ANA Scope And Standards Of Nursing Practice

Case Vignette #1 The issue in this first case is the RN coworker who has not been working to keep current in their nursing practice. Another issue is the fact that the coworker is making comments that belittle the need to keep up with current practice, and the fact that responsibility for staying current is being pushed off on management. All of which are inconsistent with being professional and portray the professional Nursing image. The Wisconsin Board of Nursing promotes advancement in education, and continuing education for nurses.

In response and in line with the American Nurses Association Code of Ethics staying current with practice promotes patient safety and not keeping current may be seen as questionable practice (ANA, 2015, p.

However the ANA and provision 6 of the code of ethics speaks to the moral obligation of Nurses to do what is right (ANA, 2015, p. 23). I would have a discussion with my preceptor regarding current practice and ask where to find the current policy. After reviewing guidelines, I would talk with the unit educator regarding the current use of standard care plans. According to the ANA Scope and Standards of Practice there are two tenets of practice that stand out. First “nursing practice is individualized”, and second “Registered nurses use the nursing process to plan and provide individualized care for healthcare consumers” (ANA, 2015, p.8). With that being said the care plan is central to the nursing process and individualized care plans are the standard. Further guidance or education may be needed within the

The ANA Code of Ethics provisions 1 and 2 covers the issues here pretty well. These provisions outline that it is a nurse’s responsibility to provide unbiased care and provide patients and family with accurate information related to diagnosis, treatment options, and information pertaining to patient declining treatment. Nursing is patient centric and nurses have a duty to advocate for their patients and provide appropriate information. Also if requested it is the nurse’s duty to be available for a family meeting and support the patients right to self-determination (ANA, 2015, p. 2-7). Also during the meeting with the family the nurse would be working to build a partnership with everyone involved in the patient’s decision making. This would be in line with tenant 4 of the ANA scope and standards of practice. Having a good partnership and open communication within the group may help to alleviate some patient concerns and help them feel more comfortable with their decision (ANA,