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    Nursing Administration: Scope and Standards of Practice
    Nursing Administration: Scope and Standards of Practice
    Nursing Administration: Scope and Standards of Practice
    Ebook229 pages1 hour

    Nursing Administration: Scope and Standards of Practice

    By American Nurses Association

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    About this ebook

    The premier resource for today's nurse administrator, Nursing Administration: Scope and Standards of Practice, 2nd Edition is informed by ongoing advances in health care, professional nursing, and organizational and administrative management. It covers all aspects of a nurse administrator's practice in any setting or role and at any level of influence and authority.
    Topics discussed include core role accountabilities, role qualifications (including certification and education), and ethics of this nursing specialty, as well as the issues, opportunities and trends that every nurse administrator must know. The core accountabilities alone illustrate the depth and breadth of nursing administration practice:
    Accountability and advocacy for employees
    Clinical care delivery and optimal patient outcomes
    Healthy work environments
    Legal and regulatory compliance
    Networking, partnering and collaborating
    Patient and population health advocacy
    Safety, quality and risk management
    Strategic, financial and human resource management
    The publication's 17 competency-based standards will help in evaluating practice outcomes and goals and delineating what is expected of all nurse administrators. Its scope of practice—the who, what, where, when, why, and how of their practice—is the context for these standards.
    Nursing Administration: Scope and Standards of Practice, 2nd Edition is a professional development must-have for the practicing or aspiring nurse administrator or nurse executive, or any registered nurse or nursing student.
    About ANA's Specialty Nursing Standards
    Since the late 1990s, ANA has partnered with other nursing organizations to establish a formal process for recognition of specialty areas of nursing practice. This includes the criteria for approving the specialty itself and the scope statement, and an acknowledgment by ANA of the standards of practice for that specialty. Because of the significant changes in the evolving nursing and health care environments, ANA's approval of specialty nursing scope statements and its acknowledgment of specialty standards of practice remain valid for five years, starting from the publication date of the documents.
    The standards in this publication are based on language from ANA's Nursing: Scope and Standards of Practice, Third Edition, a helpful supplement to this specialty text, which in turn is of optimal use with two complementary ANA texts: Guide to Nursing's Social Policy Statement and Guide to the Code of Ethics for Nurses. Together (available as the Essentials of Nursing Practice Package), these three books help guide nursing practice, thinking and decision-making. The set is proving useful as a professional reference, classroom textbook, in-service training guide and credentialing exam resource.
    LanguageEnglish
    PublisherNursesbooks
    Release dateJun 20, 2016
    ISBN9781558106451
    Nursing Administration: Scope and Standards of Practice
    Author

    American Nurses Association

    The American Nurses Association (ANA) is the premier organization representing the interests of the nation's 4 million registered nurses. ANA is at the forefront of improving the quality of health care for all. Founded in 1896, and with members in all 50 states and U.S. territories, ANA is the strongest voice for the profession

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      Book preview

      Nursing Administration - American Nurses Association

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      American Nurses Association

      8515 Georgia Avenue, Suite 400

      Silver Spring, MD 20910-3492

      1-800-274-4ANA

      http://www.Nursingworld.org

      The American Nurses Association (ANA) is a national professional association. This ANA publication, Nursing Administration: Scope and Standards of Practice, 2nd Edition, reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing Administration: Scope and Standards of Practice, 2nd Edition guides nurses in the application of their professional knowledge, skills, and responsibilities.

      The American Nurses Association (ANA) is the only full-service professional organization representing the interests of the nation’s 3.4 million registered nurses through its constituent member nurses associations and its organizational affiliates. ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and lobbying the Congress and regulatory agencies on healthcare issues affecting nurses and the public.

      Cataloging-in-Publication Data on file with the Library of Congress

      Copyright ©2016 American Nurses Association. All rights reserved. Reproduction or transmission in any form is not permitted without written permission of the American Nurses Association (ANA). This publication may not be translated without written permission of ANA. For inquiries, or to report unauthorized use, email copyright@ana.org.

      ISBN-13: 978-1-55810-645-1 SAN: 851-3481 06/2016

      First published: June 2016

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      Contents

      Contributors

      Scope of Practice of Nursing Administration

      Function of the Scope Statement

      Introduction

      Definitions

      Evolution of Nursing Administration Practice

      Administration of Nursing Schools

      Administration of Public Health Nursing

      Administration of Nursing in Hospitals

      Magnet Recognition Program®

      Institute of Medicine Report

      Practice Settings and Span of Influence

      System-Wide Influence

      Organization-Wide Influence

      Service, Department, or Program Influence

      Unit- or Team-Wide Influence

      Role Accountabilities

      Safety, Quality, and Risk Management

      Patient and Population Health Advocacy

      Clinical Care Delivery and Optimal Patient Outcomes

      Healthy Work Environment

      Strategic, Financial, and Human Resource Management

      Legal and Regulatory Compliance

      Networking, Partnering, and Collaborating

      Role Qualifications

      Education

      Certification

      Some Certification Opportunities for Nurse Administrators

      Competencies

      Knowledge, Skills, and Abilities

      Ethics in Nursing Administration

      Provision 1

      Provision 2

      Provision 3

      Provision 4

      Provision 5

      Provision 6

      Provision 7

      Provision 8

      Provision 9

      Trends, Issues, and Opportunities

      Improving the Patient Care Experience

      Advancing the Health of Populations

      Reducing Per-Capita Cost of Health Care

      Standards of Nursing Administration Practice

      Standards of Practice for Nursing Administration

      Standard 1. Assessment

      Standard 2. Identification of Problems, Issues, and Trends

      Standard 3. Outcomes Identification

      Standard 4. Planning

      Standard 5. Implementation

      Standard 5A. Coordination

      Standard 5B. Promotion of Health, Education, and a Safe Environment

      Standard 6. Evaluation

      Standards of Professional Performance for Nursing Administration

      Standard 7. Ethics

      Standard 8. Culturally Congruent Practice

      Standard 9. Communication

      Standard 10. Collaboration

      Standard 11. Leadership

      Standard 12. Education

      Standard 13. Evidence-Based Practice and Research

      Standard 14. Quality of Practice

      Standard 15. Professional Practice Evaluation

      Standard 16. Resource Utilization

      Standard 17. Environmental Health

      Glossary

      References

      Appendix A: ANCC Certification Assessment Content

      Appendix B: Nursing Administration: Scope and Standards of Practice (2009)

      Index

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      Contributors

      Workgroup Members

      Elaine Scott, PhD, RN, NEA-BC, Co-Chair

      Kathleen M. White, PhD, RN, NEA-BC, FAAN, Co-Chair

      Marie L. Ankner, PhD(c), RN, NEA-BC

      Lillian (Toni) A. Bargagliotti, PhD, RN, ANEF, FAAN

      Jean Barry, PhD, RN, NEA-BC

      Linda Burnes Bolton, DrPH, RN, FAAN

      Anita Catlin, DNSc, FNP, FAAN

      Martha A. Dawson, DNP, RN, FACHE

      Denise Deforest, MSN, RN, CRRN

      Nancy M. Edtl, MBA, BSN, RN, NCSN

      Melissa G. Evraets, MSN, RN, NE-BC

      Helen Ewing, DHSc, MN, RN

      Shelly Fischer, PhD, RN, NEA-BC, FACHE

      Teresa C. Harris, MSN, RN, NE-BC

      Mary E. Hartsell, DNP, MSN, FNP, PMHNP-F

      Diane L. Huber, PhD, RN, NEA-BC, FAAN

      Michael L. Jones, MSN, RN, MBA

      Glynnis M. LaRosa, MPH, MSN, RN, APHN-BC, CPHQ

      Sarah Lohman, MSN, RN

      Brandi M. London, MSN, RN

      Benny L. Lucas, BSN, MSHA, RN, HACP, NEA-BC

      Sonia Martinez, ACNS-BC, RN

      Deborah McQuilkin, DNP, RN, MEd, NEA-BC, FACMPE

      Rachel Ramsey, MS, RN

      Deborah A. Shelton, PhD, RN, NE-BC, CCHP, FAAN

      Carol A. Walters, BSN, RN, NE-BC

      American Nurses Association Staff

      Carol J. Bickford, PhD, RN-BC, CPHIMS, FAAN—Content editor

      Maureen Cones, JD—Legal counsel

      Yvonne Humes, MSA—Project coordinator

      Eric Wurzbacher—Project editor

      ANA Committee on Nursing Practice Standards

      Richard Henker, PhD, RN, CRNA, FAAN—Co-chair (03/2014–12/2015)

      Tresha (Terry) L. Lucas, MSN, RN—Co-chair (07/2011–12/2014)

      Danette Culver, MSN, APRN, ACNS-BC, CCRN

      Deborah Finnell, DNS, PMHNP-BC, CARN-AP, FAAN

      Renee Gecsedi, MS, RN

      Deedra Harrington, DNP, MSN, APRN, ACNP-BC

      Maria Jurlano, MS, BSN, RN, NEA-BC, CCRN

      Carla A. B. Lee, PhD, APRN-BC, CNAA, FAAN, FIBA

      Verna Sitzer, PhD, RN, CNS

      About the American Nurses Association

      The American Nurses Association (ANA) is the only full-service professional organization representing the interests of the nation’s 3.4 million registered nurses through its constituent member nurses associations and its organizational affiliates. ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and lobbying the Congress and regulatory agencies on healthcare issues affecting nurses and the public.

      NA2E_CO_image.jpg

      Scope of Practice of Nursing Administration

      Function of the Scope Statement

      The scope of practice statement (pages 1–32) describes the who, what, where, when, why, and how of nursing administration practice. Each of these questions must be sufficiently answered to provide a complete picture of the practice, its boundaries, and its membership. The depth and breadth in which individual registered nurses engage in the total scope of nursing practice is dependent upon education, experience, role, and the population served.

      Introduction

      Nursing administration is a long-standing nursing specialty practice. The American Nurses Association (ANA) first published Standards for Organized Nursing Services and Responsibilities of Nurse Administrators Across All Settings in 1988, followed by a revision in 1991. The Scope and Standards for Nurse Administrators was published in 1995, with the second edition released in 2004. Both the 1995 and 2004 scope and standards resources conceptual the division of nursing administration into nurse manager and nurse executive levels.

      The 2009 Nursing Administration: Scope and Standards of Practice content reflects the rapidly changing and evolving practice of the nurse administrator and classifies nursing administration practice as spheres of influence. The four spheres of influence include: organization-wide authority, unit-based or service-line-based authority, program-focused authority, and project- or specific task-based authority.

      The nurse administrator of today practices in many different settings and in a variety of roles with varying degrees of influence. However, the core role accountabilities, no matter the setting, role, or title, remain the same. The core role accountabilities encompass clinical care delivery; healthy work environment; resource management, including human, financial, material, and technological; quality and safety; health outcomes; population health management; legal and regulatory compliance; and advocacy.

      This new edition, Nurse Administration: Scope and Standards of Practice, Second Edition, defines practice settings and span of influence in keeping with contemporary terminology used in the organizational and administrative management literature. The practice settings and span of influence are: system-wide influence, organization-wide influence, service/department/program influence, and unit/team-wide influence.

      The publication of Nurse Administration: Scope and Standards of Practice, Second Edition, is the culmination of an 18-month intense professional review and revision effort hosted by

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