guidelines towards establishing standard of critical care nursing in palestine
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Guidelines towards establishing Standard of Critical Care Nursing in Palestine. Jamileh Hamdan, BSN, High Diploma, Makassed Hospital. What do Standards of care?. Standard of care : - PowerPoint PPT PresentationTRANSCRIPT
Guidelines towards Guidelines towards establishing Standardestablishing Standard of of Critical Care Nursing in Critical Care Nursing in
PalestinePalestine
JamilehJamileh Hamdan, BSN, Hamdan, BSN, High Diploma, High Diploma,
Makassed HospitalMakassed Hospital
What do Standards of What do Standards of care? care?
Standard of careStandard of care::
is a professionally agreed level is a professionally agreed level of performance appropriate to of performance appropriate to the population addressed which the population addressed which is achievable and desirable. is achievable and desirable.
What do Standards of What do Standards of care?care?
• Critical care nursing standards:Critical care nursing standards:
are statements that describe the level of are statements that describe the level of performance expected of registered nurses in performance expected of registered nurses in critical care practice critical care practice (Canadian Association of (Canadian Association of Critical Care Nurses, 2004).Critical Care Nurses, 2004).
• The Standards for Acute and Critical Care The Standards for Acute and Critical Care Nursing Practice:Nursing Practice:
are defined as authoritative statements that are defined as authoritative statements that describe a level of care or performance common describe a level of care or performance common to the profession of nursing by which the quality to the profession of nursing by which the quality of nursing practice can be judgedof nursing practice can be judged (The American (The American Association of Critical-Care Nurses, 2000).Association of Critical-Care Nurses, 2000).
The importance for having The importance for having Standards of PracticeStandards of Practice
Healthy work environment
Patient care outcomes Excellent nursing practice
The standards:The standards:
• Assure having Assure having the skills, resources, the skills, resources,
accountability and authority to make accountability and authority to make
decisionsdecisions excellent professional excellent professional
nursing practice nursing practice
• Guide in delivering Guide in delivering safe effective caresafe effective care, in , in a a
supportive and safe-working environmentsupportive and safe-working environment..
The standards:The standards:• Support Support professional development professional development
• Framework critical care Framework critical care
curriculum curriculum ++ assessment of clinical assessment of clinical
practice.. practice..
• Useful in the development of Useful in the development of
evaluation and orientation, continuing evaluation and orientation, continuing
education, and quality improvement education, and quality improvement
programsprograms
The Standard of Nursing The Standard of Nursing Practice document Practice document
Describe the practice of the nurse Describe the practice of the nurse
who cares for an acutely or critically who cares for an acutely or critically
ill patient. ill patient.
Define the philosophy, beliefs, and Define the philosophy, beliefs, and
values of individual hospitals.values of individual hospitals.
The Standard of Nursing The Standard of Nursing Practice documentPractice document
Comprehensive, realistic, and Comprehensive, realistic, and
easily understood. easily understood.
Clearly written. Clearly written.
The Standard of Nursing The Standard of Nursing Practice documentPractice document
Measurement criteria (how each Measurement criteria (how each standard is met) standard is met)
Revised and evaluated Revised and evaluated
frequentlyfrequently. .
How to develop Standards?How to develop Standards?Framed from the Framed from the general general
clinical nursing practice clinical nursing practice
standards. standards.
A A panelpanel of persons or of persons or
special special committeecommittee under the under the
supervisionsupervision of the Nursing of the Nursing
& Midwifery Association. & Midwifery Association.
How to develop Standards?How to develop Standards?
Drawn from Drawn from reportsreports from nurses from nurses and experts in healthcare and experts in healthcare organizations across the country.organizations across the country.
Expert reviewersExpert reviewers validate the validate the standards, its elements and standards, its elements and explanatory text.explanatory text.
Implementation of the Implementation of the standardsstandards
Adoption by the Nursing & Adoption by the Nursing & Midwifery AssociationMidwifery Association
Meaningful recognition by the Meaningful recognition by the Health System and Ministry of Health System and Ministry of Health. Health.
Implementation of the Implementation of the standardsstandards
A committed A committed partnershippartnership between nurses and their work between nurses and their work environment and environment and
their organizations. their organizations.
Effective decision makingEffective decision making
and strong leadership. and strong leadership.
Elements of the standards:Elements of the standards:
•Professional developmentProfessional development
•Behavioral skillsBehavioral skills
Elements of the standards:Elements of the standards:
American Association of Critical-American Association of Critical-Care Nurses (AACN) standards Care Nurses (AACN) standards
• Conceptualized from The Nursing Conceptualized from The Nursing ProcessProcess
• Include: Include:
- standards of care, - standards of care,
- standards of professional - standards of professional performance.performance.
Elements of the standards:Elements of the standards:
South African critical care South African critical care nursingnursing
Four main categories: Four main categories: • professional competence,professional competence,• cognitive competence, cognitive competence, • interpersonal skills,interpersonal skills,• critical care patterns of critical care patterns of
interaction.interaction.
Elements of the standards: Elements of the standards:
Standards of the Canadian Standards of the Canadian Association of Critical Care Association of Critical Care
Nurses (CACCN)Nurses (CACCN) Five major categories:Five major categories:
• Professional Behavior/ Ethics,Professional Behavior/ Ethics,• Continuing Competence and Continuing Competence and
Research,Research,• Client and Nurse Safety/ Risk Client and Nurse Safety/ Risk
Prevention,Prevention,• Therapeutic and Professional Therapeutic and Professional
Relationships/ Caring,Relationships/ Caring,• Clinical Skills, Knowledge, and Clinical Skills, Knowledge, and
Critical Thinking.Critical Thinking.
Standards of Care for Acute and Standards of Care for Acute and Critical Care Nursing (AACN)Critical Care Nursing (AACN)
Standard of Care:Standard of Care:
I.I. AssessmentAssessmentII.II. DiagnosisDiagnosisIII.III. Outcome IdentificationOutcome IdentificationIV.IV. Planning Planning V.V. ImplementationImplementationVI.VI. Evaluation Evaluation
Standards of Professional Practice Standards of Professional Practice for Acute and Critical Care for Acute and Critical Care
NursingNursing
Standard of Professional Practice:Standard of Professional Practice:
I.I. Quality of CareQuality of CareII.II. Individual Practice EvaluationIndividual Practice EvaluationIII.III. EducationEducationIV.IV. CollegialityCollegialityV.V. Ethics Ethics VI.VI. CollaborationCollaborationVII.VII. Research Research VIII.VIII.Resource Utilization Resource Utilization
Standards of Care for Acute and Critical Standards of Care for Acute and Critical Care NursingCare Nursing
Standard of Care I: AssessmentStandard of Care I: Assessment
The nurse caring for acute and critically ill The nurse caring for acute and critically ill patients collects relevant patient health data..patients collects relevant patient health data..
Measurement CriteriaMeasurement Criteria – Data collection involves the patient, family, Data collection involves the patient, family,
and other healthcare providers as appropriate and other healthcare providers as appropriate to develop a holistic picture of the patient’s to develop a holistic picture of the patient’s needs. needs.
– The priority of data collection activities is The priority of data collection activities is driven by the patient’s immediate condition driven by the patient’s immediate condition and/or anticipated needs. and/or anticipated needs.
– Data are collected using appropriate Data are collected using appropriate assessment techniques and instruments. assessment techniques and instruments.
– Data are documented in a retrievable form. Data are documented in a retrievable form. – Data collection process is systematic and Data collection process is systematic and
ongoing.ongoing.
THANK YOUTHANK YOU