Development of nursing standards of practice
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Nursing Standards of Practice act as a guide to how nursing care is delivered to patients and the relatives with precision, effectiveness and efficiency. Though used for a similar purpose, they may differ from country to country depending on the health care system.
Their development is evidence based and begins with the analysis of the existing formal or non formal ways of providing nursing care to patients within or without the hospital. Through it, knowledge gaps or other problems are identified which form the basis for investigations.
Research then follows to confirm the probable gaps, done through patient exit interviews or institution based studies. The data collected is then analyzed systematically in order have the fine details of the problem. This is followed by administration’s need to solve the problem affecting the provision of nursing care done through meetings with the relative parties from the various departments involved in the tackling of the issue in question.
The discussion about the problem brings about proposition of the required changes and their process of implementation, coupled with a literature review on the internationally accepted procedures on a specific issue under study.
With the help from expertise knowledge involvement, the ways seen as most fits for the organization are then documented. They are then reviewed to ensure completeness and consistency, as well as authenticity and verification. This is followed by approval from nursing entities such as American Nurses Association (ANA), American Nursing Credentialing Center(ANCC) and the National Council State Boards of Nursing (NCSBN), in most cases through signature of approval for their utilization and implementation of care to patients as well as reference whenever needs arise.
Copies of these nursing standards of practice are disseminated to the various departments followed by training to create awareness as well as a close follows up of their implementation. Re- evaluations are regularly done at specified intervals for updates due to the dynamic changes in care.
