1. Using the ANA Standards of Nursing Practice and Professional Performance

2. The Process of Scope and Standards Development
Scope of Nursing Practice
Standards of Professional Nursing Practice:
Standards of Practice
Standards of Professional Performance

3. Building Nursing Practice for Consumer Protection

4. Scope and Standards of Practice
The Scope of Nursing Practice and the Standards of Professional Nursing Practice also address:
The scope and standards of generalist practice by registered nurses
The scope and standards for graduate-level specialty prepared nurse and the advanced practice registered nurse

5. Scope of Nursing Practice
The Scope of Nursing Practice answers the questions:
Who,
What,
Where,
When,
Why, and
How …
… of nursing practice.

6. Standards of Practice
Authoritative statements that describe a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process:
Assessment
Diagnosis
Outcomes Identification
Planning
Implementation
Evaluation

7. Standards of Practice : Example
Standard 1. Assessment The registered nurse collects comprehensive data pertinent to the healthcare consumer’s health or the situation.

8. Standards of Professional Performance
Authoritative statements that describe a competent level of behavior in the professional role, including activities related to:
Ethics
Collaboration
Education
Professional Practice Evaluation
Evidence-based Practice and Research
Resource Utilization
Environmental Health
Quality of Practice
Communication
Leadership

9. Standards of Professional Practice: Example
Standard 11. Collaboration The registered nurse collaborates with the healthcare consumer, family and others in the conduct of nursing practice.

10. Areas of Application for the Standards of Professional Nursing Practice
Nursing education
Leadership and administration
Performance and quality improvement
Research

11. Applications in Nursing Education
Can be used in all levels of nursing education programs
Basis for curriculum development
Curriculum and conceptual framework framed in ANA Scope of Practice and Standards of Professional Nursing Practice
Standards and Code of Ethics for Nurses are also mainstays of clinical evaluation tools
Used as evaluation tools for curriculum and for nursing programs by higher education accrediting bodies

12. In Education: Freshman-level Applications
Introduction to the conceptual components of the Standards of Practice
Introduction to ANA as originator of standards
Introduction to the standards by reviewing upper-level clinical tools
Develop class norms from the standards

13. In Education: Sophomore-level Applications
In-depth discussion of development and use of standards, scope of practice, code of ethics
Actual application of standards in clinical experiences in long term and acute care at beginning level
Evaluation of others’ clinical performance based on standards
Clinical evaluations based on standards

14. In Education: Junior-level Applications
Application and analysis in specialty practice areas OB
Pediatrics
Mental health
Med-surg
Rehab
Evaluation of scope of practice, standards of practice, and code of ethics

15. In Education: Senior-level Applications
Application and analysis in specialty practice areas
Critical care ER
Community health
Leadership and administration
Evaluation of scope of practice, standards of practice, and code of ethics
Critical reflections

16. In Education: RN to BSN Track
Pervasive lack of knowledge about:
Standards of practice and how they affect their work environments
What nursing’s single scope of practice is and what nurses define as their own scope of practice
How the Code of Ethics for Nurses is used in their work environments
Go back to the basics: analysis, application, evaluation
The RN’s role as change agents in their practice

17. Uses in Leadership and Administration
Minimum competent expected practice
Format for job descriptions
Format for evaluation of role, professional competence
Orientation
Application to all settings (acute care, long term care, home health, ambulatory)

18. In Leadership & Administration: Use in Orientation
Assessment of data collection systems and processes to support nursing practice involves:
Meeting with unit leadership to analyze workflow related to effectiveness and efficiency
Meeting with unit leadership and information technology to identify necessary resources to support data collection

19. In Leadership & Administration: Use in a Job Description
Assessment of data collection systems and processes to support nursing practice that:
Analyzes workflow related to effectiveness and efficiency of unit assessment processes.
Identifies, documents and secures necessary resources to support data collection.

20. Uses in Performance and Quality Improvement
Many opportunities for use:
Evaluating variation
Evaluating costs
Evaluating outcomes of practice
Information technology

21. The standards universally apply. For example:
Uses in Performance and Quality Improvement
The standards universally apply. For example:
Identifying assessment elements specific to nursing patient, client, and resident indicators appropriate to a given organizational context.
Identifying and securing adequate resources for decision analysis in collaboration with appropriate departments. 

22. Uses in Performance and Quality Improvement (cont’d)
Assisting in identification, development, and utilization of databases that include nursing measures and desired outcomes.
Facilitating the development and continuous improvement of organizational systems in which plans related to the delivery of nursing services can be developed, modified, documented and evaluated. 

23. Uses in Performance and Quality Improvement
Leading initiatives in innovative programs and new implementation alternatives.
Utilizing appropriate findings to evaluate and improve care processes, structures and measurement of outcomes that promote organizational effectiveness.

24. Uses of Standards in Research
Making statements of accountability for evidence-based practice
Maintaining current knowledge
Evaluating practice

25. Legal Implications of the Standards
Nurse practice acts and licensing
Certification
Regulatory groups, such as The Joint Commission and NCQA that use the standards
Format for writing policies and procedures (including job descriptions, orientation programs, and competency and evaluation tools.)