Practice-Capstone | Review with Questions and Verified Answers|
100% Correct| Grade A – Fortis
NUR 210 Exam 1
Standards of Professional Practice
Are specific to the practice of nursing. Establish expectations for professional behavior to
protect the nurse, as well as the client and the facility where client care is practiced. Hold nurses
accountable for following a code of conduct and upholding ethical values related to the
profession. Nursing has general standards of practice that every nurse is held accountable to, as
well as standards of practice for nursing specialties.
What/Who regulates Nursing Practice
North Carolina Board of Nursing
-Regulates things such as a nurses/NPs scope of practice, diversion of drugs in healthcare
settings
-Regulates nursing education, clinical hours required, simulation hours required, what to teach
in our curriculum
Nurse Practice Act
Certifications are used to declare that you are qualified in specific specialties
Benner's Novice to Expert Theory
Novice: First Year
-A beginner with no prior experience, relying heavily on rules and instruction
Advanced Beginner: Senior/New Graduate
-Gains some experience and begins to recognize recurring patterns, still relying on rules and
guidelines
,Competent: 2-3 years after graduation
-Able to plan and organize care based on prior experiences, and can make decisions based on
those experiences.
Proficient: Level 4 RN
-Perceives situations as a whole, recognizes patterns and changes, and can modify plans
accordingly.
Expert
-Demonstrates an intuitive grasp of complex situations, relies on past experiences, and can
quickly identify the most relevant aspects of a situation
6 Nursing Roles and Responsibilities
Autonomy and Accountability
Caregiver
Advocate
Educator
Communicator
Manager
American Nurse Association (ANA)
Sets standards for nursing practice, professional performance, ethics and policy advocacy. ANA
standards include:
Standards of Nursing Practice
Standards of Professional Performance
National Student Nurses Association (NSNA)
Supports nursing student development
Specialty Organizations
,Offer education and certification in practice areas
Current Issues in the Field of Nursing
• Nurse burnout and staffing shortages
• Workplace violence and safety
• Health disparities, Health Literacy and Social Determinants of Health
• Public health crises (e.g., COVID-19) and pandemic preparedness
• Access to care and rural/underserved populations
• Insurance and healthcare policy reform
• Professional respect and advocacy for fair wages
Nursing Process
The standards of practice correspond to the critical thinking model known as the nursing
process. Registered nurses use
the nursing process as the basis for decision making and actions taken.
The 5 steps of the nursing process
• Assessment
• Analysis
• Planning
• Implementation
• Evaluation
State Nurse Practice Acts (NPAs)
• Regulate nursing within each state and territory of the United States.
• Are executed by the state boards of nursing.
• Identify what conditions must be met for nursing licensure.
• Identify specific nursing titles (RN, LPN, LVN, APN) and definitions of those titles.
• Determine scope and standards of practice based on the provisions of the nurse's professional
license.
How is Scope of Practice determined?
, Two-step process
• The state legislature passes the NPA to regulate nursing practice within their state.
• The state legislature identifies a regulatory body, such as the state board of nursing (BON) to
enforce regulations and rules set by the NPA.
The NPAs provide the general guidelines, but each state creates rules or regulations to either
further explain or make the NPA more detailed.
Regulation of Nursing Education
Nursing education program standards and curriculum, along with clinical learning experiences,
must be approved by the state BON based on whether they meet the requirements of that
state's NPA. Schools of nursing become accredited when they meet criteria established by one
of two national accreditation organizations:
• The Accreditation Commission for Education in Nursing (ACEN)
• Commission on Collegiate Nursing Education(CCNE).
The Quality and Safety Education for Nursing (QSEN) Institute
• Project created in response to an identified need for improving quality and safety in nursing.
• Began in 2005 and based on the Institute of Medicine's (2003) core competencies for all
health clinicians to provide safe and quality care.
Identified the following six competencies as necessary to have the specific knowledge, skills,
and attitudes necessary to maintain quality and safety in health.
• Patient-centered care
• Teamwork and collaboration
• Evidence-based practice (EBP)
• Quality improvement (QI)
• Safety
• Informatics
National League for Nursing (NLN) Integrating Competencies