definition
| The RN coordinates care delivery. |
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| Health Teaching and Health Promotion |
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Definition
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Term
| Scopes and Standards of Practice |
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Definition
Describe a competent level of nursing care
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
Within these are the nursing responsibilities for diversity, safety, education, health promotion, treatment, self care, and planning for the continuity of care
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Term
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Definition
Standards of care are important if a legal dispute arises over whether a nurse practiced appropriately in a particular case
Nursing standards of care pertain to professional nursing activities that are demonstrated by the nurse through the nursing process
These involve assessment, diagnosis, outcome identification, planning implementation, and evaluation.
The nursing process is the foundation of clinical decision making and encompasses all significant action taken by nurses in providing care to all consumers |
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Term
ANA Standards of Practice
Measurement Criteria |
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Definition
Collects data in a systematic and ongoing process
Data collection involves the patient, significant others, and health care providers, as appropriate
Prioritizes data collection activities based on the patient's immediate condition or needs
Collects and documents pertinent data using appropriate assessment techniques |
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Term
ANA Standards of Practice
Measurement Criteria
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Definition
Derives nursing diagnoses from the assessment data
Validates the diagnoses with patient, significant others, and health care providers, when possible
Documents diagnoses in a manner that facilitates the determination of expected outcomes and plan of care |
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Term
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Definition
Outcomes are attainable in relation to resources available to the person
Outcomes provide direction for continuity of care
Modifies expected outcomes based on changes in the status of the patient or evaluation of the situation
Documents outcomes as measureable goals |
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Term
ANA Standards of Practice
Measurement Criteria
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Definition
The plan is individualized to the patient and patient's condition or needs
Plan is developed with the patient, significant others, and health care providers, when appropriate
Includes strategies within the plan that address each of the identified diagnosis or issues, which may include strategies for promotion and restoration of health and prevention of illness, injury , and disease |
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Definition
Provides for continuity within the plan
Incorporates an implementation pathway or timeline within the plan
Utilizes the plan to provide direction to other members of the health care team
Defines the plan to reflect current status, rules, and regulations and standards
Integrates current trends and research affecting care in the planning process
Considers the economic impact of the plan
Uses standardized language or recognized terminology to document the plan |
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Term
ANA Standards of Practice
Measurement Criteria
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Definition
Interventions are consistent with the established plan of care
Implements interventions in a safe and appropriate manner, documents interventions
Utilizes evidence based interventions and treatments specific to the diagnosis or problem
Collaborates with nurse colleagues to implement the plan
Utilizes community resources and systems to implement the plan |
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Term
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Definition
Evaluation is systematic, ongoing and criterion based
Involves the patient, significant others, and the health care providers in the evaluation process, when appropriate
Uses ongoing assessment data to revise diagnoses, outcomes and plan of care as needed
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Definition
The nurse evaluates progress towards attainment of outcomes |
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Definition
Documents revisions in diagnoses, outcomes, and the plan of care
Evaluates the effectiveness of interventions in relation to outcomes
Documents the patient’s response to interventions |
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Term
| Nursing Standards: An Asset |
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Definition
To ensure quality of care, the nursing care needs standards
Standards are a degree of excellence
The aim of standard nursing care is to support and contribute to excellent practices
The role of the nurse is constantly changing to meet the growing needs of health services |
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Term
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Definition
Structure: Things we use
Process: Things we do
Outcome: Results of what we do |
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Term
| Characteristics of Standards of Care |
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Definition
Dynamic
Reflective of Change
Non Static |
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Term
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Definition
Standard: Nursing practice requires that a conceptual model for nursing be the basis for the independent part of that practice. |
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Term
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Definition
Elements: Nurses are required to have a clear idea of the distinct goal of nursing, the patient, the health needs of the society, the source of client difficulty, the focus, and the models of nursing interventions and the expected consequences of nursing activities. |
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| ANA Standards of Practice Conclusion |
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Definition
Nursing Standards of Care pertain to professional nursing activities that are demonstrated by the nurse through the nursing process.
The process involves assessment, diagnosis, outcome identification, planning, implementation, and evaluation
The nursing process is the foundation of clinical decision making and encompasses all significant nursing action taken by nurses in providing care to all consumers. |
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Term
| ANA Standards of Professional Performance |
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Definition
Practice guided by Code of Ethics for nurses with interpretive statement
Maintains therapeutic and professional patient-nurse relationship
Delivers care in the manner that preserves patient autonomy, dignity, and rights
Seeks available resources in formulating ethical decisions
[image]Reports illegal, incompetent, or impaired practice
[image]Maintains patient confidentiality within legal and regulatory parameters |
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Term
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Definition
Nursing has a code of ethics that defines the principles by which nurses provide care to their clients.
Nurses must incorporate their own values into their practice.
The code of ethics for nurses with interpretive statements provides a guide for carrying out nursing responsibilities that provide quality nursing care and provides for the ethical obligations of the profession |
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Term
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Definition
Nursing theory should be used as a guide for nursing practice and should assist the nurse in determining what is, in general, “good” practice.
Nursing theory can assist the individual nurse in deciding appropriate courses of action in a variety of diverse situations.
Nursing theory should give explicit or implicit directions for the nurse when obstacles to “good” practice arise. (Kenney, 1999) |
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| Questions For You on Nursing Practice and Ethics |
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Definition
What is the role of a State Board of Nursing in ensuring appropriate nursing practice?
What are the most common reasons for disciplinary action by the State Boards of Nursing? |
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