Professional accountability

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QUESTION
 
A. Nursing Theory
Identify and describe a nursing theory that has influenced your values and goals.
A1. Excellent Nursing Practices
Explain how nurses apply (use) the identified theory in Part A to plan excellent nursing practices.
A2. Professional Practice Nursing Theory
Discuss how the identified theory fits your professional practice.
B. Two Historical Nursing Figures in the 19th or 20th Century
Identify and describe the contributions of two historical nursing figures from the nineteenth (1801-1900) or twentieth century (1901-2000).
B1. Differences in Contributions of Two Nursing Figures
​Discuss how the two historical figures are different from one another (compare and contrast).
B2. How Contributions of Two Nursing Figures Influence Professional Nursing Practice
Discuss how the contributions of each of the two historical figures have influenced your practice.
C. Differences Between State Board of Nursing and ANA
Explain the functional differences between the State Board of Nursing (BON) and the American Nurses Association.
C1. Roles of organizations
• Define the roles of a board of Nursing and the American Nurses Association.
• BON (Scope of practice, education, disciplinary actions, etc.).
• ANA (Ethical guidelines, nursing values, advocacy).
C2. Influences of the State Board of Nursing and ANA
Explain how the State Board of Nursing and the ANA influence the candidate’s nursing practice.
C3. Requirements for License Renewal in State
•In what state do you hold a license?
•How do you renew your license in your state?
•How often are you required to renew your license?
•Do you pay a fee?
•Do you need CEUs?
C3a. Consequences of Failure to Maintain License Requirements in State
•What are the consequences if you do not maintain/renew your license in your state?
•What would happen to your current license?
C4. Difference in Requirements for Compact and Non-Compact State
•Is your state a compact or non-compact state?
•Discuss the differences for RN license requirements in a compact versus non-compact state.
Resource recommendation: National Council of State Boards of Nursing https://www.ncsbn.org/
D. Differences Between Food and Drug Administration and the Center for Medicare and Medicaid Services
Resource Recommendation:
CMS: https://www.cms.gov/
FDA: https://www.fda.gov/aboutfda/transparency/basics/ucm194879.htm
•Discuss the function of the of the FDA.
•Discuss the function of CMS.
D1. How the Two Agencies Influence Professional Nursing Practice
•What does the FDA regulate?
•What does CMS regulate?
EXAMPLES: Drugs & Vaccines, National health programs, Blood products, Health information, technology, Medial devices, Guidelines for reimbursement, Insurance oversight, Bedpans, Medical device internet software
D1a. Role as Patient Advocate in Promoting Safety in Alternative Therapy
•Discuss what a patient advocate is and how you could advocate and promote safety for a patient who has requested an alternative therapy.
•What questions would you ask the patient?
•Who would you collaborate with?
E. Purpose of Nurse Practice Act in State and Impact on Professional Practice
•What is the Nurse Practice Act and what is its mission?
•How does the Nurse Practice Act influence your professional practice?
E1. Scope of Practice in State
•What is your scope of practice?
•This is a state-specific discussion.
Resource Recommendation: National Council of State Boards of Nursing: https://www.ncsbn.org/
E2. Define State Delegation for RN
• Discuss in detail the rules for delegation from your state.
Think about:
•What steps does your state board require the RN to take when deciding what to delegate?
•To whom can the RN in your state delegate?
•What is the RNs responsibility after delegating a task?
F. Apply Each Role to Practice
Reviewing EBP care guidelines…What role am I?–>Patient assessment, Room temperature, Pain control, Family presence, Patient safe area, Handwashing, Teamwork & collaboration, Patient centered care
1. A Scientist
Paragraph
2. A Detective
Paragraph
3. A Manager of the Healing Environment
Paragraph
G. Two Provisions from the ANA Code of Ethics
•Write a separate paragraph explaining each of the two (2) provisions you have chosen.
G1. How Two Provisions Influence Professional Practice
•Discuss in detail how the two provisions influence your nursing practice. (Examples: commitment to the patient, accountability, patient dignity, integrity, human rights.
G2. Describe Nursing Error in Clinic Practice
•What are some examples of nursing errors?
G2a. How Provisions apply to the Error
•Who would you collaborate with or approach?
•What is your responsibility to the patient and the patient’s family?
•Apply BOTH provisions to the SAME nursing error.
H. Four Leadership Qualities or Traits
1. Name and describe the characteristics
2.
3.
4.
H1. Significance of Four Qualities or Traits in each of the following
***USING THE FOUR IDENTIFIED QUALITIES IN H, IDENTIFY THEIR SIGNIFICANCE IN THESE ROLES***
• A leader at the bedside
1.
2.
3.
4.
• Within a nursing team or interdisciplinary team
1.
2.
3.
4.
H2. How My Work Environment Impacts the Following
For example…does the organization…
•Support clinical decisions?
•Provide education assistance?
•Have a clinical ladder?
•Encourage professional development?
•Use shared Governance?
Nursing Leadership
Decision making
Professional development

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