Running head: SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE

Self-Assess en! "f Nu#sing S!anda#ds "f P#a$!i$e A%%e& L' L"ngs!#e!h Fe##is S!a!e Uni(e#si!&

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE Abstract

Nu#ses a#e #es*"nsi%le f"# adhe#ing !" !he 1+ nu#sing s!anda#ds "f *#a$!i$e and !he , e!hi$al *#"(isi"ns' The A e#i$an Nu#ses Ass"$ia!i"n -ANA. se! f"#!h !hese guidelines as !he f"unda!i"n "f !he nu#sing *#"fessi"n' As nu#ses/ i! is "u# #es*"nsi%ili!& !" ensu#e !ha! 0e a#e u*h"lding and e1*anding u*"n !hese *#in$i*les' This *a*e# 0ill e1*lain ea$h s!anda#d and *#"(isi"n and 0ha! i! eans !" !he nu#sing *#"fessi"n' In "#de# !" e(alua!e & $a#ee#/ I 0ill anal&2e 0he!he# "# n"! I ha(e & *e#s"nal

a$hie(e en!s !hus fa# in

e! !he (a#i"us

s!anda#ds and *#"(isi"ns' Th#"ugh !he $#ea!i"n "f a *#"fessi"nal de(el"* en! *lan/ I 0ill gene#a!e an a$!i"n *lan/ g"als/ and a self-e(alua!i"n *#"$ess !" ensu#e su$$essful a$hie(e en! "f !he s!anda#ds and *#"(isi"ns !h#"ugh"u! & nu#sing $a#ee#'

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE Self-Assess en! "f Nu#sing S!anda#ds "f P#a$!i$e The nu#sing *#"fessi"n has de(el"*ed ul!i*le #es"u#$es !ha! hel* !" guide !he

e1*e$!a!i"ns and "(e#all *#a$!i$e "f #egis!e#ed nu#ses/ !0" "f !he

%eing !he S!anda#ds "f

P#"fessi"nal Nu#sing P#a$!i$e and !he C"de "f E!hi$s' The S!anda#ds "f P#"fessi"nal Nu#sing is $" *"sed "f 1+ s!anda#ds !ha! hel* !" f"# !he f"unda!i"n "f nu#sing' The fi#s! si1 s!anda#ds a#e

!he %asi$ s!anda#ds "f *#a$!i$e/ 0hile !he addi!i"nal !en s!anda#ds a#e gea#ed !"0a#ds *#"fessi"nal *e#f"# an$e' The C"de "f E!hi$s $"nsis!s "f , e!hi$al $" i! en!s !ha! ea$h nu#se us!

in$"#*"#a!e in!" !hei# *#a$!i$e' As g#adua!i"n 4ui$5l& a**#"a$hes and I %egin !he !#ansi!i"n f#" a s!uden! in!" !he nu#sing 0"#5f"#$e/ i! is i *e#a!i(e !ha! I e(alua!e !hus fa#' 6hen i! $" es !" anal&2ing & #eadiness !" a**l& & 5n"0ledge and *#a$!i$e

& nu#sing 5n"0ledge and s5ills/ I

us! #efe# !" !he #e4ui#e en!s se! f"#!h %& !he A e#i$an Nu#ses Ass"$ia!i"n -ANA.' Standards of Professional Nursing Practice Standard 1: Assessment The ANA -)717. defines assess en! as 0hen 8!he #egis!e#ed nu#se 9RN: $"lle$!s $" *#ehensi(e da!a *e#!inen! !" !he heal!h$a#e $"nsu e#; -*' ,.' I ha(e *#a$!i$ing & *e#s"nal assess en! s5ills !h#"ugh"u! e! !his s!anda#d %&

& $lini$al e1*e#ien$e' A *#"*e#

assess en! in("l(es ins*e$!i"n/ aus$ul!a!i"n/ *al*a!i"n/ and *e#$ussi"n/ as 0ell as add#essing in!elle$!ual/ e "!i"nal/ and s*i#i!ual 0ell%eing' I ha(e *#a$!i$ed and i *#"(ed assess en!/ su%<e$!i(e and "%<e$!i(e da!a $"lle$!i"n/ and "(e#all $" *a!ien!s/ 0hi$h ha(e all"0ed Standard 2: Diagnosis Gene#a!ing a diagn"sis is 0hen 8!he RN anal&2es !he assess en! da!a !" de!e# ine !he diagn"ses "# !he issues; -ANA/ )717/ *' ,.' This s!anda#d in("l(es in!e#*#e!ing !he inf"# a!i"n & hea!-!"-!"e &

uni$a!i"n 0i!h

e !" ga!he# !he inf"# a!i"n ne$essa#& f"# a *#"*e# assess en!'

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE f"und !h#"ugh"u! !he nu#se>s assess en! in "#de# !" %e!!e# unde#s!and !he diagn"ses and

*#esen!ing s& *!" s' M& diagn"sis s5ills ha(e und"u%!edl& i *#"(ed sin$e !he %eginning "f !he nu#sing *#"g#a ' ?"0e(e#/ I ha(e lea#ned !ha! I 0ill %e de(el"*ing !his s5ill !h#"ugh"u! en!i#e nu#sing $a#ee#' Ea$h and e(e#& *a!ien! !ha! I assess 0ill %e uni4ue and *#esen! 0i!h diffe#en! s& *!" s and $" *lain!s' I! is & du!& !" *#"*e#l& assess in "#de# !" diagn"se & &

*a!ien!s and $a#e f"# !hei# needs' In "#de# !" and (e#if&

ee! !his s!anda#d I 0ill $"n!inue !" as5 4ues!i"ns & *a!ien!s'

& findings in "#de# !" *#"*e#l& diagn"se

Standard 3: Outcomes Identification The ANA -)717. s!a!es !ha! "u!$" e iden!ifi$a!i"n is 0hen 8!he RN iden!ifies e1*e$!ed "u!$" es f"# a *lan indi(iduali2ed !" !he heal!h$a#e $"nsu e# "# !he si!ua!i"n; -*' ,.' I ha(e !his s!anda#d !h#"ugh !he de(el"* en! "f se(e#al nu#sing $a#e *lans' P#"*e# de(el"* en! "f nu#sing $a#e *lans #e4ui#es !ha! !he nu#se #esea#$hes !he *a!ien!s> diagn"ses and s*e$ifies *"ssi%le "u!$" es f"# !he *a!ien!' I ha(e lea#ned !ha! ea$h *a!ien! is uni4ue and !ha! !he s!a!ed "u!$" es *#a$!i$es' Standard 4: Planning Planning is 0hen 8!he RN de(el"*s a *lan !ha! *#es$#i%es s!#a!egies and al!e#na!i(es !" a!!ain e1*e$!ed "u!$" es; -ANA/ )717/ *' ,.' This s!anda#d is #ela!ed di#e$!l& !" !he "u!$" es iden!ifi$a!i"n s!anda#d *#e(i"usl& en!i"ned' Al!h"ugh !he nu#se and heal!h$a#e *#"(ide#s us! %e in("l(ed in !he us! %e !ail"#ed !" ee! !he *a!ien!s> $ul!u#al/ s*i#i!ual/ and *e#s"nal heal!h$a#e e!

$#ea!e !he "u!$" es in 0hi$h !he& 0an! !he *a!ien! !" a$hie(e/ !he *a!ien! "(e#all *lanning' The nu#se

us! in("l(e !he *a!ien!/ and 0hen a**#"*#ia!e !he fa il&/ in !he e! !his s!anda#d %e$ause I ha(e lea#ned !" en$"u#age and & $lini$al e1*e#ien$e !hus fa# !ha!

de(el"* en! "f !he *lan' I ha(e in("l(e

& *a!ien!s in !hei# $a#e' I ha(e lea#ned !h#"ugh

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE 0hen !he *a!ien! is in("l(ed in *lanning !hei# "(e#all $a#e/ !he& a#e a$hie(e !hei# se! g"als' Standard 5: Implementation

"#e li5el& !" *a#!i$i*a!e and

The ANA -)717. #e$"gni2es !ha! i *le en!a!i"n is 0hen 8!he RN i *le en!s !he iden!ified *lan; -*' 17.' The#e a#e fi(e diffe#en! $" *"nen!s !" !his s!anda#d/ s" e "f 0hi$h a#e s*e$ifi$all& f"# !he ad(an$ed *#a$!i$e RN>s' The $" *"nen!s !ha! I a a%le !" ee! as a RN

in$lude !he $""#dina!i"n "f $a#e and heal!h !ea$hingAheal!h *#" "!i"n' The $""#dina!i"n "f $a#e is 0hen 8!he RN $""#dina!es $a#e deli(e#&; 0i!h !he (a#i"us heal!h$a#e !ea s and s*e$ial!ies -ANA/ )717/ *' 17.' As a s!uden!/ i! is diffi$ul! !" full& ee! !his $" *"nen!/ as 0e a#e n"! full&

in $ha#ge "f "u# *a!ien!s> $a#e' Of!en !i es/ I feel !ha! i! is diffi$ul! !" 5ee* !a%s "n !he *lan and di#e$!i"n "f "u# *a!ien!s> $a#e %e$ause !he nu#se !ha! 0e a#e 0"#5ing 0i!h is !he di#e$! $""#dina!"# "f !he $a#e' ?"0e(e#/ I ha(e e! !his s!anda#d !h#"ugh "%se#(a!i"n and *e#s"nall&

i *le en!ing di#e$! *a!ien! $a#e a$!i(i!ies #ela!ed !" !he "(e#all $a#e *lan' The heal!h !ea$hing and *#" "!i"n *"#!i"n "f !he fif!h s!anda#d is 0hen 8!he RN e *l"&s s!#a!egies !" *#" "!e heal!h and a safe en(i#"n en!; -ANA/ )717/ *' 17.' I ha(e i *le en!ed !his *"#!i"n "f !he s!anda#d ul!i*le !i es !h#"ugh"u! & $lini$al e1*e#ien$e !hus fa#' F"# edi$a!i"n ad inis!#a!i"n/

ins!an$e/ I ha(e *#" "!ed a safe en(i#"n en! %& ensu#ing a$$u#a!e

5ee*ing *a!ien!s> #"" s f#ee "f $lu!!e#/ and s" f"#!h' In addi!i"n/ I ha(e *#" "!ed heal!h %& !ea$hing & *a!ien!s> a%"u! ne0 edi$a!i"ns and h"0 !" *#" "!eA ain!ain !hei# "0n heal!h

0hen !he& #e!u#n h" e af!e# dis$ha#ge' Standard : !"aluation The A e#i$an Nu#ses Ass"$ia!i"n has defined !his s!anda#d as !he RN e(alua!ing 8*#"g#ess !"0a#d a!!ain en! "f "u!$" es; -ANA/ )717/ *' 17.' In "#de# !" ensu#e !ha! "u#

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE *a!ien!s a#e

ee!ing !hei# se! g"als 0hile 0"#5ing !"0a#d !hei# "(e#all "u!$" e/ 0e need !" e! !his s!anda#d !h#"ugh !he use "f nu#sing $a#e

$"n!inuall& e(alua!e !hei# *#"g#ess' I ha(e

*lans' I ha(e lea#ned !ha! i! is n"! "nl& i *"#!an! !" inde*enden!l& e(alua!e "u# *a!ien!s> *#"g#ess !"0a#d !hei# "u!$" es/ %u! !" als" in("l(e !he assessing 0he!he# "# n"! !hei# g"als a#e %eing in !he e(alua!i"n' This in$ludes

e!/ and if n"!/ 0ha! needs !" $hange in "#de# !"

a$hie(e !hei# g"als' In addi!i"n/ i! is i *"#!an! !" $"n!inuall& assess "u# *a!ien!s in #ela!i"n !" h"0 !he& a#e feeling a%"u! Standard #: !t$ics This s!anda#d/ as defined %& !he ANA/ #e4ui#es !ha! 8!he RN *#a$!i$es e!hi$all&; -*' 11.' I $"n!inuall& "f ee! !his s!anda#d as I 0"#5 0i!hin !he heal!h$a#e field' I !#ea! ea$h and e(e#& "ne & $a#e !" !hei# needs and *e#s"nal desi#es' I #e$"gni2e ee!ing !hei# g"als and "u!$" e'

& *a!ien!s as indi(iduals/ !ail"#ing

!ha! i! is i *"#!an! n"! !" dis iss Standard %: !ducation

& *a!ien!s> *e#s"nal %eliefs "# *#a$!i$es'

The eigh!h s!anda#d is #e$"gni2ed as edu$a!i"n/ 0hi$h s!a!es !ha! 8!he RN a!!ains 5n"0ledge and $" *e!en$e !ha! #efle$!s $u##en! nu#sing *#a$!i$e; -ANA/ )717/ *' 11.' Al!h"ugh I ha(e n"! &e! !a5en & nu#sing %"a#ds/ I feel !ha! I ha(e e! !his g"al %& a!!ending nu#sing &

s$h""l' In addi!i"n !" a!!ending nu#sing s$h""l/ I 0ill a$hie(e !his s!anda#d %& *assing nu#sing %"a#ds' As I $"n!inue

& $a#ee# as a nu#se/ I feel !ha! i! is e1!#e el& i *"#!an! !" #e ain ended !e$hni4uesA*#a$!i$es' I *lan !" "%!ain & g#"0!h and de(el"* en! !" !he &

u*-!"-da!e "n #e$en! #esea#$h and !he #e$"

#e4ui#ed $"n!inuing edu$a!i"n $#edi!s/ %u! n"! li i! #e4ui#ed $#edi!s'

ini u

Standard &: !"idence'(ased Practice and )esearc$

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE

The nin!h s!anda#d is defined as !he RN in!eg#a!ing 8e(iden$e and #esea#$h findings in!" *#a$!i$e; -ANA/ )717/ *' 11.' The $a#e !ha! 0e gi(e and !he s5ills !ha! 0e *e#f"# al0a&s %e de#i(ed f#" sh"uld

e(iden$e-%ased #esea#$h findings' As RN>s/ i! is i *e#a!i(e !ha! 0e 5ee*

u* 0i!h "u# e(e#-$hanging heal!h$a#e s&s!e ' As a s!uden!/ I ha(e lea#ned a g#ea! deal a%"u! e(iden$e-%ased *#a$!i$e and h"0 !" i *le en! i! in!" "u# $a#e' Cu##en!l&/ I ha(e e! !his

s!anda#d !h#"ugh !he i *le en!a!i"n "f #esea#$h and u* !" da!e e(iden$e-%ased *#a$!i$e !e$hni4ues' Th#"ugh"u! findings in!" 0ill 0"#5' Standard 1*: +ualit, of Practice The ANA -)717. es!a%lished !he !en!h s!anda#d as !he 4uali!& "f *#a$!i$e/ 0hi$h is 0hen 8!he RN $"n!#i%u!es !" 4uali!& nu#sing *#a$!i$e; -*' 11.' This #ela!es di#e$!l& !" !he nin!h s!anda#dC as 0e ensu#e 0e a#e in!eg#a!ing e(iden$e and #esea#$h in!" "u# *#a$!i$e/ 0e a#e $"n!#i%u!ing !" 4uali!& nu#sing *#a$!i$e' ?"0e(e#/ I feel !ha! !his s!anda#d en!ails "#e !han <us! & $a#ee# as a nu#se/ I *lan !" i *le en! e(iden$e and #esea#$h

& dail& *#a$!i$e/ 0hile u*h"lding #ules and #egula!i"ns "f !he fa$ili!& in 0hi$h I

in$"#*"#a!ing e(iden$e-%ased *#a$!i$e in!" "u# #"u!ine' This s!anda#d ensu#es !ha! 0e *e#f"# e1$e*!i"nall& 0ell in all a#eas "f nu#sing/ in$luding %edside $a#e/ $" uni$a!i"n/ and s" f"#!h' I

feel !ha! !his als" h"lds us #es*"nsi%le f"# "!he#s> a$!i"ns as 0ell' F"# e1a *le/ if 0e 0i!ness s" e!hing %eing d"ne in$"##e$!l&/ i! is "u# #es*"nsi%ili!& !" a5e !he "!he# *e#s"n a0a#e "f !he

si!ua!i"n' If 0e ign"#e !he 0#"ngd"ing/ 0e a#e n"! assu#ing !ha! 4uali!& nu#sing $a#e is %eing *#a$!i$ed' I ha(e e! !his s!anda#d !hus fa# %& ensu#ing 4uali!& "f $a#e is gi(en %& ee! !his s!anda#d %& assu#ing !ha! &self/ fell"0 &self and

s!uden!s/ and nu#sing s!aff' I *lan !" $"n!inue !"

& $"0"#5e#s a#e *e#sis!en!l& *#"(iding 4uali!& nu#sing $a#e !" "u# *a!ien!s' Standard 11: -ommunication

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE This s!anda#d assu#es !ha! 8!he RN $" -ANA/ )717/ *' 11.' I! is i *"#!an! !ha! 0e $"

uni$a!es effe$!i(el& in all a#eas "f *#a$!i$e; uni$a!e 0ell 0i!h "u# *a!ien!s/ fa il& & $lini$al e1*e#ien$e

e %e#s/ and "!he# heal!h$a#e *#"(ide#s' Th#"ugh"u! nu#sing s$h""l and I ha(e lea#ned !ha! effe$!i(e $" %"!h *a!ien!s and fa ilies' I ha(e

uni$a!i"n is i *e#a!i(e !" %uilding a !#us!ing #ela!i"nshi* 0i!h e! !his s!anda#d %& !a5ing !he !i e !" ge! !" 5n"0 &

*a!ien!s/ ha(ing genuine $"n(e#sa!i"ns 0i!h !he / and %uilding !#us!ing #ela!i"nshi*s !" ul!i a!el& enhan$e !hei# $a#e' In addi!i"n/ I effe$!i(el& $" *#"(ide#s/ su$h as !he d"$!"#s/ nu#ses/ and nu#sing assis!an!s' Standard 12: .eaders$ip As de$la#ed %& !he ANA -)717./ leade#shi* is 0hen 8!he RN de "ns!#a!es leade#shi* in !he *#"fessi"nal *#a$!i$e se!!ing and !he *#"fessi"n; -*' 11.' Al!h"ugh I (ie0 leade#/ I d" n"! feel !ha! I ha(e full& e! !his s!anda#d !hus fa# in &self as %eing a uni$a!e 0i!h "!he# heal!h$a#e

& nu#sing $a#ee#' I feel !ha! %eing a leade# du#ing &

!his is a s!anda#d !ha! is $"n!inuall& %eing a$hie(ed' As a s!uden!/ I a $lini$al e1*e#ien$e %& de "ns!#a!ing $"

i! en! !" lea#ning and edu$a!i"n/ s!#i(ing !" lea#n and

#e!ain all !ha! I $an' As I !#ansi!i"n in!" !he nu#sing #"le/ I *lan !" *a#!i$i*a!e in (a#i"us "#gani2a!i"ns 0i!hin !he uni! !ha! I 0"#5' And/ as I !#ansi!i"n f#" e1*e#ien$ed nu#se/ I 0ill !ha! I ha(e gained' Standard 13: -ollaboration C"lla%"#a!i"n is 0hen 8!he RN $"lla%"#a!es 0i!h !he heal!h$a#e $"nsu e#/ fa il&/ and "!he#s in !he $"ndu$! "f nu#sing *#a$!i$e; -ANA/ )717/ *' 11.' One "f !he (e#& fi#s! !hings I lea#ned in nu#sing s$h""l 0as !ha! !he nu#se has an& #es*"nsi%ili!ies/ "ne "f !he ain du!ies en!"# "!he# nu#ses and guide !he %eing a n"(i$e nu#se in!" an

using !he 5n"0ledge and e1*e#!ise

%eing $"lla%"#a!i"n' As nu#ses/ 0e a#e !he "nes 0h" $"lla%"#a!e 0i!h all "f !he (a#&ing

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE

s*e$ial!ies !a5ing $a#e "f "u# *a!ien!s/ su$h as *h&si$al !he#a*&/ "$$u*a!i"nal !he#a*&/ in!e#nal edi$ine/ infe$!i"us disease/ e!$' I! is "u# #es*"nsi%ili!& !" %#ing all "f !he inf"# a!i"n and di(e#se g"als !"ge!he# !" f"# add#essed' Aside f#" a *lan and assu#e !ha! e(e#& as*e$! "f "u# *a!ien!s> $a#e is %eing

$"lla%"#a!ing 0i!h "!he# heal!h$a#e *#"(ide#s/ i! is i *e#a!i(e !ha! 0e e %e#s 0hen a**#"*#ia!e' & *a!ien!s> "(e#all $a#e'

in("l(e "u# *a!ien!s andA"# fa il& I ha(e

e! !his s!anda#d !h#"ugh i *le en!ing $"lla%"#a!i"n "f

I ha(e lea#ned !he i *"#!an$e "f $"

uni$a!i"n and $"lla%"#a!i"n 0i!h !he (a#&ing heal!h$a#e

s*e$ial!ies' F"# e1a *le/ I ha(e $"lla%"#a!ed 0i!h *h&si$al !he#a*&/ d"$!"#s/ and s*ee$h !he#a*& #ega#ding g"als and !he "(e#all *lan "f $"lla%"#a!e 0i!h $"-0"#5e#s/ in$luding nu#sing s!aff' In addi!i"n/ I ha(e Th#"ugh"u! & *a!ien!s> $a#e' I als" find i! (e#& i *"#!an! !" & fell"0 nu#sing s!uden!s/ $lini$al ins!#u$!"#/ and & *a!ien!s>'

e! !his s!anda#d !h#"ugh $"lla%"#a!ing 0i!h "#e

& $lini$al e1*e#ien$e/ I ha(e lea#ned !ha! *a!ien!s a#e

"!i(a!ed !" su$$eed

0hen !he& *a#!i$i*a!e in !he *lanning "f !hei# $a#e' Standard 14: Professional Practice !"aluation The ANA -)717. #e4ui#es nu#ses !" e(alua!e 8he# "# his "0n nu#sing *#a$!i$e in #ela!i"n !" *#"fessi"nal *#a$!i$e s!anda#ds and guidelines/ #ele(an! s!a!ues/ #ules/ and #egula!i"ns; -ANA/ )717/ *' 11.' In "#de# !" g#"0 as a nu#se/ i! is i *"#!an! !" $"n!inuall& self-e(alua!e "nes s!#eng!hs/ 0ea5nesses/ and %iases' In addi!i"n/ !his s!anda#d #e4ui#es !ha! !he RN a$$e*! inf"# al feed%a$5/ as 0ell as *#"(ide *ee#s 0i!h $"ns!#u$!i(e feed%a$5' I ha(e a$hie(ed !his s!anda#d %& as5ing "!he#s f"# feed%a$5/ as 0ell as *#"(iding $"ns!#u$!i(e feed%a$5 0hen a**#"*#ia!e' In addi!i"n/ I ha(e f"und self-e(alua!i"n !" %e (e#& effe$!i(e !hus fa# 0hile 0"#5ing in !he heal!h$a#e field' If "ne d"es n"! !a5e !i e !" e(alua!e "neself/ "ne 0ill n"! #e$"gni2e a#eas "f s!#eng!h and a#eas "f 0ea5ness !ha! need i *#"(e en!'

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE Standard 15: )esource /tili0ation

17

This ne$essi!a!es !ha! 8!he RN u!ili2es a**#"*#ia!e #es"u#$es !" *lan and *#"(ide nu#sing se#(i$es !ha! a#e safe/ effe$!i(e/ and finan$iall& #es*"nsi%le; -ANA/ )717/ *' 11.' 6hen 0"#5ing in a h"s*i!al se!!ing/ !he#e a#e nu e#"us #es"u#$es a(aila%le !" us as nu#sesC in$luding/ %u! n"! li i!ed !" *h&si$al/ "$$u*a!i"nal/ s*ee$h/ and #es*i#a!"#& !he#a*&' This s!anda#d s!a!es !ha! RN>s sh"uld %e a0a#e "f and u!ili2e !hese #es"u#$es !" %enefi! !hei# *a!ien!s> "(e#all $a#e' In #ela!i"n !" $"lla%"#a!i"n/ I ha(e e! !his s!anda#d !hus fa# 0hile in nu#sing s$h""l' An e1a *le "f !his s*ee$h !he#a*& f"# a *a!ien! e1*e#ien$ing diffi$ul!&

0"uld %e #e4ues!ing a $"nsul! f#"

s0all"0ing !" assu#e !he *a!ien! is safe 0hen $"nsu ing f""d and li4uids' I! is i *"#!an! !ha! 0e $"n!inuall& $"lla%"#a!e and u!ili2e "u# #es"u#$es as nu#ses/ as i! hel*s !" ensu#e "u# *a!ien!s> safe!&' Standard 1 : !n"ironmental 1ealt$ This s!anda#d #e4ui#es !ha! 8!he RN *#a$!i$es in an en(i#"n en!all& safe and heal!h& anne#; -ANA/ )717/ *' 11.' This s!anda#d $an %e a**lied in (a#i"us a#eas/ su$h as a s all d"$!"#>s "ffi$e/ la#ge h"s*i!al se!!ing/ "# an en!i#e $" uni!&' This #e4ui#es !ha! !he RN #edu$es e! !his s!anda#d %& assu#ing !ha!

en(i#"n en!al heal!h #is5s f"# *a!ien!s and 0"#5e#s' I ha(e

*a!ien!s> #"" s a#e nea! and "#de#l&/ $leaning su**lies 0i!h !he a**#"*#ia!e s"lu!i"n/ and *e#f"# ing nu#sing !as5s a$$u#a!el&' & !t$ical Standards Pro"ision 1 As $lassified %& !he A e#i$an Nu#ses Ass"$ia!i"n 9ANA: -)771./ !his e!hi$al s!anda#d s!a!es !ha! 8!he nu#se/ in all *#"fessi"nal #ela!i"nshi*s/ *#a$!i$es 0i!h $" *assi"n and #es*e$! f"# !he inhe#en! digni!&/ 0"#!h/ and uni4ueness "f e(e#& indi(idual/ un#es!#i$!ed %& $"nside#a!i"ns "f

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE

11

s"$ial "# e$"n" i$ s!a!us/ *e#s"nal a!!#i%u!es/ "# !he na!u#e "f heal!h *#"%le s; -*' 1.' I ha(e #e ained !#ue !" !his e!hi$al s!anda#d !hus fa# !h#"ugh"u! d" s"' I !#ea! ea$h and e(e#& "ne "f al!e# !he $a#e I *#"(ide & nu#sing $a#ee#/ and 0ill $"n!inue !"

& *a!ien!s 0i!h #es*e$! and digni!&' In addi!i"n/ I d" n"!

& *a!ien!s %ased "n !hei# s"$ial "# e$"n" i$ s!a!us/ *e#s"nal a!!#i%u!es/ & $a#e !" a$5n"0ledge and #es*e$! &

"# heal!h $"n$e#ns' ?"0e(e#/ I d" !#& and ada*! *a!ien!s> *e#s"nal %eliefs "# #eligi"us *#a$!i$es' Pro"ision 2

This e!hi$al s!anda#d affi# s !ha! 8!he nu#se>s *#i a#& $" 0he!he# an indi(idual/ fa il&/ g#"u*/ "# $" s!anda#d 0hen $#ea!ing a *lan "f $a#e f"# and fa il&

i! en! is !" !he *a!ien!/ e! !his & *a!ien!s/

uni!&; -ANA/ )771/ *' 1.' I ha(e & *a!ien!s/ !h#"ugh $"lla%"#a!i"n 0i!h

e %e#s 0hen a**#"*#ia!e' I feel !ha! i! is (e#& i *"#!an! !ha! *a!ien!s> a#e in("l(ed & *a!ien!s>

in se!!ing !hei# g"als !" #ea$h !hei# desi#ed "u!$" e' In addi!i"n !" f"$using "n edi$al !#ea! en!/ I als" a!!end !" !hei# addi!i"n needs/ su$h as !hei# s*i#i!uali!&' Pro"ision 3

As 8!he nu#se *#" "!es/ ad("$a!es f"#/ and s!#i(es !" *#"!e$! !he heal!h/ safe!&/ and #igh!s "f !he *a!ien!;/ he "# she is su**"#!ing !his e!hi$al s!anda#d -ANA/ )771/ *' 1.' I ha(e s!anda#d %& ain!aining e! !his

& *a!ien!s> *#i(a$& and 5ee*ing !hei# inf"# a!i"n $"nfiden!ial' This

all"0s f"# !he %uilding "f a !#us!ing #ela!i"nshi* and i *#"(ed 4uali!& "f $a#e' In addi!i"n/ I ha(e %een a%le !" ad("$a!e f"# !he 0ell%eing "f a *a!ien!s> & *a!ien!s' I ha(e ad("$a!ed f"# an in$#ease in

edi$a!i"n !" %e!!e# $"n!#"l !hei# *ain/ an ad(an$e en! "f die!a#& #es!#i$!i"ns/ and s"

f"#!h' As nu#ses/ 0e 0ill ad("$a!e f"# "u# *a!ien!s> ea$h and e(e#& da&/ 0hile s!#i(ing !" in$#ease "u# *a!ien!s> "(e#all heal!h and 0ell%eing' Pro"ision 4

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE

1)

This e!hi$al s!anda#d s!a!es !ha! 8!he nu#se is #es*"nsi%le and a$$"un!a%le f"# indi(idual nu#sing *#a$!i$e and de!e# ines !he a**#"*#ia!e delega!i"n "f !as5s $"nsis!en! 0i!h !he nu#se>s "%liga!i"n !" *#"(ide "*!i u *a!ien! $a#e; -ANA/ )771/ *' 1.' This s!anda#d s!a!es !ha! !he

nu#se is ul!i a!el& #es*"nsi%le f"# !he nu#sing $a#e !ha! !hei# *a!ien!s #e$ei(e' Thus/ !he nu#se us! !a5e full #es*"nsi%ili!& f"# !he $a#e he "# she *#"(ides/ 0hi$h in$ludes !he !as5s !ha! a#e delega!ed !" "!he# nu#ses and su**"#!ing s!aff' I ha(e f"# i & "0n a$!i"ns du#ing edia!el& as5 a nu#se "# e! !his s!anda#d %& !a5ing #es*"nsi%ili!& unsu#e "# ha(e a 4ues!i"n/ I & a$!i"ns' In addi!i"n/ I ha(e

& $lini$al e1*e#ien$es' If I a & $lini$al ins!#u$!"# !" (e#if&

lea#ned !" delega!e !" nu#sing assis!an!s/ in$luding !as5s "f *e#f"# ing ADL>s/ "%!aining (i!als signs/ e!$' I unde#s!and !ha! al!h"ugh I delega!e $e#!ain !as5s/ i! is ul!i a!el& ensu#e !ha! !he& a#e $" *le!ed a$$u#a!el& and in a !i el& Pro"ision 5 This e!hi$al s!anda#d s!a!es !ha! 8!he nu#se "0es !he sa e du!ies !" self as !" "!he#s/ in$luding !he #es*"nsi%ili!& !" *#ese#(e in!eg#i!& and safe!&/ !" ain!ain $" *e!en$e/ and !" anne#' & #es*"nsi%ili!& !"

$"n!inue *e#s"nal and *#"fessi"nal g#"0!h; -ANA/ )771/ *' 1.' As nu#ses/ 0e a#e #es*"nsi%le f"# *#"(iding "u# *a!ien!s 0i!h safe/ $" *e!en! $a#e/ 0hile ensu#ing !hei# safe!&' 6e als" need !" #e e %e# !" ensu#e 0e a#e *#"(iding "u#sel(es 0i!h !he sa e #es*e$! and !#ea! en!' I ha(e e! !his s!anda#d %& $"n!inuall& *#"(iding & *a!ien!s 0i!h *#"fi$ien! $a#e/ and as5ing f"# hel* & *a!ien!s> safe!& is & nu %e# edi$a!i"n

"# (e#ifi$a!i"n 0hen needed' In addi!i"n/ I al0a&s ensu#e !ha!

"ne $"n$e#n' I ensu#e !hei# safe!& !h#"ugh *#"*e# assess en! !e$hni4ues/ a**#"*#ia!e ad inis!#a!i"n/ !he#a*eu!i$ $" ensu#e uni$a!i"n/ and s" f"#!h' Eus! as I ensu#e

& *a!ien!s a#e safe/ I & $" *e!en$e

& *e#s"nal safe!& as 0ell' U*"n g#adua!i"n I 0ill

ain!ain and enhan$e

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE 0hile all"0ing f"# *e#s"nal and *#"fessi"nal g#"0!h/ 0hile *#"(iding !#ea! en! and #es*e$!' Pro"ision As 8!he nu#se *a#!i$i*a!es in es!a%lishing/

13 &self 0i!h !he sa e

ain!aining/ and i *#"(ing heal!h $a#e

en(i#"n en!s and $"ndi!i"ns "f e *l"& en! $"ndu$i(e !" !he *#"(isi"n "f 4uali!& heal!h $a#e and $"nsis!en! 0i!h !he (alues "f !he *#"fessi"n !h#"ugh indi(idual and $"lle$!i(e a$!i"n; he "# she is ain!aining !his e!hi$al s!anda#d -ANA/ )771/ *' ).' I ha(e e! !his s!anda#d %& ensu#ing

!ha! "u# $lini$al 0"#5ing en(i#"n en! *#"(ides safe 0"#5ing $"ndi!i"ns/ f"# %"!h !he *a!ien!s and s!aff e %e#s' In addi!i"n/ I als" ensu#e !ha! I a f"ll"0ing !he 0#i!!en *"li$ies and *#"$edu#es

0hen *e#f"# ing

& nu#sing du!ies' This s!anda#d als" #e4ui#es !ha! nu#ses $#ea!e a

"#alAh"nes! 0"#5ing en(i#"n en!' I u*h"ld !his *"#!i"n "f !he s!anda#d %& engaging in a**#"*#ia!e in!e#a$!i"n and $" e %e#s/ e!$' Pro"ision # The se(en!h e!hi$al s!anda#d $"nfi# s !ha! 8!he nu#se *a#!i$i*a!es in !he ad(an$e en! "f !he *#"fessi"n !h#"ugh $"n!#i%u!i"ns !" *#a$!i$e/ edu$a!i"n/ ad inis!#a!i"n/ and 5n"0ledge de(el"* en!; -ANA/ )771/ *' ).' In !his s!age "f a $"n!#i%u!ing & edu$a!i"nA$a#ee#/ I d" n"! feel as !h"ugh I uni$a!i"n 0i!h *a!ien!s/ fa ilies/ fell"0 s!uden!s/ s!aff

u$h !" !he ad(an$e en! "f !he *#"fessi"n' ?"0e(e#/ !his is s" e!hing !ha! I

*lan !" d" as I s!a#! 0"#5ing "n a s*e$ifi$ uni!' I 0ill *a#!i$i*a!e in !he ad(an$e en!s "f !he nu#sing *#"fessi"n %& %eing an a$!i(e e %e# in $" i!!ees and sha#ing #e$en! #esea#$h and e !" ("i$e & "*ini"n and sha#e &

e(iden$e-%ased *#a$!i$e !e$hni4ues' This 0ill all"0

5n"0ledgeAe1*e#ien$e 0hile *a#!i$i*a!ing in $hange' In addi!i"n/ I 0ill li5el& g#adua!e nu#ses as I %e$" e "#e e1*e#ien$ed and $"nfiden! in

en!"# ne0

& *#a$!i$e' Men!"#ing 0ill

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE all"0

1=

e !" sha#e 0ha! I ha(e lea#ned and h"*efull& en$"u#age fell"0 nu#ses !" a$!i(el&

*a#!i$i*a!e in !he ad(an$e en! "f "u# *#"fessi"n' Pro"ision % As 8!he nu#se $"lla%"#a!es 0i!h "!he# heal!h *#"fessi"nals and !he *u%li$ in *#" "!ing $" uni!&/ na!i"nal/ and in!e#na!i"nal eff"#!s !" ee! heal!h needs; he "# she is u*h"lding !his

e!hi$al s!anda#d -ANA/ )771/ *' ).' This s!anda#d e *hasi2es !ha! !he nu#se 8su**"#!s ini!ia!i(es !" add#ess %a##ie#s !" heal!h/ su$h as *"(e#!&/ h" elessness/ unsafe li(ing $"ndi!i"ns/ a%use and (i"len$e/ and la$5 "f a$$ess !" heal!h se#(i$es; -ANA/ )771/ *' 13.' Cu##en!l&/ I feel !ha! I ha(e *a#!iall& e! !his s!anda#d' F"# ins!an$e/ I a a0a#e "f s" e "f !he %a##ie#s !ha! *a!ien!s & a&

fa$e 0i!hin (a#i"us $" $"

uni!ies/ su$h as la$5 "f a$$ess !" heal!h se#(i$es' Du#ing

uni!& heal!h #"!a!i"n in Glad0in/ MI/ 0e 0e#e a%le !" !#a(el in!" !he $"

uni!& and

*#"(ide (a$$ina!i"ns !" an A ish fa il&' If 0e did n"! !#a(el !" !his fa il&/ !he& 0"uld li5el& n"! ha(e a$$ess !" heal!h$a#e "# !he (a$$ina!i"ns !ha! 0e *#"(ided' As I %egin *#a$!i$ing as an RN/ I h"*e !" %e a%le !" $"lla%"#a!e 0i!h fell"0 nu#ses and heal!h$a#e *#"(ide#s and #ea$h "u! !" *a!ien!s 0i!hin "u# $" uni!& !ha! a& n"! ha(e di#e$! heal!h$a#e se#(i$es' F"# e1a *le/ 0e

$"uld $"lla%"#a!e 0i!h !he $" %l""d *#essu#e s$#eenings' Pro"ision &

uni!& and find a $"n(enien! l"$a!i"n !" *#"(ide se#(i$es su$h as

The nin!h e!hi$al s!anda#d s!a!es !ha! 8!he *#"fessi"n "f nu#sing/ as #e*#esen!ed %& ass"$ia!i"ns and !hei# e %e#s/ is #es*"nsi%le f"# a#!i$ula!ing nu#sing (alues/ f"# ain!aining !he

in!eg#i!& "f !he *#"fessi"n and i!s *#a$!i$e/ and f"# sha*ing s"$ial *"li$&; -ANA/ )771/ *' ).' This s!anda#d e *hasi2es !he #es*"nsi%ili!& !ha! ea$h and e(e#& nu#se has !" #e*#esen! !he en!i#e nu#sing *#"fessi"n' I! is i *e#a!i(e !ha! ea$h indi(idual nu#se u*h"lds all nu#sing (alues/ 0hile

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE ain!aining !he in!eg#i!& "f *#"fessi"n' T" e/ !his eans !ha! ea$h de$isi"n !ha! 0e

1@ a5e $an

i *a$! !he nu#sing *#"fessi"n as a 0h"le' 6e a#e #es*"nsi%le f"# "u# a$!i"ns/ and "u# a$!i"ns $an ul!i a!el& %enefi! "# hinde# !he nu#sing *#"fessi"n' In addi!i"n/ *#"fessi"n eans !ha! 0e us! ad i! 0hen 0e a#e 0#"ng "# 0hen a ain!aining !he in!eg#i!& "f is!a5e has %een ade'

Thus fa# !h#"ugh"u!

& $a#ee#/ I feel !ha! I ha(e fulfilled !he "%liga!i"n "f !his e!hi$al s!anda#d' I

ha(e u*held !he in!eg#i!& "f !he nu#sing *#"fessi"n' I ha(e/ and 0ill $"n!inue !" (e#if& an& un$e#!ain!ies !ha! I a& ha(e and as5 f"# assis!an$e 0hen needed' Professional De"elopment Plan Ou# heal!h$a#e s&s!e is $"ns!an!l& $hanging' As a nu#ses 0"#5ing in !his #a*idl&"s! $u##en! #esea#$h/ us! fi#s! ee! all "f !he

$hanging en(i#"n en!/ i! is i *e#a!i(e !ha! 0e #e ain u* !" da!e "n !he *#a$!i$e !e$hni4ues/ and u*-$" ing ideas' In "#de# !" g#"0 as a nu#se I

*#a$!i$e s!anda#ds and e!hi$al *#"(isi"ns' Cu##en!l&/ !he#e a#e (a#i"us s!anda#ds and *#"(isi"ns !ha! I ha(e n"! e!/ 0hi$h in$lude diagn"sis/ *#"(isi"n B/ and *#"(isi"n D' I ha(e de(el"*ed a ee! !hese s!anda#ds and *#"(isi"ns'

*lan !ha! in("l(es a$hie(ing s*e$ifi$ g"als in "#de# !" full& 2oals3 Action Plan3 !"aluation

U*"n g#adua!i"n I h"*e !" 0"#5 in la%"# and deli(e#&' F#" %e #e4ui#ed !" $" *le!e an a**#"1i a!e !h#ee !his !#aining I *lan !" de(el"* and *e#fe$! ne0%"#n' Thus/ !his 0ill all"0

0ha! I unde#s!and/ I 0"uld

"n!h "#ien!a!i"n and !#aining *#"$ess' Du#ing " and

& assess en! s5ills "f !he la%"#ing

e !" enhan$e

& diagn"sis s5ills !h#"ugh !he in!e#*#e!a!i"n "f

(a#i"us s& *!" s and findings/ !hus $" *le!ing !he se$"nd s!anda#d "f nu#sing *#a$!i$e' The de(el"* en! "f & diagn"sis s5ills 0ill n"! s!"* 0hen & "#ien!a!i"n is $" *le!e/ as i! 0ill %e

an "n-g"ing *#"$ess'

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE

1+

The se(en!h e!hi$al *#"(isi"n in$ludes %eing in("l(ed in !he ad(an$e en! "f !he nu#sing *#"fessi"n' Af!e# I $" *le!e & !#aining in la%"# and deli(e#& I *lan !" enhan$e & 5n"0ledge e

and e1*e#!ise %& en#"lling in !h#ee $"n!inuing edu$a!i"n $lasses e(e#& &ea#' This 0ill all"0 !" #e ain u* !" da!e "n !he $u##en! e(iden$e-%ased *#a$!i$e findings and #e$"

ended $hanges

#ela!ed !" la%"# and deli(e#&' Af!e# ea$h $"n!inuing edu$a!i"n $lass I 0ill sha#e 0ha! I lea#ned 0i!h !he s!aff "n & uni! 0i!h h"*es "f i *le en!ing !he findings in!" "u# *#a$!i$e' A$hie(ing e !" $"n!#i%u!e !" !he ad(an$e en! "f !he *#"fessi"n'

!his g"al ea$h &ea# 0ill all"0

E!hi$al *#"(isi"n D su**"#!s ini!ia!i(es !" add#ess %a##ie#s !" heal!h/ su$h as *"(e#!&/ h" elessness/ unsafe li(ing $"ndi!i"ns/ a%use and (i"len$e/ and la$5 "f a$$ess !" heal!h se#(i$es' Cu##en!l&/ I a a0a#e "f s" e "f !he %a##ie#s !ha! *a!ien!s a& fa$e 0i!hin (a#i"us $" uni!ies/

su$h as la$5 "f a$$ess !" heal!h se#(i$es' E(e#& !0" &ea#s I *lan !" $#ea!e andA"# <"in a $u##en! "#gani2a!i"n !ha! #ea$hes "u! !" !he e %e#s in "u# $" uni!& !ha! d" n"! ha(e di#e$! a$$ess !" issi"n !#i* %& ("lun!ee#ing

heal!h$a#e' In addi!i"n/ I 0"uld li5e !" $"n!#i%u!e !" a heal!h$a#e and #ea$hing "u! !" *#"(ide I 0ill ensu#e !ha! I all"0 !#a$5 "# #""!ed in

edi$al se#(i$es !" !hi#d-0"#ld $"un!#ies' & se! g"als' In "#de# !" & *#"g#ess annuall&' This 0ill

ee! all "f !he s!anda#ds and *#"(isi"ns if I a$hie(e ee! & g"als and a$!i"n *lans/ I 0ill #efle$! u*"n

e !" *e#f"#

a self-e(alua!i"n in "#de# !" de!e# ine if I sh"uld $"n!inue "n !he sa e & *lan' The f"unda!i"n "f & *#"fessi"nal de(el"* en! *lan is ee!ing all "f !he

a5e $hanges !" ain!aining

& 5n"0ledge and $" *e!en$&' Pe#s"nall&/ I feel !ha!

s!anda#ds and e!hi$al *#in$i*les "f nu#sing is an "n-g"ing and $"n!inual *#"$ess' -onclusion As I !#ansi!i"n f#" *#"fessi"n !ha! %eing a s!uden! in!" an RN/ I 0ill %e <"ining an e(e#-$hanging

ain!ains (e#& high s!anda#ds f"# !he nu#ses' I 0ill en!e# as a n"(i$e nu#se/

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE

1B &

ha(ing li i!ed "# n" e1*e#ien$e "!he# !han 0ha! I lea#ned in nu#sing s$h""l' As I $"n!inue edu$a!i"n and gain fu#!he# e1*e#ien$e/ I 0ill e(en!uall& !#ansi!i"n in!" %eing an e1*e#! nu#se' This 0ill !a5e !i e/ ene#g&/ and $" g"als and 0ill s!#i(e !" i *le en! !he I 0ill %e su#e !" *e#f"# i! en! "n & %ehalf' I a dedi$a!ed !" a$hie(ing &

"s! u* !" da!e e(iden$e-%ased #esea#$h in!"

& *#a$!i$e'

annual self-e(alua!i"ns !" ensu#e I a & g"als/ f"ll"0ing

u*h"lding !he s!anda#ds and

*#"(isi"ns "f nu#sing/ a$hie(ing

& *#"fessi"nal *lan'

SELF-ASSESSMENT OF NURSING STANDARDS OF PRACTICE Refe#en$es

1D

A e#i$an Nu#ses Ass"$ia!i"n' -)771.' Code of ethics for nurses with interpretive statements' Re!#ie(ed f#" h!!*:AA000'nu#sing0"#ld'"#gAMainMenuCa!eg"#iesAE!hi$sS!anda#dsAC"de"fE!hi$sf"#Nu# sesAC"de-"f-E!hi$s'as*1 A e#i$an Nu#ses Ass"$ia!i"n' -)717.' Nursing: Scope and standards of practice' -)nd ed'.'