Scope of nursing Essay Example for Free

backcloth of nursing EssayExpanding o r E panding your Scope of N rsing breast feeding serve a practical g p snuff it Leanne Boase Deborah Pedron The blue Hospital Panch health returns Craigieburn health gain Broadmeadows wellness attend to Bundoora increase rush nerve centre Scope of Nursing and p g Midwifery workout What is it? Why Wh is it so of the essence(p)? Why is every cardinal y y talking about it? Who manages it? Who is responsible? The Northern Hospital Panch wellness answer Craigieburn health process Broadmeadows health Service Bundoora widen safeguard Centre Aims of this Presentation 1. To define what Scope of invest means forNurses and Midwives Midwives. 2. To present different concepts round Scope of p p p serve 3. T 3 To report on findings of a small survey of t fi di f ll f nurses and Scope of Practice 4. To discuss expanding Scope of Practice and provide a framework 5. To relate these concepts to echt life nursing roles. o es. The North ern Hospital Panch health Service Craigieburn health Service Broadmeadows Health Service Bundoora encompassing C be Centre According to our nurses, Scope Of Practice P ti (SOP) is i SO SOP is Guidelines G and fabrics we need to abide and work within SOP relates to what I am allowed andnot allowed to do within my profession SOP relates to codes of conduct, ethics and professional conduct SOP relates to what a nurse fanny do within their skill base Area of tasks, procedures and actions a nurse can legally and safely undertake according to their training and teaching method The scope of which p my role as a RN, specialist or credentialed DNE can work within Maintaining knowledge base and competency d one and only(a) constant learning and professional development The Northern Hospital Panch Health Service Something which I am taught, qualified, taught qualified or adapted to do Craigieburn Health ServiceBroadmeadows Health Service Bundoora Extended do by Centre What is Scope of Practice? p That which Nurses and the range of roles, functions, functions responsibilities activities, which a registered nurse or a registered midwife is educated, competent, and has the authority to perform perform. (An Bord Altranais p1) Midwives are educated, competent and authorised to perform. (QNC p3) Scope of p p consecrate is not defined in many places. We should define nursing invest and outline principles to assist with the expansion of ones scope p p of set And/ Or Require the health professional to give away tieed activities. ( (DEST) ) The Northern Hospital Panch Health Service What health care workers actually do in the course of their employment which encompasses the full range of nursing activities. An somebodys scope refers to the activities which that nurse is educated and authorised to perform. (NSWNA p1) A professions scope of practice is the full spectrum of roles, functions, responsibilities, activities and decision-making capacity which i di id l w ithin th profession are it hi h individuals ithi the f i educated, competent and authorised to perform.The scope of practice of an individual nurse or midwife may be more than specifically defined than the scope of practice of their profession. ti f th i f i (ANMC 2007 p223) Craigieburn Health Service Broadmeadows Health Service Bundoora Extended tuition Centre What is Scope of Practice? p Our definition Full range of activities that we (nurses and midwives) form been educated, deemed competent, and are authorised to do. It is t t d th i d t d i not just a list of activities and j tasks, or a role description. The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health ServiceBundoora Extended Care Centre What Evidence supports your SOP? From our nurses Continuing Professional Development (CPD) Number of hours per week working Certificates registration Certificates, reprimand Document everything y g From the literature Maintaining record s of Reviewing journal articles In service education In-service Conferences Informal or formal discussions Accredited educational programs The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Who determines Scope Of Practice?p Is it the clinician the employer, the profession, the clinician, employer profession client, the registering body, the area of practice or specialty, the legislation, codes of conduct IT IS ALL OF THESE The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Who determines Scope Of Practice? p From the literature, there are some(prenominal) common themes The primary determinant of scope of practice for all nurses and midwives is the enhancement of outcomes d id i i th h t f t for patients, and resonateing consumer needs.Nurses and Midwives are responsible for their own decisions around scope of practice on t hat point are many factors that influence and contribute to scope of practice (Nurses mature Western Australia, Nurses Board of Victoria, Australian Nursing Federation, Ohio Nurses Board, Australian Nursing and Midwifery Council) The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Who determines Scope Of Practice? p Employers, Employers Organisations their Policies Patient Consumer Needs Outcomes O t Professional Bodies SOP Individual Scope of PracticeNurse Or Midwife You Regulatory Authorities The Northern Hospital Panch Health Service natural law Craigieburn Health Service Professional P f i l Scope of Practice Broadmeadows Health Service Bundoora Extended Care Centre Why do we need to expand SOP? Nursing d Mid if N i and Midwifery experience and knowledge are i dk l d invaluable resources. It is natural for a Nurse or Midwife to evolve from being a novice, to an expert, and even further towards expan ding their scope of p p g p practice, as they y continually learn and adapt to the needs of their clients Again, i A i primarily, expanding scope of practice must il dif ti t be driven by the need to provide improved outcomes and extend to the needs of consumers. The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Why do we need to expand SOP? The Health Care ornament is changing y Think about the shift to community based and outpatient care, higher acuity patients, proficient advances, etc. advances etc The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Why do we need to expand SOP? Nursing and Midwifery evolves along with thei d id if l l ih h health care sector. Nurses and Midwives are Participating more and more in evaluation, g patient care assessment and decision making in p Professional educated, competent, authorised a nd registered Participating in the growth and evolution th d l ti of health care The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Expanding Scope of Practice p g p How our nurses and midwives have d id i h maintained/expanded theirs Conferences/workshops/courses Self-directed learning i. e.research on-line, journal g ,j interpretation In-service education How they plan to expand in the future As above Presenting in- run in area of expertise The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Expanding Scope of Practice p g p The key concepts for Expanding Scope of Practice assemble in the literature include 1. The primary motivation of any expansion to scope of practice is to meet needs of the client or improve outcomes and access 2. The competency or task must be well defined and understood 3.Any expansion must enhance the existing aspects of professional practice 4. The expansion to scope is lawful, appropriate for the context, consistent with relevant standards, acceptable to the profession, consistent with the relevant profession organisations policies and source and planning has occurred. The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Expanding Scope of Practice p g p Key concepts of Expanding Scope of Practice continued 5. The registered nurse/midwife expanding their practice isalready practising at an advanced level and has the education p p , p p and competence to perform the task, and is prepared to be accountable. They have been assessed by a competent health professional. 6. Nurses and midwives are accountable for making professional 6 N d id i t bl f ki f i l judgements when an activity is beyond their capacity and to commence consultation/referral 7. Nursing and midwifery decisions are best made in a c ollaborative context, with on-going risk assessment, planning, planning evaluation and support Always discuss expanding your scope with your peers, employers, professional organisationsand your registering body. d i i b d The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Expanding Scope of Practice p g p There should be no artificial barriers to Scope Of Practice or expanding SOP such as equivocal or inconsistent insurance policy Overly specific or restrictive policy Inconsistent guidelines and frameworks eg. differences in the midst of States and regions Turf wars or uninformed attitudes The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care CentreExpanding Scope of Practice p g p When underdeveloped policy and planning for expansion consider Permissive versus restrictive approaches do you want to specifically restrict practice, o r allow expansion to proceed within the broader guidelines? Profession versus client focussed approaches it is best to be responsive to the needs of the client nurses will do what nurses needs to be done, providing he or she is competent to do it. Competency standards should recognise the characteristics of nursing as well as the broader attributes or potential and i ll h b d ib i l d evolving roles. Overarching or broad statements are more effective than detailed or overly-specific statements when defining or expanding scope of practice. The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre SOP Expansion Framework Self-inquiry Define the task or activity you wish to add to your role, then ask Is it legal? No STOP No Yes STOP Am I covered by Hospital Policy? Yes Yes Am I competent? Do I have relevant knowledge and confidence? Yes Am I willing to accept . accountability? Yes PROCEED The Northern HospitalD o you need to develop policy in line with the evidence base? Will this improves outcomes for the patient/consumer and will it improve access to services? Panch Health Service No STOP No STOP Can you access relevant education, education are you willing? NO STOP Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Key Take Home Messages y g This is relevant to all nurses and midwives. Not one single factor determines Scope Of Practice. Scope o p act ce should be determine to benefit the of practice s ou d s aped be e t t e patient, and improve outcomes, as should anyexpansions to SOP. Governance of SOP is complex, but is essentially the responsibility of the nurse or midwife . Use this frame ork and information in conj nction framework conjunction with NMBA/AHPRA guidelines, relevant State or Federal Legislation, and your g , y employing organisation and its policies. The Northern Hospital Panch Health Service Craigieburn Health Service Broadmead ows Health Service Bundoora Extended Care Centre Questions The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre