This document discusses nursing standards and professionalism. It defines standards as predetermined levels of excellence that guide nursing practice. Standards promote quality and allow performance to be evaluated. They outline what the profession expects. Sources of standards include professional organizations like TNAI and ICN. Standards classify care and set structural, process and outcome criteria. Characteristics include being evidence-based and regularly reviewed. Professionalization involves achieving autonomy, accountability and continuing education. Organizations like ANA establish scopes and standards of practice and professional performance. Upholding standards honors the nursing profession's commitment to improving health.

1. Nursing
 Heart of the responsibility to the public

3. Happy ,,,,,,,

4. Supporting a dying patient and
family,,,,,,

6. THE CONSUMER PROTECTION
ACT, 1986
 To protect the interests of
consumers in India.
 Medical services are covered under
the definition of “service” under the
Act.
 A deficiency in the duty results in
negligence.

7.  Reasonable degree of care and skill
 “ordinary competent member of the profession
who professes to have those skills would
exercise in the circumstance in question.”
 Need not necessarily conform to the highest
degree of care or the lowest degree of care
possible.
 The degree of care is a variable and depends
on the circumstance.

8. STANDARD
 The standard of care is a constant
 The same standard of care is expected
from a generalist and a specialist
 But what amounts to reasonable care
with regard to the specialist differs from
what amount of reasonable care is
standard for the generalist.

9. Standards??????????

10. Professional standards in
Nursing
Mrs Deepa P
Assistant Professor
GCNA

11. Standards - definition
 Predetermined levels of excellence that
serves as a guide for practice

12. Standards - definition
 Standards are professionally developed
expressions of the range of acceptable
variations from a norm or criterion
 Avedis Donabedian.

13. Standards - definition
 Criteria are pre-determined elements
against which aspects of the quality of
medical service may be compared.

14. Nursing standards
 Are needed to practice safely.
 They reflect a desired and achievable
level of performance against which
actual performance can be compared.
Their main purpose is to promote, guide
and direct professional nursing practice.

15. Nursing standards
 Broad statements of quality.
 Provide exact criteria with which clients,
nurses and employers can evaluate
care for effectiveness and excellence.
 Used as a measurement tool and hence
should be objective, measurable and
achievable.

16. Nursing standards
 There is no one set of standards, each
organization and profession must set
standards and objectives to guide
individual practitioners in performing
safe and effective care.

18. Why are standards important?
 Outlines what the profession expects of its
members.
 Promotes, guides and directs professional
nursing practice – important for self-assessment
and evaluation of practice by employers, clients
and other stakeholders.
 Provides nurses with a framework for
developing competencies
 Aids in developing a better understanding &
respect for the various & complementary roles

19. contd
 Provide a baseline for evaluating quality of
Nursing care.
 Helps supervisors to guide nursing staff to
improve performances.
 Help to clarify the Nurse’s area of
accountability.
 Help Nursing to clearly define different levels
of care.
 It is a device for quality assurance as Quality

20. Purposes of standards

21. Classification of standards
 Physical standards
 Cost standards
 Capital standards
 Revenue standards
 Program standards
 Intangible standards
 Goal standards
 Strategies plan standards

22.  End standards
 Mean standards

23.  Structural standards Things we use
 Process standards Things we do
 Outcome standards The result

24. Characteristics of Standards

25. Characteristics of Standards
contd
Based on current knowledge and scientific
practice.
Must be reviewed and revised periodically.
Directed towards optimal standard.

26. Sources of Nursing care
standards
 TNAI
 Licensing bodies like INC, MCI etc
 Departments of the institution
 Patient care unit
 Government at national, state and local
levels
 Individual personal standard

27. Identify this website

28. INTERNATIONAL COUNCIL OF
NURSES
 ICN is a federation of more than 130
national nurses associations (NNAs)
 Founded in 1899
 ICN is the world’s first and widest
reaching international organisation for
health professionals.

29.  Operated by nurses
 ICN works to
 ensure quality nursing care for all
 sound health policies globally
 the advancement of nursing knowledge
 the presence worldwide of a respected nursing
profession
 a competent and satisfied nursing workforce.

34. National Accreditation Board for Hospitals
& Healthcare Providers (NABH)
 Constituent board of Quality
Council of India
 to establish and operate
accreditation programme for
healthcare organisations.

35. Objectives- NABH

36. Professionalization
 Professionalization is the process by
which an occupation achieves
professional status.

37.  Professional nursing practice involves
“specialized skills essential to the performance
of a unique, professional role”

38.  Accountability
 “to be answerable to
oneself and others
for one's own
actions.”
 Autonomy
 having the authority
to make decisions
and the freedom to
act in accordance
with one's
professional
knowledge base

39.  Professional standards ensure that the
highest level of quality nursing care is
promoted.

40. Activities showing
professionalism
 Membership in professional
organizations
 certification in specialty or advanced
practice
 continuing education
 academic education

41. Various professional organizations
At centre level
Trained Nurses Association of India (TNAI)
International Council of Nurses (I C N)
The Commonwealth Nurses Federation
The Indian Nursing Council (INC)
The Red Cross Society
World Health Organisation (WHO)
At state level
The Student Nurses Association (SNA)
The Nurses League of Christian Medical Association
The Christian Medical Association of India
Trained Nurses Association of India (TNAI)

42. Standards of care ANA
 Scopes and Standards of practice
(2004) describe a competent level of
nursing care.

43. Standards of care ANA

44. Standards of care ANA
 Assessment
 The nurse collects comprehensive data pertinent to the
patients health or situation
 Diagnosis
 The nurse analyzes the assessment data to determine the
diagnoses or issues
 Outcome identification
 In terms of the patient, patient values, ethical
considerations, environment or situation considering
associated risks , benefits , costs, current scientific
evidence and clinical expertise

45. Standards of care ANA
 Planning
 The nurse develops a plan that prescribes
strategies and alternatives to attain expected
out comes
 Implementation
 The nurse implements the identified plan of
care
 Evaluation
 The nurse evaluates progress towards
attainment of outcomes

46. Standards of professional performance
-describe the roles of all professional nurses
 Quality of care
 Performance appraisal
 Collegiality
 Ethics
 Collaboration
 Research
 Resource utilization
 Leadership
 Education

47. Standards of professional performance
 Quality of care
 The registered nurse systematically enhances
the quality and effectiveness of nursing
practice
 Performance appraisal
 The nurse evaluates one’s own nursing
practice in relation to professional practice
standards and guide line, relevant statutes,
rules and regulations

48. Standards of professional
performance
 Collegiality
 The nurse interacts with and contribute to the
professional development of peers and other
health care providers as colleagues
 Ethics
 The nurse integrates ethical provisions in all
areas of practice
 Collaboration
 The nurse collaborates with patient, family, and
others in the conduct of nursing practice

49. Standards of professional
performance
 Research
 The nurse integrates research findings in
practice
 Resource utilization
 The nurse considers factors related to
safety, effectiveness, cost, and impact on
practice in the planning and delivery of
nursing services

50. Standards of professional
performance
 Leadership
 The nurse provides leadership in the
professional practice setting and the
profession
 Education
 The nurse attains knowledge and
competency that reflects current nursing
practice

51.  Fundamental to the nursing professions’
future is our ability to
 honor
 respect
 value each other
 value the inter-personal and inter-professional
relationships.

53. Nursing standard 26 Oct 2016

54. Conclusion
 Be committed to your
profession
 When you commit to continuously improving
your practice,
 you are committing to improving the
profession of nursing,
 and improving health.

55. References
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Louis.2005.
 Creasia J L, Parker B. Conceptual framework of professional
practice.2nd edn. Mosby;St.Loius.1996.
 Hall JK. Nursing ethics &law. W.B Saunders
company;Philadelphia.1996.
 Lillies C, Taylor C et al. Fundamentals of Nursing: The art & science of
nursing care. Lippincott publications; Philadelphia.2005.
 Potter PA, Perry AG. Basic Nursing; Essentials for practice. 6th edn.
Mosby ;st Louis.2007.
 Kockrow EO, Christensen BL. Foundatios of Nursing.4th
edn.mosby.2003.
 Danasu R. Standard nursing care: An Asset. The Nursing Journal of
India. June 2007. VOL. XCVIII No. 6.
 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2779962/