Standard 5Implementation

The registered nurse implements the identified plan.

The Implementation Standard in Nursing Practice

• Nurses select and implement interventions that will promote client goal achievement.

• Implementation involves direct and indirect interventions.

• Implementation involves ongoing assessment and evaluation.

• Nurses use critical thinking skills to determine how to implement interventions

The Implementation Standard in Nursing Practice

• Nurses demonstrate the art and science of nursing when implementing interventions.◦ The art of nursing is based on caring and respect

for human dignity.◦ The science of nursing is based on research,

evidence, clinical expertise, and client values

• Nurses strive to promote optimal client participation.

The Implementation Standard in Nursing Practice• Nurses use critical thinking skills to determine how to

implement interventions. • Nurses modify interventions based on diverse client

needs• Implementation varies based on resource availability• Technology is used to enhance nursing practice,

coordinate care and maximize client independence• Interventions are documented

Advanced Practice Registered Nurses

Advanced practice registered nurses: • Demonstrate deeper knowledge, more

advanced skills and increased role autonomy• Use broader resources, implement evidence-

based practice, provide consultation and prescribe pharmacologic and non-pharmacologic interventions

Graduate -level Prepared Specialty Nurses

Graduate-level prepared specialty nurses:• Promote practice environments associated

with better patient outcomes• Often hold positions with significant

leadership dimensions• Provide consultation in area of expertise

Implementation: Supplementary Standards

The four supplementary standards:

5A. Coordination of Care

5B. Health Teaching and Health Promotion

5C. Consultation

5D. Prescriptive Authority and Treatment

(Standards 5C and 5D: Additional responsibilities for APRNs and graduate-level prepared nurses.)

Applying the StandardPractice areas of application:• Education• Administration• Quality improvement• Research