Professionalism in Nursing Questions and Answers

Professionalism in Nursing Questions and Answers ANA Standards of Professional Practice: Research 1.RNs should integrate research findings into all areas of practice, in order to build a knowledge base. 2.Nurse researchers *Develop & test theory *Build knowledge base ANA Standards of Professional Practice: Resource Utilization *Speaks CNL Role loudly* Evidence-based practice that considers: Safety Effectiveness Cost Impact. *Question the status quo Ex: Why are we doing a full bed bath and linen change on every shift? Every 12 hours? ANA Standards of Professional Practice: Leadership -RNs should provide leadership in their profession & practice setting -Informal vs formal. Leader whether you are in an actual leadership role or just being effective in your setting -Is leadership diff. from administration/ management? Barriers to Nursing Professionalism -Multiple levels of entry/education preparation -Societal attitude towards nursing- don't nec. know what we do as nurses. We need elevator talk: In 3mins or less "What do you do as a nurse?" -Slow establishment of scientific foundation of nursing: EBP slow to estab. -Conflicts with other medical professions- there is a lot of confusion about roles -Difference between perspective of "job or profession" More scholarship, involved in professional associations. How might nursing be different today if all nurses viewed nursing as their profession vs. and occupation? People who view nursing as a profession are generally more engaged, and involved in nursing organizations. What can you do as a nurse to promote professionalism in nursing? Lead by example, in your communication, interaction with other professionals As a student: National Council of State Boards of Nursing (NCSBN) A.50 States, DC and 5 US territories B.Central organization through which boards of nursing act & counsel together on matters of common interest & concern affecting the public health, safety and welfare C.Development of licensing examinations State Boards of Nursing Practice Parameters of professional disciplines. -Established by state legislature -Regulated through agencies of boards State Board of Nursing (BON) Role: -Administer & enforce professional practice acts -Licensure -Protect the public Makes sure that the program is really doing what we say it's doing. BON Authority Three Functions: 1. Quasi-executive: administer the Nurse Practice Act 2. Quasi-legislative: adopt rules necessary to implement Nurse Practice Act. "Scope of Practice Decision Tree" 3. Quasi-judicial: authority to deny, suspend & revoke a license. May deny application for licensure as well. If change in criminal status (DUI), should immediately be reported to the BON Georgia BON structure Governor Secretary of State Professional Licensing Bd Division GA Board of Nursing Scope of Nurse Practice Act in the state of Georgia Decision-making Tree: From the BON website: 1. Does this activity or task fall within the Nurse Practice Act for the state of GA? Yes-continue if No-Stop 2.Is this task/activity supported by research position and scope of practice statement by a national nursing organization 3Consistent with organizational policy or procedure? Y/N go on 4. Do you have the knowledge and skills necessary to perform this act? Y/N Go on. 5. Are you prepared to accept the responsibility for this action? Georgia Board of Nursing (BON) Eight Members: 7 registered professional nurses 1 consumer member -Board Mtgs open to public -Responsible for regulation: *Registered professional nurses *Advanced Practice registered nurses Establish standards for licensure Examine and license applicants Renew licenses Enforce disciplinary action Provide rules for revocation of license Approve nursing education programs Georgia Board of Nursing Responsibilities 1. Development of rules & regulations that set the standards for nursing practice and education. 2. Provide the minimum qualification for licensure 3. Ensure disciplinary processes are implemented in a fashion that guarantees due process & public protection State Nurse Practice Acts Legally define the range of nursing practice in each particular state. -Statue that defines & control nursing -Purpose: to protect public health, safety & welfare by broadly defining the legal scope of nursing practice. State Practice Acts Functions 1. Defines the practice of professional nursing. 2. Sets minimum educational and other requirements to apply for licensure 3. Determines legal titles nurses may use 4. Describes disciplinary actions for those in violation of acts * If you have your license suspended you CAN NOT call yourself an RN. Until you pass the NCLEX-RN you can't use the title RN ANA's Model of Practice Guide for state nurse practice acts. What should state nurse practice acts include, according to the ANA's Model of Practice? 1. Difference between APN and generalist 2. Authority for BONs to regulate APN and script authority 3. Authority for BONs to oversee unlicensed personnel 4. Clarify nurses' responsibility for delegation of unlicensed personnel 5. Support mandatory licensure for nurses Nursing Licensure ▪ State determines what professional groups need to be licensed & the limitations of the license ▪ Mandatory: -Any person practicing in the profession MUST be licensed -Nursing requires mandatory license ▪ Permissive: Protects title but doesn't protect the practice NCLEX-RN *National Council Licensure Examination for Nurses. It qualifies a graduate nurse for licensure, and then employment. *Developed by NCSBN *Measure critical thinking & nursing competence in all phases of the nursing process *Tested at novice nurse level *All RNs take the same licensing exam Compact Agreement Must have primary residency in compact state at time of licensure. Includes 24 states. License Revocation State has power to discipline a licensee ▪ Suspend or revoke license ▪ Usually based on unsafe, uninformed or impaired nursing practice Nursing Disciplinary Diversion Act What is the Nursing Disciplinary Diversion Act? ▪ Non-disciplinary rehabilitation programs ▪ Substance abuse issues ▪ Mental health issues GABON Laws ▪ Individual review of applications ▪ U.S. graduates ▪ International graduates ▪ Board has legal authority to refuse to grant a license based on conviction history GABON Laws (continued) ▪ Felony ▪ Timing, Violence, Boundary violations, severity ▪ Involvement of controlled substances ▪ 1st time felony: 3 month suspension ▪ 2nd time felony: revocation ▪ Moral turpitude- conduct contrary to community standards of justice, honesty or good morals ▪ DUI, Substance Abuse Certification ▪ Validates specialty knowledge ▪ Demonstrates advanced proficiency and commitment to ensuring competence in a specific area of nursing practice ▪ Voluntary ▪ Awarded by specialty group or professional organization National Association Affiliation -Encourage & support high standards of practice -American Nurses Association American Nurses Association ▪ American Nurses Association ▪ Improve health standards & availability of health services to all ▪ Foster high standard of nursing ▪ Stimulate & promote professional development of nurses, advancing economic & general welfare Why obtain certification? ▪ Nationally recognized ▪ Demonstrates commitment, knowledge, standards ▪ Promotes life-long learning ▪ Many institutions recognize & reward certification ▪ Assures public that nurse is well prepared for safe practice ▪ Promotes life-long learning CNL certification exam ▪ 3 hour multiple choice exam ▪ Testing sites across U.S. ▪ $345