FRAMEWORK, SCOPE AND

TRENDS By:- Firoz QureshiDept. Psychiatric

Nursing

FRAMEWORK, SCOPE AND TRENDS

Health care faces many challenges, including rising costs, shortage of professionals, an aging population, the introduction of new technology and difficulties with access to care. The demand for collaborative, innovative clinical practitioners to act as leaders in healthcare has never been stronger.

Nurses in advanced nursing practice are well positioned to respond to the evolution of health care. In particular advanced nursing plays a key role in meeting the health needs. By building the nursing knowledge, advancing the nursing profession and contributing to a sustained and effective health-care system.

DEFINITION OF NURSING PRACTICE

Advanced nursing practice is an umbrella term describing an advanced level of clinical nursing practice that maximizes the use of graduate educational preparation, in depth nursing knowledge & expertise in meeting the health needs of the individuals, families, groups, communities & populations.

It involves: Analyzing & synthesizing knowledge. Understanding, interpreting &

applying nursing theory & research. Developing & advancing nursing

knowledge & the profession as the whole

CHARACTERISTICS OF NURSING PRACTICE

In advanced nursing practice, nurses build on their expertise in a specialty area, integrating and consistently displaying the following features and characteristics:

Provision of effective and efficient care, delivered with a high degree of autonomy,

Demonstration of leadership and initiation of change to improve client, organization and system outcomes.

Purposeful and integrated use of in-depth nursing knowledge, research and clinical expertise.

Depth and breadth of knowledge that draws on a wide range of strategies to meet the needs of clients and to improve access to and quality of care.

Ability to explain and apply the theoretical, empirical, ethical and experiential foundations of nursing practice.

Understanding & development of evidence-based nursing knowledge.

Ability to initiate or participate in planning, coordinating, implementing and evaluating programmes to meet client needs and support nursing practice.

Demonstration of advanced judgment and decision-making skills.

Critical analysis of and influence on health policy.

DEVELOPMENT OF THE FRAMEWORK: One of the first priorities of nursing was

to develop a vision for nursing in the region. Through the development of this vision, it became apparent that a mission for nursing was also essential. As this work progressed, an evident need emerged to establish a definition of professional practice and a guideline or framework that nurses could utilize on a daily basis to achieve the vision and mission of nursing in the region.

APPROVAL OF THE FRAMEWORK After several months of consultations

with nurses across the Region, discussion at Regional Nursing Council and numerous revisions, the final draft of the professional Practice Framework was approved by Nursing Council and distributes during Nurses Week 2003.

PROFESSIONAL NURSING PRACTICE FRAMEWORK

patient

The art of nursing

competence

Attributes of

practice

Personal commitme

nt

mission

values

FRAMEWORK OF PROFESSIONAL NURSING PRACTICE

Art of nursing : Nurses demonstrate ethical, insightful, caring practice by focusing on the health and well-being of individuals, families and communities is health and during episodes of illness and transition.

Attributes of Practice: Autonomous professional practice in nursing requires taking personal responsibility for excellence in practice and effective collaboration with multidisciplinary team members in meeting the health needs of the population.

CONT… Competence: Nurses‘ competence is

grounded upon nursing theory, scientific knowledge and experience, and is reflected in everyday practice. It is enhanced through continuous learning, shared through mentorship and supported through intra and inter- professional dialogue.

Personal Commitment: Nurses demonstrate commitment to the profession by valuing nurses and nursing, contributing of the advancement of the profession and continually striving for excellence in patient care.

IMPLEMENTATION OF FRAMEWORK Numerous sessions were held to

familiarize nursing staff with the framework when it was first launched.

Introduction to the framework is now routinely incorporated into the orientation of all new nurses who join the Region.

The frame-work also gives the development of preceptors and change nurses.

Further elaboration of frame work will be ongoing.

SCOPE OF NURSING PRACTICE

Nursing is responsible for articulating and disseminating clear definitions of the roles nurses engage in, and the profession‘s scope of practice.

While nurses, through professional, labor relations and regulatory bodies, bear primary responsibility for defining, monitoring and periodically evaluating roles and scope of practice, the views of others in society should be sought and considered in defining scope of practice.

SCOPE OF NURSING PRACTICE

The scope of practice is not limited to specific tasks, functions or responsibilities but includes direct care giving and evaluation of its impact, advocating for patients and for health, supervising and delegating to others, leading, managing, teaching, undertaking research and developing health policy for health care systems.

BACKGROUND

The scope of practice is defined within a

legislative regulatory framework, and communicates to others the roles, competencies (knowledge, skills and attitudes) and the professional accountability of the nurse.

Nursing is also allied to other health professions through its collaborating, referring, and co-ordinating activities, and thus has developed a distinct as well as a shared body of knowledge and practice.

BACKGROUND

Nurses require appropriate initial and ongoing education and training as well as lifelong learning to practice competently within their scope of practice. Therefore, nursing must ensure that nurse educators and nurses managing nursing services are experienced nurses with suitable qualifications and understanding of the competencies and conditions required to deliver quality nursing care in the current health care environment.

BACKGROUND

The complexity of the health care delivery system today is such that the role and responsibility of the nurse within this system can change.

Each registered nurse is responsible and accountable for making decisions and practicing in accordance with his/her educational background and experience in nursing within the statutory parameters of the Nurse Practice Act.

SCOPE OF NURSING PRACTICE

Nursing, like other professions, is accountable for ensuring that its members act in the public interest and provide the unique service that has been designated to them by society. This process is called professional regulation.

The profession of nursing regulates itself through defining practice, establishing an educational system, providing research to further develop the practice base and developing the standards of practice and a code of ethics.

CONT…

The legal boundaries of the scope of practice are determined by the definition of nursing found in the Nurse Practice Act (NPA) and provide the basis for interpreting the practice of the individual registered nurse.

Since each state has legal authority for the regulation of nursing, the definition, and therefore the scope of nursing practice may vary from state to state.

However, the purpose of the law remains consistent to protect the public.

NURSING PRACTICE IN DIFFERENT SETTINGS

The Nurse Manager & Nurse Executive Military nurse Mobile Nursing Practice Tele-nursing Robotic nursing Nursing in Occupational Health School health nurses

Thank you