Domain of Nursing Practice

In: Other Topics

Submitted By mtmk
Words 336
Pages 2
They are five domains described in the professional development framework, which should be considered when determining the actions of nursing practice. These five domains are clinical skills and knowledge, therapeutic relationships, professional relationships, professional development and the advancing practice through innovation and research (UMHS). As nurses it is our responsibility to know our scope of practice in our home state and any state we practice in. Also, we must continue to educate ourselves in our profession as health care continues to change and stay current with the professional development framework of nursing. As an agency nurse and working in different states it is emperative to know the scope of practice. Even though hospitals have their own policy and procedures, it is always best to refer to scope of nursing practice for that state. I have found in my travels that more times than not, I was asked or told it was okay to perform a practice outside of my scope. Employers as well are responsible for providing nursing with policy and procedures, orientating nursing adequately to ensure the nurse understands her role and responsibilities and given the resources to maintain the ability to provide safe patient care. (CRNM).
It is the framework of the domains that guides nurses to keep on the path of continuum care and also up to date on technology and education. Ultimately, it is the responsibility of the nurse to determine what is within the nursing practice based on the scope of practice, standard of practice, nurse practice acts, legal regulations an policy and procedures(ANA).
References
American Nursing Association. Recognition of a nursing specialty.(2012) Retrieved from http://www.nursingworld.org/MainMenuCatagories/Tools/3-S-Booklet.pdf
University of Michigan Health Systems (UMHS) (2012). Professional Development Framework: Levels, Domains&…...

Similar Documents

Domain of Nursing Practice

...whether or not identified actions are within the domain of nursing practice has to do with the role or position that nurse holds in the organization. For example, I am not a nurse manager in the NICU so it would be out of my scope to make decisions reserved for the nurse manager. As the bedside or staff nurse, my domain includes direct patient care, collaborating with the medical team to continue the plan of care for a patient and assessing for signs and symptoms of improvement or decline. The nurse manager may assume my role but I have not been authorized to assume theirs. When nurses stray into areas that have not been released to them, even though there may not be legal ramifications, there may be consequences to assuming authority that has been reserved for nurses with certain educational levels or titles. Certain titles are granted because the individual who holds that title is accepting responsibility and have a particular realm of authority attached to them. Traditional duties and responsibilities of the professional nurse, regardless of practice area or setting, such as the roles of care provider, educator, counselor, client advocate, change agent, leader, manager, researcher, and coordinator of the interprofessional health care team. (2) Duties and responsibilities of the professional nurse that are guided by specific professional standards of practice and usually are carried out in a distinct practice area (e.g., flight nurse, forensic......

Words: 414 - Pages: 2

My Nursing Practice Analysis

...My Nursing Practice Analysis Nursing has been a significant part of my life for more than 31 years. During my career, I have taken care of thousands of patients, and knowing that I have been a part of a patient’s healing process and grieving process is satisfying. The American Nurses Association (ANA) (2010) states, “The art of nursing is based on caring and respect for human dignity” (p. 23). As a nurse, respecting my patient’s dignity is part of my role. I am upholding the ethical values set by the ANA by respecting the dignity of my patients with respect to his or her medical and personal decisions concerning treatment. ANA (2010) provision seven states, “The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development” (Fowler, p. 143). I have an obligation as a nurse to be actively involved in health policy and with organizations that engage in community activities such as volunteering for free health clinics and free medical care for the underprivileged. I have an obligation as a nurse to become a mentor in my community. I would like to educate my community on the importance and ramifications of unhealthy eating and its effect on a person’s health. I would also attend state and budgetary meetings and provide testimony on the benefits of healthy eating and the health care problems that unhealthy eaters face, and assist those who do not have the funds to eat healthy. According to ANA......

Words: 1335 - Pages: 6

Nursing Practices

... Today we continued to practice what we’ve been learning since day one in nursing school. I was assigned to an 88 y.o, African American, non-verbal and bedridden female. That provided an obstacle but I was willing to find a way to overcome it and find a way to provide the best possible care. The fact that no family member was with her presented a challenge, because, not much information was available due to her inability to verbalize anything. After checking the chart it seemed, as they were unable to get much information themselves other than an assessment. My pt was diagnosed with Altered mental status that may have been exacerbated by her Alzheimer’s. She slept most of the day except when awaken to administer her meds which was the only time we could get her to eat and she only ate about 35% of her meals. She seemed very confused and disoriented and she kept muttering “no, no, no” every time she was approached as if to say she was scared or did not want to be bothered. My role in her nursing care was just to ensure her comfort and making sure since she was bedridden to ensure that she was turned frequently as to prevent pressure ulcers. We performed a.m care as well after which I performed and assessment of what systems I could and allowed my pt to rest. She seemed very agitated and I did not want to do anything to heighten her mood. In the care of my patient, I incorporated the five dimensions of man, Maslow’s hierarchy, the nursing process and......

Words: 359 - Pages: 2

Evidence Based Practice in Nursing

...Title: Evidence Based Practice in Nursing Name Course Tutor April 20th, 2013 Introduction The paper herein provides a critical discussion of evidence based practice (EBP) in nursing. It clearly elaborates on the meaning and definition of EBP as used by nurses as well as the importance of evidence based decision making as it relates to nursing care. It broadly examines the concept of EBP in nursing care and its relevance to nursing practice and to the delivery of quality patient care. Subsequently, the essay will also expound on the broad research methods that are used in evidence based nursing and conclusively show how this evidence can be applied in day to day health care practice. The Definition and Importance of EBP Evidence based practice in nursing has wide and varied definitions among the nurses in practice and in academic centres. However, the most generally accepted definition is the integration of the best research evidence with clinical expertise and patient values (Sacket et al., 2000). Van, Schoonhoven & Grol (2008 at p. 382) while citing Sacket et al., (2000), define evidence based nursing as the conscientious, explicit and judicious use of current best evidence available in making decisions that are pertinent to the care of individual patients. It is the optimal use of the available research evidence in nursing (Van, Schoonhoven & Grol, 2008). In other literature, evidence based practice (EBP), in nursing has been defined to mean the...

Words: 1565 - Pages: 7

Nursing Practice in Maryland

...Nursing Practice in Maryland Myrnie Johnson Walden University Nurse 3000 Section 6, Issues and Trends in Nursing August 18, 2013 Nursing Practice in Maryland Nurse Practice Acts (NPA’s) are a set of laws that are individualized state-to-state that define the scope of nursing practice. The guidelines of the NPA and its rules provide safe parameters within which to work, as well as protect patients from unprofessional and unsafe nursing practice (“Nurse Practice Act, Rules & Regulations”, 2013). The purpose of this paper is to explore the influence of professional standards and legislation on nursing in the state of Maryland. Scope of Practice New graduate registered nurses (RNs) must fill out an application to take the NCLEX-RN examination in Maryland after they have successfully completed an education program approved by the Board of Nursing (BON). If this program was completed in another state, the program must be comparable to those approved by the BON in Maryland. The Maryland NPA defines an “approved” program as one being “in compliance with the regulations of the board” and “holds a certificate of approval from the Board of Nursing” (Department of Health and Mental Hygiene). If the applicant is from Puerto Rico, they must pass a Spoken English test. All applicants must then complete a Criminal History Background Check application with fingerprinting and declare their primary state of residence (Maryland Board of Nursing, 2011). Effective in 2013,......

Words: 886 - Pages: 4

Domain of Nursing Practice

...Domain of Nursing Practice Brenda Amunrud Grand Canyon University Domain of Nursing Practice The question proposed is, “What factors need to be considered when determining whether or not identified actions are within the domain of nursing practice?” One should always ask: 1. “Am I acting within my states defined scope of practice for my title?” 2. “Am I competent to perform the task?” And 3. “Is the task allowed by your hospital’s policy and procedures?” There are four levels of nursing practice within the Professional Framework are based in part on the Benner Model of Knowledge and Skill Acquisition. Level A: An advanced beginner – the new graduate nurse with less than 12 months of experience. Level C: A fully competent nurse who provides care to a full range of patients seen in his/her who has begun to make contributions. Level D: A proficient nurse who provides individualized care to a full range of patients seen in the practice setting while also making contributions to the unit and profession. Develops professional goals and demonstrates attention to own professional development. Level E: An expert nurse who provides highly individualized care to a full range of patients even in the most complex situations, while also making significant contributions within and often beyond the unit as well as the profession. Is goal driven around own professional development with clear evidence of advancing professional identify. (Minerath, 2013, para.......

Words: 257 - Pages: 2

Significance of Scope of Practice in Nursing.

...primary caregivers who provided nursing services, which formed the basis of modern nursing. The passage of time witnessed the evolution the nursing profession where the scope of nursing expanded with the advancement in technology and the changes in the healthcare and politics. Earlier, nurses were prohibited from using thermometers and interpreting results (Sandelowski, 2000), taking blood pressure reading and interpreting readings (Mee, 2006; Sandelowski, 2000), carry out measurements of the pulmonary artery wedge Mee, 2006), removal of peripheral arterial sheaths (Capasso, Codner, Nuzzo-Meuller, Cox, &Bouvier, 2006), or take chest x-rays after peripherally inserting central catheters (Davidson, Bloomberg, &Burnell, 2007; Royer&Earhart, 2007). All the former activities are considered to be within the scope of modern nursing. As is the norm with any other practice changes, evidence has to support the adoption. However, evidence cannot be only component for an evidence-based practice model (LoBiondo-Wood&Haber, 2010). Nurses have to take into consideration the Health Professions Act (HPA) (CRNBC, 2005), the rules and regulations of provincial board of nursing, organizational procedures and policies, and standards that are recommended by professional organizations. These recommendations are offered with respect to clinical competence, educational preparation, patient preferences, and practice setting and environment. The scope of practice is not only......

Words: 341 - Pages: 2

Nursing Practice

...hospitals were seen as places to care for those who had no one else to care for them. Nursing students staffed the hospital, under the direction of the head nurse, who was usually a training school graduate. Therefore after graduation, graduates eagerly donned their white uniforms, caps, and nursing pins and joined a “registry,” allowing them to practice as private duty nurses in patients’ homes. Nurse registries, operated by hospitals, professional organizations, or private businesses, provided sites where the public could acquire the services of these private duty nurses. Families could contract for the services of a nurse for a day or a few hours to care for their loved ones either at home or in the hospital (Whelan, 2005). Although physicians’ orders were required, private duty in the home provided graduate nurses with the venue and the opportunity to break away from the rigid hospital routine and allowed for a more autonomous practice. These nurses provided care to patients with contagious diseases such as pneumonia and typhoid fever, aided women in childbirth, and supported those with fractures, infected wounds, strokes, and mental diseases. Private duty nurses lived with and worked for their patients, providing 24-hour care, often for weeks at a time (Stoney, 1919). (Creasia 5-6) Creasia, Joan L., Elizabeth Friberg. Conceptual Foundations: The Bridge to Professional Nursing Practice, 5th Edition. Mosby, 2011. VitalBook file. The citation provided is a guideline.......

Words: 268 - Pages: 2

Nursing Practice

...Nursing Practice Name Instructor Course Date Nursing Practice 1. How is health promotion defined? Wellness showcasing is the study of craft of helping people changes their way of life to move to a state of greatest wellbeing; the most extreme wellbeing protection scope health being the parity of physical, enthusiastic, open, religious, and discerning wellbeing (Kudzma, Mandle and Edelman, 2010). WHO depicts wellbeing showcasing as, the procedure of permitting people to build control over, and to enhance, their wellbeing. It goes past concentration on individual conduct towards a mixed bag of open and natural medicines. In the journals examined, Health advertising at: a) Primary level permits women in Australia to clear a path of life progressions to anticipate heart diseases. b) Secondary permits school-matured children battle absence of activity and related sicknesses, for example, being overweight. c) Tertiary permits diminished the effect of being overweight and experiencing diabetes, call diabesity on children in the Dominican Republic. 2. What is the purpose of health promotion in nursing practice? The goal of health showcasing is to positively affect the health activities of people, regions, the living, and working circumstances that affect their wellbeing. With innovative development and utilization of mechanical advancement in the restorative forethought framework, nursing staff acquire the data and have entry to the most up to date and......

Words: 1235 - Pages: 5

Factors to Be Considered If Actions Are Within the Domain of Nursing Practice

...not identified actions are within the domain of nursing practice? One’s scope of practice is ever evolving as experience is gained working in an area of expertise. The American Nurses Associate gives a simple description when thinking about determining scope of practice it is the “who," "what," "where," "when," "why," and "how" of nursing practice. Consideration must be given to the guidelines of the Nurse Practice Act, rules/regulations/guidelines of the state in which the nurse is working, the policy and procedures of the facility in which the nurse is working, community standards of professional organizations, the nurses own educational preparation and clinical experience. Texas Board of Nursing has an algorithm to assist nurses in making a determination of an activity falls in the general scope of practice called the Six-Step Decision-Making Model for Determining Nursing Scope of Practice (TBON, 2010). Six-Step Decision-Making Model for Determining Nursing Scope of Practice 1. Is the activity consistent with the Nursing Practice Act (NPA), Board Rules, and Board Position Statements and/or Guidelines? Yes → Continue No → STOP 2. Is the activity appropriately authorized by valid order/protocol and in accordance with established policies and procedures? Yes → Continue No → STOP 3. Is the act supported by either research reported in nursing and health-related literature or in scope of practice statements by national nursing organizations? Yes → Continue No →......

Words: 421 - Pages: 2

Nursing Act Practice

...definition of nursing practice is based by each states rules and regulations to govern the practice of nursing within that state. All nurses practice acts include two essential purposes. First each act includes statements that refer to protecting the health and safety of the citizens in the jurisdiction. The second purpose is to protect the title of the RN. The legal title RN is reserved for those meeting the requirements to practice nursing. (Contemporary Nursing, 2014) The scope of practice for RN’s is to provide individuals and groups nursing care, requiring specialized knowledge, judgment and skill derived from the principles of biological, physical, behavioral, social and nursing science. Such nursing care includes: 1. Indentifying patterns of human response to actual or potential health problems amendable to a nursing regimen. 2. Executing a nursing regimen through the selection, performance, management and evaluation of nursing actions.’ 3. Assessing health status for the purpose of providing nursing care. 4. Providing health counseling and health teaching. 5. Teaching administering, supervising, delegating and evaluating nursing practice. (Law regulating the practice of nursing, dialysis care and community health workers., 2013) (Ohio Board of Nursing) An advanced practice RN is a registered nurse who has completed and advanced graduate-level education program and has passed a national certification examination in order to practice in one of......

Words: 918 - Pages: 4

What Factors Need to Be Considered When Determining Whether or Not Identified Actions Are Within the Domain of Nursing Practice

...on your job. These actions are usually within the scope of the “nurse practice act” and “board of nursing”. Most questions are focused on safety. Safety depends on the nurse’s knowledge, training, and skills. A nurse has a duty of obligation to her patients and to herself. She has to protect her license and integrity as a nurse and deliver competent and knowledgeable services to her clients. One rule of the RN is to delegate duties to other registered nurses and licensed practical nurses and nursing assistants. Many times the nurse questions if the assignment is within the scope of practice, especially delegating activities to the nursing assistant. (Kathleen R. Weinberg, n.d.) According to (DL, 1994), the purpose of nursing center influenced the scope of practice in nursing in different areas. These areas are, how nursing affects the faculty, the community, or specialty in nursing practice. The nurse managed center “requires high quality nursing services, public and community support, healthy relationships with other health care providers, and documentation of patient’s outcome through the nursing managed center based on nursing research”. (DL, 1994) The American nursing association describes how nurses should think when deciding what factors are within the scope of practice. Questions to be asked are “who”, “where”, “why”, “what” and “how” of nursing. The guidelines are embodied in the nurse practice acts, rules and regulations, guidelines of the state and in the......

Words: 780 - Pages: 4

Cam in Nursing Practice

...Complementary and Alternative Medicine in Today’s Nursing Practice Complementary and Alternative Medicine in Today’s Nursing Practice Complementary and Alternative Medicine is becoming more and more prevalent in the healthcare world as an acceptable treatment modality. Due to increase in patient demand for these treatments, it is important for the nurses to be able to implement various CAM into their nursing practice to provide holistic care for their patients. It is also important for nurses to be knowledgeable about the various forms of therapy and its benefits. CAM is meeting the needs of many consumers due to various reasons. The increase in healthcare cost has encouraged many consumers to research alternative methods to help cope with various medical conditions as opposed to turning to the pharmacological methods that were typically accepted years ago. Consumers also have more access to new trials and studies in regards to CAM because of increased access to the internet and media. Because of this, patients are more involved in their own healthcare and treatment decisions than in the previous years. According to the National Center of Complementary and Alternative Medicine, 1 in 4 adults from various backgrounds are currently using CAM therapies. (“The use of, 2011) Some of the most common medical reasons patients decide to try CAM therapies are problems with anxiety and depression, reoccurring nausea and pain related to cancer, and symptom management related......

Words: 1561 - Pages: 7

Nursing Scope of Practice

...What factors need to be considered when determining whether or not identified actions are within the domain of nursing practice? Be sure to cite current literature in your response Nursing practice in one of the widespread area of practice that appears not so accurately regulated, certifications are not entirely standard. Commonly practice takes place base on model of hospital or clinic in which we work, yet more or less the practice is not defined well. But framework of nursing presented below is a valid and legal resource to reassess our scoop of practice validity. scope of practice largely depends on degree, state and specialty that we practice. Even hospitals have different format set up allowing big inconsistency in practice. When it comes to actual practice we need to ask two main question, if we are fully competent on that activity and if it is ethical, this is an untold direction to immediate respond for identify domain of practice. If a practice is performed in a large hospital as a common practice, then it is probably within the domain of nursing practice. Each state has different regulation and requirement for specific degree and certification. They are organization of our licensing so it is logical to follow each state regulation as accurate resource for scoop of practice. American Nurse Association categorized standard of practice as follow, and each area expand to define more specific activity. However again doesn’t define or demonstrate every...

Words: 355 - Pages: 2

Nursing Practice

...Nursing practice 711.1.1-04, 06, 1.2-07, 2.2-09 (2006) | | |Help on this Page | |Directions | |  | |SUBDOMAIN 711.1 - USING INFORMATION GATHERING TO IMPROVE NURSING PRACTICE | |SUBDOMAIN 711.2 - NURSING & OTHER RELEVANT THEORIES | |  | |Competency 711.1.1: Internet Searches - The graduate can conduct Internet and database searches and critique and evaluate | |articles/materials acquired from these searches. | |Competency 711.1.2: Incorporate Data Into Practice - The graduate can use articles/materials acquired from Internet and database| |searches to improve nursing practice. ...

Words: 2536 - Pages: 11