Nursing Heart of the responsibility to the

public

Happy ,,,,,,,

Supporting a dying patient and family,,,,,,

THE CONSUMER PROTECTION ACT, 1986

To protect the interests of consumers in India.

Medical services are covered under the definition of “service” under the Act.

A deficiency in the duty results in negligence.

Reasonable degree of care and skill “ordinary competent member of the

profession who professes to have those skills would exercise in the circumstance in question.”

Need not necessarily conform to the highest degree of care or the lowest degree of care possible.

The degree of care is a variable and depends on the circumstance.

STANDARD The standard of care is a constant The same standard of care is

expected from a generalist and a specialist

But what amounts to reasonable care with regard to the specialist differs from what amount of reasonable care is standard for the generalist.

Standards??????????

Professional standards in Nursing

Mrs Deepa PAssistant Professor

GCNA

Standards - definition Predetermined levels of excellence

that serves as a guide for practice

Standards - definition Standards are professionally

developed expressions of the range of acceptable variations from a norm or criterion

Avedis Donabedian.

Standards - definition Criteria are pre-determined

elements against which aspects of the quality of medical service may be compared.

Nursing standards Are needed to practice safely. They reflect a desired and

achievable level of performance against which actual performance can be compared. Their main purpose is to promote, guide and direct professional nursing practice.

Nursing standards Broad statements of quality. Provide exact criteria with which

clients, nurses and employers can evaluate care for effectiveness and excellence.

Used as a measurement tool and hence should be objective, measurable and achievable.

Nursing standards There is no one set of standards,

each organization and profession must set standards and objectives to guide individual practitioners in performing safe and effective care.

Why are standards important?

Outlines what the profession expects of its members.

Promotes, guides and directs professional nursing practice – important for self-assessment and evaluation of practice by employers, clients and other stakeholders.

Provides nurses with a framework for developing competencies

Aids in developing a better understanding & respect for the various & complementary roles that nurses have.

contd

Provide a baseline for evaluating quality of Nursing care.

Helps supervisors to guide nursing staff to improve performances.

Help to clarify the Nurse’s area of accountability.

Help Nursing to clearly define different levels of care.

It is a device for quality assurance as Quality control.

Purposes of standards

Classification of standards Physical standards Cost standards Capital standards Revenue standards Program standards Intangible standards Goal standards Strategies plan standards

End standards Mean standards

Structural standards Things we use Process standards Things we do Outcome standards The result

Characteristics of Standards

Characteristics of Standards contd

Based on current knowledge and scientific practice.

Must be reviewed and revised periodically.

Directed towards optimal standard.

Sources of Nursing care standards TNAI Licensing bodies like INC, MCI etc Departments of the institution Patient care unit Government at national, state and

local levels Individual personal standard

Identify this website

INTERNATIONAL COUNCIL OF NURSES

ICN is a federation of more than 130 national nurses associations (NNAs)

Founded in 1899 ICN is the world’s first and widest

reaching international organisation for health professionals. 

Operated by nurses ICN works to

ensure quality nursing care for all sound health policies globally the advancement of nursing knowledge the presence worldwide of a respected

nursing profession a competent and satisfied nursing

workforce.

National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Constituent board of Quality Council of India

to establish and operate accreditation programme for healthcare organisations.

Objectives- NABH

Professionalization Professionalization is the process

by which an occupation achieves professional status.

Professional nursing practice involves “specialized skills essential to the performance of a unique, professional role”

Accountability “to be answerable

to oneself and others for one's own actions.”

Autonomy having the

authority to make decisions and the freedom to act in accordance with one's professional knowledge base

Professional standards ensure that the highest level of quality nursing care is promoted.

Activities showing professionalism Membership in professional

organizations certification in specialty or

advanced practice continuing education academic education

Various professional organizations

At centre levelTrained Nurses Association of India (TNAI)International Council of Nurses (I C N)The Commonwealth Nurses FederationThe Indian Nursing Council (INC)The Red Cross SocietyWorld Health Organisation (WHO)At state levelThe Student Nurses Association (SNA)The Nurses League of Christian Medical AssociationThe Christian Medical Association of IndiaTrained Nurses Association of India (TNAI)

Standards of care ANA Scopes and Standards of practice

(2004) describe a competent level of nursing care.

Standards of care ANA

Standards of care ANA Assessment

The nurse collects comprehensive data pertinent to the patients health or situation

Diagnosis The nurse analyzes the assessment data to determine

the diagnoses or issues Outcome identification

In terms of the patient, patient values, ethical considerations, environment or situation considering associated risks , benefits , costs, current scientific evidence and clinical expertise

Standards of care ANA Planning

The nurse develops a plan that prescribes strategies and alternatives to attain expected out comes

Implementation The nurse implements the identified plan of 

care Evaluation

The nurse evaluates progress towards attainment of outcomes

Standards of professional performance -describe the roles of all professional nurses

Quality of care Performance appraisal Collegiality Ethics Collaboration Research Resource utilization Leadership Education

Standards of professional performance

Quality of care The  registered nurse systematically

enhances the quality and effectiveness of nursing practice

Performance appraisal The nurse evaluates one’s own nursing

practice in relation to professional practice standards and guide line, relevant statutes, rules and regulations

Standards of professional performance

Collegiality The nurse interacts with and contribute to the

professional development  of peers and other health care providers as colleagues

Ethics The nurse integrates ethical provisions in all areas of

practice Collaboration

The nurse collaborates with patient, family, and others in the conduct of nursing practice

Standards of professional performance Research 

The nurse integrates  research findings in practice

Resource utilization The nurse considers factors related to

safety, effectiveness, cost, and impact on practice in the planning and delivery of nursing services

Standards of professional performance Leadership

The nurse provides leadership in the professional practice setting and the profession

Education The nurse attains knowledge and

competency that  reflects current nursing practice

Fundamental to the nursing professions’ future is our ability to honor respect value each other value the inter-personal and inter-

professional relationships.

Nursing standard 26 Oct 2016

Conclusion Be committed to your profession

When you commit to continuously improving your practice,

you are committing to improving the profession of nursing,

and improving health.

References Potter PA, Perry AG. Fundamentals of Nursing. 6th edn. Mosby ;st

Louis.2005. Creasia J L, Parker B. Conceptual framework of professional

practice.2nd edn. Mosby;St.Loius.1996. Hall JK. Nursing ethics &law. W.B Saunders

company;Philadelphia.1996. Lillies C, Taylor C et al. Fundamentals of Nursing: The art & science of

nursing care. Lippincott publications; Philadelphia.2005. Potter PA, Perry AG. Basic Nursing; Essentials for practice. 6th edn.

Mosby ;st Louis.2007. Kockrow EO, Christensen BL. Foundatios of Nursing.4th

edn.mosby.2003. Danasu R. Standard nursing care: An Asset. The Nursing Journal of

India.  June 2007. VOL. XCVIII No. 6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2779962/