Organizations needs to have responsibility to the public and who it serves. The specialized organization must develop standards of practices to keep practices universal to all who practice. The American Nurses Association has responsibility for coming up with scopes and standards of practice and enforcing these practices for all professional nurses. These scopes of practices are used as universal guidelines for all specialties in nursing (Nursing Scope Standards, 2010). The Standards of Professional Nursing Practice is for all registered nurses, regardless of role, population, or specialty, are expected to perform competently. The process for developing nursing standard of practices uses the “who,” “what,” “where,” “when,” “why,” and “how” of nursing practice. These questions need to be used to get a complete picture of every aspect the practice will effect (ANA,2010a, p 13). Registered nurses actively working in the United States have three certified resources that notify their thinking and decision-making and direct their practice. First, Code of Ethics for Nurses with Interpretive Statements (ANA, 2001) lists the nine succinct provisions that establish the ethical framework for registered nurses across all roles, levels, and settings. Second, Nursing’s Social Policy Statement: The Essence of the Profession (ANA, 2010) conceptualizes nursing practice, gives the social framework of nursing, and provides the description of nursing (Nursing Scope Standards, 2010).According to Texas board of nursing the standard of practice is still varies from state to state, all this are still govern by board that oversees the design and institution of regulations that are written to promote compliance to the law. The state of Texas is part of compact state among the fifty states, also provision of quarterly publication of Texas board of nursing and implementation of prescription drug monitoring and more.

 

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As explained by Dean, J. K., Falkner, A. Z., Green, S., Helbig, J., & Whitney, S. (2018), a conceptual model identifies how a theory is put together. It defines the given theory. A nursing theory is then defined as ideals that are organized and explain why certain things happen and are backed by experiences and research.

     A theory that stood out to me, is Sister Callista’s adaptation theory. This theory states that in order to have a positive outcome or response to a change in one’s normal environment, one must be able to adapt to the changes at hand (Dean, J. K., Falkner, A. Z., Green, S., Helbig, J., & Whitney, S. (2018)). Without being able to adapt, many things can be affected and thus change the outcome of the situation.

     One way this theory would be effective in managing patient care, is the patient’s adaptation skills could impact patient care in a positive way. For example, if a patient who underwent a bilaterally knee amputation had the outlook that they would be able to care for themselves after healing, they may be more apt to participate in their care. Many psychosocial, emotional, and physical barriers would have to be addressed, but if the patient was willing to do what they needed to in order to adapt to the change, the nursing care would not be hindered and the patient outcome would be positive. However, if the patient is not willing to change and adapt, the likelihood for poor outcome, depression, and failure to thrive would hinder the ability for the nurse to effectively take care of all of the patient’s needs.

 

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According to (Davis, 2017), professional accountability means being accountable for our practice in nursing, our work environment, and patient safety. The American Nursing Association’s Code of Ethics defines professional accountability as being “answerable to oneself and others for one’s own actions.” “Not only do we hold high clinical practice and ethical standards for ourselves, but we must also be willing to accept professional responsibility when or if deviations from care standards occur.” (Davis, 2017)

An example of how a nurse demonstrates professional accountability in clinical expertise, the nursing process, and evidence-based practice according to (Mick, 2014) is when newly hired nurses in a hospital setting go through an orientation period where they work under the guidance of a preceptor to learn about providing care to a specific patient population, or when graduate nurses are enrolled in a residency program where they’re mentored by seasoned practitioners before they practice independently. The information provided in these learning experiences from other nurses often serves as a source of knowledge for clinical decision making as nurses encounter similar situations when caring for patients. (Mick, 2014) states this as handoff of knowledge. “Decision making also comes from self-assessment, when nurses begin to reflect on their practice as they gain proficiency and can draw upon knowledge gained from past experiences of applying interventions that resulted in good outcomes.” (Mick, 2014)

In the end we as nurses are accountable not only to our patients and employers but to ourselves. In order to effectivly take care of our patients we must take care of ourselves and make the comitment to a lifelong learning endevor, challenging the status quo, and using quality evidence based practice proceedures to safely and effectivly care for patients.

References

Davis, C. (2017). The importance of professional accountability. Nursing made incredibly easy, 4. Retrieved from https://journals.lww.com/nursingmadeincrediblyeasy/Fulltext/2017/11000/The_importance_of_professional_accountability.1.aspx

Mick, J. (2014). Call to action: How to implement evidence-based nursing practice. Lippincot Nursing Center, 4. Retrieved from https://www.nursingcenter.com/cearticle?an=00152193-201704000-00011&Journal_ID=54016&Issue_ID=4077921

 

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The American Nurses Association determines scopes and standards of practice and implements them for all nurses. These scopes and standards are universal guidelines for all specialties (ANA, 2015).When developing standards and scopes, leaders in specialty nursing organizations begin by asking six key questions:

1. “Who?Identify numbers of nurses, professional organization/society, and educational preparation.”
2. “What?Explain the unique contributions of generalist and advanced practice registered nurses.”
3. “When?Determine when these specialty nurses are needed.”
4. “Where? Describe practice environments in sufficient detail to understand specialty practice.”
5. “Why? Determine what niche or gap is filled; the historical perspective of the development of the specialty; current issues and future trends in health care that point to the need for the specialty.”
6. “How? Identify the process to become this type of nurse specialist, including development through formal education, continuing education, and practice experiences. Address use of the nursing process and the Code of Ethics” (ANA, 2015). 

The Oregon Nurse Practice Act consists of Oregon Revised Statutes, chapter 678.010-678.445 (laws) and Oregon Administrative Rules, chapter 851 (rules). Any revisions are made by the Oregon State Legislature. There are in-person board meetings where the rule making occurs and rule divisions undergo periodic review (OSBN, n.d.).

The standards of practice influence my nursing practice by offering a guideline and special parameters for practicing safe care. I have the responsibility to follow these standards not only for safe patient care, but to embody professionalism and satisfy the expectations of the entity I work for. These standards are also ways to measure my competency as a nurse as long as I am practicing within my scope of practice. 

 

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Presentation will be on acute care Please add speaker notes

 

Resources: Microsoft® PowerPoint® Presentation Tutorials, Center for Writing Excellence

Select one of the health care service providers identified in your Week Three assignment, Health Care Providers and Products.

Prepare an 8- to 10-slide Microsoft® PowerPoint® presentation with detailed speaker notes that discusses the health care service provider selected.

Include the following in your presentation:

• Identify the selected health care service provider selected.
• Identify two additional services and products he or she provides.
• Identify the roles of various stakeholders and emerging roles within the health care service provider selected.
• Explain how the services and products are financed or paid for.
• Identify current and future trends that may have an impact on this provider of health care services.

Cite at least 3 peer-reviewed or scholarly references and your textbook to support your presentation.

Format your presentation according to APA guidelines. Your presentation must include an introduction slide, conclusion slide, and a reference slide.

 

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